Frequently Asked Questions (FAQ)

• Comprehensive Nutrition Care Management compliant with all state and federal LTC guidelines

• Proprietary Dietary Difference Consulting System for streamlined, efficient protocols

• More time for collaboration with staff, residents, and families

• Strong focus on relationship-building to improve outcomes and ease workloads

• Consultants who integrate seamlessly, understand your culture, and become trusted team members

A member of our management team will meet with your administrator and director of nursing to assess your priorities and challenges. Within the first few weeks, we will conduct several audits, including:

• Our DAY ONE services: Comprehensive EMR review for all Nutrition-at-Risk residents, Review of all nutrition documentation and care plans, Analysis of 6-month weight loss report, Clinical eval of tube-fed patients
• Kitchen sanitation inspection
• Menus and FNS budget review
• Tube feed formula and supplement usage
• Diet orders and tray card accuracy
• Any other areas of concern

A Dietary Difference manager works alongside your FNS manager/chef and consultant the entire time we have the account, not just during the transition.

Our weight management protocol is a core part of our approach to nutrition care. Inaccurate weights can skew your quality measures and impact resident health.

1. Initial Assessment: We review each resident’s past six months of weight history, removing questionable data.
2. Monthly Weight Monitoring: Your consultant supervises your staff to ensure accurate, timely monthly weights. Post-dialysis weights are obtained for comparison, and any questionable weights are redone. You’ll receive a report with a six-month weight history and relevant data for your interdisciplinary team.
3. Significant Weight Change Report: Each month, we provide a report detailing the reason for weight changes, interventions, and documentation.
4. Weekly Weights: High-risk residents are weighed weekly, including tube-fed and newly admitted residents. This helps track the effectiveness of interventions and identify issues with appetite or fluid overload.

Our weight protocol reduces the number of significant weight changes and improves overall nutrition care quality.

• Phase out ineffective products and streamline the formulary

• Prioritize high-calorie enteral formulas and high-protein supplements for skin support

• Taste-test supplements with residents before ordering

• Quarterly reviews to minimize unnecessary use

• Promote a food-first approach that improves outcomes and reduces costs

Our services offer unmatched value, and we can often meet or beat competitor pricing. If your dietitian is an employee, we can turn that expense into an investment.

• We offer as much or as little assistance as needed during surveys and guarantee support when surveyors are on-site.
• We assist in developing and executing QAPI programs tailored to your facility's needs.