This letter from CMS outlines the requirements for providing food to residents of nursing homes and other healthcare facilities. It requires that food be prepared in a way that meets the individual needs of each resident, based on their assessment and care plan. Facilities must observe meals and food preparation to ensure the food meets the needs of the residents, and must observe if any residents are having difficulty chewing or swallowing. The food must also be cut, chopped, ground, or pureed as needed for individual residents. This letter will impact nursing homes and healthcare facilities by requiring them to take additional steps in preparing and observing meals to ensure they are meeting the individual needs of each resident.

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