Feeding the Resident (Dependent Eating) 

Purpose: 

To assist the resident with feeding as necessary and to provide adequate nutrition. 

Equipment: 

• Diet as ordered 

• Assistive devices as needed 

Procedure: 

1. Preparation: 

• Take the plate to the resident. 

• Place the plate and cup directly in front of the resident. 

• Assist the resident to a proper sitting position unless contraindicated. 

• Assist the resident to place his/her napkin. 

2. Introduction: 

• Inform the resident what is on the tray (e.g., pasta, beef). 

• If the resident cannot see the tray, use the clock method to describe the position of each item (e.g., "peas at 3 o'clock, chicken at 6 o'clock"). 

3. Feeding: 

• Cut or divide food into small portions and give the resident a small amount at a time. 

• Do not force the resident to eat. Select foods according to the resident’s appetite and preference. 

• Hold the glass in one hand and the straw in the other when serving liquids with a straw. 

• Alternate between solid food and liquid to facilitate swallowing and digestion. 

4. Post-Meal Care: 

• Wash the resident’s hands and face after meals. 

• Leave the resident in a comfortable position with the call light and water within reach if they are in bed. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Document the feeding assistance provided, including the resident’s response and any observations, in their medical record. 

• Note any difficulties encountered during feeding. 

• Regularly review and update feeding techniques according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on proper feeding procedures to ensure resident safety and comfort. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.