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Maintaining Nutritional Status Resources

Maintaining nutritional status involves using systematic approaches to identify, evaluate and analyze resident’s current nutritional condition. As a result, an effective plan of care is developed, implemented, and updated as needed. Individualized approaches are consistent with each resident’s preferences, goals and standards of professional practice. Emphasis is on early detection and prevention for nutrition and dining concerns, as they relate to weight loss in long term care centers. The following forms, handouts and resources will provide help in putting these best practices into action.

Best Practices for Maintaining Nutrition Status : This guide shares who is at-risk for weight loss, when and how to assess weight status, medical nutritional therapies,  audits for compliance, staff training and relevant CMS tags along with references and additional reading.

How to Properly Weigh and Measure : Weight needs to be measured as accurately as possible without causing distress to the person we are weighing. Here’s how you do it.

How do you Calculate Weight Loss : A quick how-to on calculating weight loss.

In-service education weight monitoring : A guide to monitoring resident’s weights.

Audit for monitoring use of assistive devices : Review the use of assistive devices in the dining room and other places where food and drink are served.

Audit for monitoring tube feeding : Review tube feeding to determine any red flag concerns, monitor tube feeding formula, water flush and flushing syringe.

A Short Education on Good Hydration : A quick look at keeping residents hydrated.

How to Spot Dehydration Before It’s Too Late : Signs of dehydration in the elderly are tricky. This tip sheet will help you identify the signs before it becomes a problem.

Hydration Checklist for Surveyor Compliance : A checklist to assure that each person is offered beverages of his or her choice, at the favorite temperature of choice, and that he or she maintains fluid parameters as planned. All individuals are assessed for risk.

Supporting Dining Independence for At-Risk Residents : If a resident has lost weight or shows a decline in ADLs, this assessment may be used to determine possible contributing factors.


Niedert K, Nutrition Care of the Older Adult, third edition. Academy of Nutrition and Dietetics. 2016.

Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition). J Academy of Nutrition and Dietetics 2012

CMS-20075 (7/2015) CE Pathway Nutrition

Position of the Academy of Nutrition and Dietetics: Malnutrition Screening Tools for All Adults 2019

National Resource Center on Nutrition and Aging, December 2019

Malnutrition Screening Tool, Abbott Laboratories, May 2013

A.D.A./A.S.P.E.N. Clinical Characteristics for diagnosis of malnutrition

Should Albumin and Prealbumin Be Used as Indicators for Malnutrition? AND Journal, 2017