Is the resident assisted (with meal setup and eating), cued, and encouraged to eat as needed?  

Are assistive devices utilized and used correctly (e.g., plate guard, lipped plate or bowl, modified utensils, sippy cups, nosey cups, cues, hand over hand)? 

If the resident refuses or isn’t eating (e.g., pacing), what does staff do? Do they offer substitutes, encourage or assist the resident? 

Does the resident’s physical appearance indicate the potential for an altered nutritional status (e.g., cachectic)? 

Are supplements provided at times that don’t interfere with meal intake and consumed (e.g., supplement given right before or during the meal and the resident doesn’t eat)? 

Are snacks given and consumed?