We are implementing the use of Paid Feeding Assistants. Once our staff completes the state-approved training program, do we need to do anything else?



Training is only 1 of the 3 components of the Paid Feeding Assistants federal regulation. Supervision and Resident Selection Criteria are also required.

Paid feeding assistants must work under the supervision of a RN/LPN. Constant visual contact or being physically present during the meal/snack time, is not required. However, the feeding assistant must be able to immediately alert/access the RN/LPN in the event of an emergency. The nurse should be close enough to respond promptly.

Paid Feeding Assistants can only assist residents who have no complicated eating or drinking problems, such as difficulty swallowing, recurrent lung aspirations, and/or tube feedings. Resident selection must be based on the interdisciplinary team’s current assessment of the resident’s condition, and the resident’s latest comprehensive assessment and plan of care. The assessment to determine that a resident may be assisted by a paid feeding assistant should be ongoing, and should be reflected in the resident’s comprehensive care plan.


Blog by Angie Hamer, MSN, MBA, RN, LNHA, QCP, CHC, CLNC, Proactive Medical Review

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