Barbara Hall has never eaten breakfast. She enjoys sleeping late and waking around 10 am when she would then like a cup of coffee and piece of toast or cookie. Can the facility honor her routine of skipping a complete breakfast meal every day?
YES -- Mrs. Hall has the right to refuse any particular meal or snack. The facility must offer either a snack or continental breakfast to her if she desires any food before lunch time.
The intent of both the CMS Regulation (F-368) for SNF’s and Code 58-A (2f) for ALF’s is to ensure that meals and snacks are offered at specified times, and that long periods do not lapse between the evening meal and the first meal the following day. However, each resident has the right to refuse the food offered.