Menu Review & Dietitian Approval

Nursing and specialized facilities in Oklahoma are required to have menus covering all prescribed diets approved, dated, and periodically reviewed by a qualified nutritionist or registered/licensed dietitian. Facilities must also keep a thirty-day record of past menus and maintain a file of tested recipes that includes therapeutic alterations for quantity of food preparation.

Federal rules add another layer. Under CMS tag F803, menus must be reviewed by the facility’s dietitian or other clinically qualified nutrition professional. That means certified buildings are held to both state and federal standards, and surveyors check both.

K&A Nutrition takes this off your plate. Our licensed dietitians review your menus, help you correct any gaps, and provide signed approval documentation you can hand to a surveyor with confidence.

Who We Serve

Menu requirements look a little different depending on your license type. We work with:

• Nursing and specialized facilities that need all prescribed diets approved and periodically reviewed

• Assisted living centers that must use a licensed dietitian or qualified nutritionist to develop their diet plan

• Residential care homes serving residents on physician-prescribed special diets, which require menus signed by a registered/licensed dietitian

• Behavioral health and substance use treatment facilities that need annual menu review documented with the dietitian’s signature, credentials, and date

Menu Review Packages

Single Cycle Review

A one-time review and approval of your current menu cycle. Ideal for facilities that already have menus in place and need dietitian sign-off.

Annual Compliance Plan

Ongoing support throughout the year, including review and approval of seasonal menu cycles, updates when you add new diets or recipes, and scheduled reminders for periodic review. Our most popular option for facilities that want to stay survey-ready all year.

Full Menu Development

Our dietitians write your menus for you, including therapeutic and texture-modified extensions, then provide approval documentation. Best for new facilities, facilities rebuilding their menus, or teams that simply don’t have the time.

Frequently Asked Questions

How often do our menus need to be reviewed?

It depends on your facility type. Some rules call for periodic review, others require it annually. We’ll help you set a schedule that fits your license.

How long does a menu review take?

It varies. For Oklahoma facilities, we can usually review and sign menus within 24 to 48 hours. Facilities in other states need a dietitian licensed in that state, so timing depends on that state’s licensing process, which can take anywhere from a few hours to several weeks. We’ll give you an estimate when you reach out.

Can you review menus from our food service company?

Yes. Many facilities use menus from a vendor, and those still need to meet your residents’ needs and your state requirements. We review them like any other menu.

What if our menus need a lot of changes?

That’s okay, and it’s more common than you’d think. We’ll give you clear recommendations, or you can move to Full Menu Development and let us handle it.