04/02/2026
CMS Signals New Expectations for Food and Nutrition Services
The Centers for Medicare & Medicaid Services (CMS) issued a Quality and Safety Special Alert Memo on March 30, reminding hospitals of their obligations for patient food and nutrition services, including alignment with the Dietary Guidelines for Americans, 2025–2030, released in January. Though nothing has been directed at nursing homes, members should still be prepared for survey enforcement based on national guidelines.
What You Need To Know
- The Centers for Medicare & Medicaid Services issued a Quality and Safety Special Alert Memo on March 30 focused on patient food and nutrition services.
- CMS expects alignment with the Dietary Guidelines for Americans, 2025–2030, including limiting ultra-processed foods, using 100% whole grains, and keeping added sugars at or below 10 grams.
- The memo outlines practical changes, such as replacing processed meats with freshly prepared proteins and avoiding sugar-sweetened beverages.
- While directed at hospitals, these expectations apply to nursing homes through existing requirements to follow “established national guidelines.”
What Happens Next
- CMS has not released nursing home-specific guidance.
- Surveyors can still assess compliance under current federal regulations without additional direction.
- LeadingAge is monitoring for any nursing home-specific updates.
What to Do
- Review menus and food service practices against the updated dietary guidelines.
- Identify areas where ultra-processed foods, refined grains, or added sugars exceed recommendations.
- Begin aligning meal planning and purchasing practices with national dietary standards.
- Read the full CMS memo.
