B. Therapeutic Diets. (1) The therapeutic diet prescribed by the attending physician shall be prepared and served as part of the course of treatment of the patient. If the dietary requirement is beyond the capability of the facility, other arrangements for the nutritional needs shall be made by the health care facility physician. (2) A diet manual approved by the physician or dietitian shall be available. C. Frequency and Quality of Meals. At least three meals or their equivalent shall be served daily, at regular times, with not more than a 14-hour interval between the evening meal and breakfast. D. Planning of Menus. Menus shall be planned in advance and food sufficient to meet the nutritional needs of residents shall be prepared as planned for each meal. When menu changes are necessary, substitutions shall provide equal nutritional value. E. Preparation of Food. Food be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperature. F. Compliance with COMAR 10.15.03 Food Service Facilities. Food service personnel shall comply with Department of Health and Mental Hygiene COMAR 10.15.03 Food Service Facilities. 10.07.12.21 .21 Housekeeping Services and Pest Control. The following shall be observed: A. The building and all its parts shall be kept in good repair, neat, clean, attractive, and safe. Housekeeping shall meet the highest possible standards of hygiene and cleanliness. B. All floors, ceilings, windows, and fixtures shall be kept clean. Interior walls and floors shall be of a character to permit frequent and easy cleaning. C. The facility shall be kept free of unnecessary accumulations of unused furniture, equipment, linen, clothing, and similar items. D. The facility shall be maintained free of insects, rodents, and harborages, by operation of an active pest-control program, either by use of facility personnel or by contract with a pest-control company. Care shall be exercised in the usage and storage of toxic and flammable insecticides and rodenticides. E. All outside doors, windows, and other outside openings shall be screened with wire screen or its equal of at least 16 meshes per linear inch.
B. Therapeutic Diets. (1) The therapeutic diet prescribed by the attending physician shall be prepared and served as part of the course of treatment of the patient. If the dietary requirement is beyond the capability of the facility, other arrangements for the nutritional needs shall be made by the health care facility physician. (2) A diet manual approved by the physician or dietitian shall be available. C. Frequency and Quality of Meals. At least three meals or their equivalent shall be served daily, at regular times, with not more than a 14-hour interval between the evening meal and breakfast. D. Planning of Menus. Menus shall be planned in advance and food sufficient to meet the nutritional needs of residents shall be prepared as planned for each meal. When menu changes are necessary, substitutions shall provide equal nutritional value. E. Preparation of Food. Food be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperature. F. Compliance with COMAR 10.15.03 Food Service Facilities. Food service personnel shall comply with Department of Health and Mental Hygiene COMAR 10.15.03 Food Service Facilities. 10.07.12.21 .21 Housekeeping Services and Pest Control. The following shall be observed: A. The building and all its parts shall be kept in good repair, neat, clean, attractive, and safe. Housekeeping shall meet the highest possible standards of hygiene and cleanliness. B. All floors, ceilings, windows, and fixtures shall be kept clean. Interior walls and floors shall be of a character to permit frequent and easy cleaning. C. The facility shall be kept free of unnecessary accumulations of unused furniture, equipment, linen, clothing, and similar items. D. The facility shall be maintained free of insects, rodents, and harborages, by operation of an active pest-control program, either by use of facility personnel or by contract with a pest-control company. Care shall be exercised in the usage and storage of toxic and flammable insecticides and rodenticides. E. All outside doors, windows, and other outside openings shall be screened with wire screen or its equal of at least 16 meshes per linear inch.