01/22/2026

Survey Tip of the Week: Dining Dignity

Residents have the right to a dignified existence, and surveyors closely observe how dignity, independence, and comfort are promoted during meals. Under F550, dining practices and environments must support both quality of life and nutritional intake. Surveyors commonly cite concerns when they observe the following: 

• Daily use of disposable cutlery and dishware 

• Bibs or clothing protectors instead of napkins (except by resident choice) 

• Staff standing over residents while assisting them to eat 

• Staff interacting/conversing only with each other rather than with residents while assisting with meals 

Appetite is influenced by more than the food itself. The aroma, flavor, appearance, temperature, and overall dining experience all impact intake. Uncomfortable, noisy, or disruptive dining environments can directly contribute to poor nutritional outcomes. 

The Long-Term Care Survey Process (LTCSP) instructs surveyors to observe for: 

• Flexible dining schedules and dining styles that support resident choice 

• Meals that are palatable, visually appealing, and served at proper temperatures 

• Dining spaces that are calm, welcoming, and conducive to eating—whether in the dining room or resident rooms 

Dining, activity, and common areas must be large enough to comfortably accommodate residents, including those using wheelchairs, walkers, or other mobility devices. “Sufficient space” means: 

• Residents can access the area without restriction 

• The space is not functionally off-limits 

• Residents can move and function freely once inside 

Dining areas should also be adequately furnished to meet varying physical and social needs. Surveyors are instructed to observe whether furnishings are: 

• Structurally sound and functional 

• Appropriately sized (e.g., chairs of varying heights, tables that accommodate wheelchairs) 

The Long-Term Care Survey Process directs surveyors to assess whether dining areas are structurally sound and functional, including whether furnishings accommodate varying resident needs (e.g., chairs of different sizes and tables that allow wheelchair access). Surveyors will also verify air temperatures above floor level in resident rooms, dining areas, and common spaces, noting concerns if temperatures fall outside the 71–81°F range.