05/28/2026

You Asked… We Answered

You Asked: How often do menus have to be changed? 

We Answered: Under §483.60(c)(5), nursing home menus must be updated periodically. CMS explains that periodically means that a facility should update its menus to accommodate their changing resident population or resident needs as determined by their facility assessment. This includes considering residents’ ethnic, cultural, or religious factors that may potentially affect the care provided by the facility, including, but not limited to, activities and food and nutrition services. 

Rather than requiring menu changes on a specific schedule, CMS expects facilities to ensure menus continue to meet the needs and preferences of their current residents. During surveys, residents may be asked whether they have meaningful choices about meals and beverages and whether the facility honors their preferences regarding mealtimes, food selections, and fluid choices. Facilities should be prepared to demonstrate how resident input is gathered and incorporated into menu planning.