Scheduling Meals

Section 300 Section 300.2070  Scheduling Meals a)         A minimum of three meals or their equivalent shall be served daily at regular times with no more than a l4 hour span between a substantial evening meal and breakfast.  The l4 hour span shall not apply to facilities using the "four or five meal-a-day" plan, provided the evening meal is substantial and includes, but is not limited to, a good quality protein, bread or bread substitute, butter or margarine, a dessert and a nourishing beverage. b)         Bedtime snacks of nourishing quality shall be offered.  Snacks of nourishing quality shall be offered between meals when there is a time span of four or more hours between the ending of one meal and the serving of the next, or as otherwise indicated in the resident's plan of care. c)         If a resident refuses food served, reasonable and nutritionally appropriate substitutes shall be served.