SMQT Dietary and Nutrition Services 2

Question 1

Under CMS F-tag F803, a nursing facility's menus must be planned and followed with sufficient variety to meet residents' needs and preferences. What is the minimum number of meals that must be offered each day?

Accepted Answer

3 meals plus snacks as needed

Answer

CMS requires at least three meals per day plus snacks between meals and at bedtime as needed to meet residents' nutritional needs.

Question 2

A surveyor observes that a resident on a sodium-restricted diet is consistently receiving meals that do not comply with the ordered diet. Which F-tag is MOST directly implicated?

Accepted Answer

F804 – Nutritive Value/Appear/Palatable/Prefer Temp

Answer

F804 addresses the requirement that food must be prepared in a form designed to meet individual needs, including therapeutic diet orders.

Question 3

When surveying a skilled nursing facility, a surveyor notices a resident's weight has dropped 8% over 30 days. Under MDS coding rules, this weight loss is classified as:

Accepted Answer

Significant weight loss

Answer

A weight loss of 5% or more over 30 days meets the MDS definition of significant weight loss, triggering further assessment.

Question 4

A dietitian determines that a resident requires a mechanically altered diet due to dysphagia. The MOST appropriate texture level descriptor consistent with IDDSI framework for a resident who can manage soft, tender pieces is:

Accepted Answer

Minced and Moist (Level 5)

Answer

IDDSI Level 5 (Minced and Moist) is appropriate for residents who can manage small, soft, moist pieces but have mild chewing or swallowing difficulty.

Question 5

During a dietary observation, a surveyor finds food stored at 48°F in the walk-in refrigerator. The required maximum safe refrigerator temperature for potentially hazardous foods under federal food safety standards is:

Accepted Answer

41°F

Answer

Federal food safety guidelines and FDA Food Code require potentially hazardous foods to be held at 41°F or below to prevent bacterial growth.

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT Dietary and Nutrition Services 2