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2026 Policy & Procedure Manual: Food and Nutrition Services in Healthcare Facilities

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Save time. Stay survey-ready. Ensure compliance.

Equip your facility with a comprehensive, ready-to-use manual designed to help you meet current Centers for Medicare & Medicaid Services (CMS), state, and federal requirements—without the stress of building policies from scratch.

  • Designed for Post-Acute Care, Long-Term Care and/or Small Hospitals
  • Built for real-world compliance and daily operations
  • Trusted by nutrition and healthcare professionals nationwide for more than 35 years
  • Comes in hard copy with electronic files 

Why Facilities Choose This Manual

  • Save countless hours with ready-to-use policies and procedures
  • Be survey-ready with regulation-aligned policies
  • Reduce compliance risk with up-to-date standards
  • Standardize processes across your team
  • Improve quality of nutrition care and documentation

What’s Included

Everything your team needs to operate safely, efficiently, and in full compliance – policies and procedures on:

  • Menus, therapeutic diets, and meal service
  • Food production, food safety, and sanitation
  • Infection control, cleaning, and safety protocols
  • Personnel, training, and staffing procedures
  • Clinical documentation, anthropometrics, and nutrition care
  • Quality assurance and performance improvement (QAPI)
  • Emergency and disaster planning

Bonus: Editable Tools to Save You Even More Time

Get immediate access to customizable materials:

  • More than 225 policies and procedures in Microsoft Word
  • Sample job descriptions
  • Competency checklists
  • 120+ ready-to-use forms, charts, resources, and tools

Need Multiple Copies or Continuing Professional Education Credits?

  • Ordering for multiple facilities or team members? Contact us for bulk pricing on 10+ copies.
  • Need CPEs? Check out the course that go with our manual and save!

Run a Smooth Operation and Be Ready for Your Next Survey

Organize your systems and don’t leave compliance to chance. This manual helps you streamline operations, stay compliant, and support your team with confidence.

👉 Get Your 2026 Edition Today!

Product Details

  • Approximately 500 pages
  • Hard copy manual comes with downloadable electronic materials
  • See Sample Pages for full Table of Contents

Digital Access

Electronic materials are included with your purchase (one license per facility or user)

  • Via your Order Confirmation email, or
  • In your BDA My Account → Downloads section

Important Licensing Information

  • Valid for one facility or one user only
  • Additional facilities/users need to purchase their own copies

Refund Policy

Due to the nature of digital products, all sales are final and non-refundable.

Author: 

Becky Dorner, RDN, LD, FAND is President of Becky Dorner & Associates, Inc. (BDA), which provides a broad library of credible continuing professional education (CPE) programs and nutrition resources. She was President of Nutrition Consulting Services, Inc., whose dedicated team of RDNs served health care facilities in Ohio from 1983-2020.

Becky is an extensively published author and speaker who published more than 300 health care articles, manuals, and CPE programs; presented/hosted more than 700 CE programs for national, international, and state professional meetings in 5 countries and 50 states. BDA’s complimentary e-newsletter reaches an engaged audience of 40,000 health care professionals.

An active leader, Becky has held more than 20 board positions on national and state professional associations including the Academy of Nutrition and Dietetics (Academy), Academy Foundation, and the National Pressure Injury Advisory Panel. Honors include the Academy Medallion Award, Fellow of the Academy of Nutrition and Dietetics, and the Academy Award of Excellence in Business and Consultation.

Co-Editors:

Liz Friedrich, MPH, RD, CSG, LDN, FAND, NWCC is a registered dietitian and president of Friedrich Nutrition Consulting in Salisbury, NC which provides a variety of nutrition consulting services with a focus on gerontological nutrition. Liz is Board Certified as a Specialist in Gerontological Nutrition and is Nutrition Wound Care Certified. She has authored and co-authored numerous articles and chapters in journals, magazines and textbooks, and has served as an evidence analyst for the Academy Evidence Analysis Library.

Liz is an accomplished speaker on topics related to both older adults and wound healing. She has held numerous national and state positions for the Academy, Nutrition Entrepreneurs Dietetic Practice Group, and the North Carolina Academy of Nutrition and Dietetics (NCAND). She is the recipient of two NCAND awards, the Recognized Young Dietitian of the Year and the Member of the Year.

Caryn Heller, RDN, LD is a registered dietitian nutritionist and professional chef who has worked with BD&A since 2014. Her extensive background includes food systems management and chef at upscale restaurants, country clubs, residential communities, assisted living and long term care facilities, food service vending operations, and food distribution centers. Caryn serves as adjunct faculty for Stark State College’s Dietary Manager and Dietetic Technician Programs. She is a ServSafe Certified Instructor and Proctor for the state of Ohio, and a nutrition consultant to group homes and correctional facilities throughout the state. Her knowledge of food service, food quality, and safety have been invaluable in keeping this manual up to date.

What’s New in the 2026 Edition

This edition includes extensive updates to reflect the latest regulations, standards, and best practices:
Regulatory and Standards Updates

  • CMS State Operations Manual, Appendix PP (July 2025)
    MDS changes (October 2025)
    Dietary Guidelines for Americans, 2025–2030
    Revised terminology from the Commission on Dietetic Registration 2025 Definitions of Terms

Expanded and New Content

  • Greatly expanded Emergency/Disaster Planning chapter
    New content on Hospice Services
    Additional guidance on the CMS Patient-Driven Payment Model (PDPM)
    Updates aligned with 2025 International Pressure Injury Advisory Panel (NPIAP) Nutrition Guidelines

New Tools and Policies

  • New Sample Fluid Restriction Worksheet
  • New policy on Labeling, Dating, and Use-By Dates

Federal Food Code Updates (2024 Supplement)
Includes updates such as:

  • Safe storage practices to prevent contamination
  • Food defense and monitoring for intentional adulteration
  • Temperature control requirements for Time/Temperature Control for Saftey (TCS) foods during thawing
  • Updated employee illness and return-to-work criteria
  • Storage restrictions near leaks and fire protection systems
  • Guidance on automated handwashing systems

Additional Improvements

  • Edits and updates throughout
  • Updated references and resource materials

Praise for 2026 Policy & Procedure Manual: Food and Nutrition Services in Healthcare Facilities

I love this manual! It has everything you need to run a food service operation in any setting. I have referenced this many times for my work over the years!

Policy & Procedure Manual: For Nutrition and Food Service in Healthcare Facilities, 2023
Jamie Smith, MS, RD, CSG, LDN

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