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DOCUMENT RESUME
06842 - [B22072521 (Restricted)
rSurvey of Dietetic services in Selected Nursing Homes in
Georgia and South Carolina]. July 25, 1978. 6 pp. 4 2 appendices
(2 pp.).
Report to Virginia M. Smyth, Regional Administrator, Health Care
Financing Administration: Region I, Atlanta, GA; by Marvin
Colbs, Regional Manager, Field operations Div.: Regional Office
(Atlanta).
Contact: Field Operations Div.: Regional Office (Atlanta).
Organizztion Concerned: Department of Bealth, Education, and
Welfare; Margaret's Convalescent Center, Charlestca, SC.
Authority: =45 C.P.R. 249. =49 C.F.B. 405.
Dietetic services in selected nursing homes in Georgia
and South Carolina were surveyed to determine if long-term care
facilities were meeting Health, Educatica, and Welfare (BEV)
standards for dietetic services and whether failure to meet
established standards affected patient health. Eight of the 17
nursing homes surveyed did not meet the HEN standard for
therapeutic diets, and six other facilities were act preparing
abd serving the diets as ordered by physicians. Noncompliance
ranged from serving slightly more food than prescribed to
serving basically the same seal to all patients even tbcugh
calorie control diets ranged from 1,200 to 2,000 calories. HEV's
Rapid Data Retrieval System showed that from 5.2% to 16.2% of
skilled nursing facilities in individual States did act cceply
with therapeutic diet standards. Review of selected medical
charts did not indicate that patients who were served incorrect
therapeutic diets experienced health problems as a result.
Improper therapeutic diets did not adversely affect the
condition of diabetic patients either. One facility in
Charleston, South Carolina, did not recognize or meet either the
normal or therapeutic nutritional needs of its residents. The
Region IV office should: require State survey agencies to place
more emphasis on filling vacant nutrition consultant positions,
assist State survey agencies in identifying reasons why
long-term care facilities do not serve therapeutic diets
correctly, and ensure that Hargaret's Convalescent Center's
participation in the sedicaid program is terminated unless the
home meets HEW standards. (RRS)](ViewImageLocal?handle=hein.gao/gaobacxri0001&div=1&collection=&method=preview&ext=.png&size=3)