Consultant Services

Linda Roberts & Associates takes pride in the diversity of experience held by our registered dietitians. Contracting with LRA for on-site nutrition and dining consulting services offers your long-term living community a depth of knowledge leaving no challenge unmatched.

Consultant Services we provide: (click on each to find out more)

Traditional Dietitian Consultant

Nursing home regulations state if a person responsible for food service is not a dietitian, this person shall have frequent and regular scheduled consultation from a dietitian.

The primary role of the consultant dietitian is to provide comprehensive nutrition care to the elders residing in nursing homes. Our trained registered dietitians partner with the health care providers of the facility to identify and treat individuals at increased nutrition risk through clinical observation, assessment, and communication.

Our consultant dietitians also provide training to the dining services staff in areas such as menu planning, food preparation, food storage, food service, food sanitation, and use of equipment. Compliance audits aid in pinpointing the exact content of the in-service training.

LRA dietitians keep current with regulatory changes and industry trends via regular meetings and web conferencing. Systems, forms, policies, and in-services are introduced to the dietitian during these meetings and in turn are shared with the management staff of the facilities to enhance resident care and regulatory compliance. Learn more . . .

Non-Traditional Dietitian Consulting

The long-term living industry is changing it seems daily; culture change, person centered care, assisted living, supporting living, continuous care retirement communities and home care. LRA has a variety of consulting options that meet your every need.

Assisted Living, Supportive Living

LRA began working in assisted, supportive living communities over five years ago when dietitian services for these venues were not well defined. Skilled care offers sub-acute care and health care, assisted living offers lifestyle choices. By design the assisted living community was not the step-children of skilled care, rather the future of long-term living.

Dietitian services to long-term living had to focus on nutrition education and prevention for the elders and food service safety for the dining services staff.

LRA delivers lively, interactive presentations on nutrition topics ranging from “live long and live strong” to brain food. The presentation is accompanied by an easy to read, colorful newsletter; a wonderful piece for the elder to share with family and friends.

Food handling systems are audited regularly to ensure safe food handling practices are being followed within the dining services department. Staff training in-services follow the identification of non-compliant actions. Learn more . . .

Medicare Part B Reimbursement for Nutrition Therapy

Medicare Part B reimburses nutrition therapy for Chronic Kidney Disease stages 3 & 4 and Diabetes Mellitus for individuals not living in the nursing home.

What an excellent value added benefit for your elders. LRA dietitians hold Medicare provider numbers and can begin seeing your elders qualifying for Medicare Part B medical nutrition therapy. Therapy consists of an initial nutrition assessment, with follow-up sessions as needed. We provide the tools your elders need to succeed with their nutrition goals.

A value added benefit for the provider . . . nutrition health is the foundation to overall health and wellness, just the prescription for preventing hospitalizations and transfers. Another benefit – LRA does the Medicare billing, resulting in budget neutral dietitian services. Learn more . . .

Transitions in Culture Change

Pioneer Network is a growing coalition of organizations and individuals from across the country changing the culture of aging and long-term care. Pioneer Network is dedicated to making fundamental changes in values and practices to create a culture of aging that is life-affirming, satisfying, humane, and meaningful. In 2010 Pioneer Network and CMS held a national symposium: Creating Home II National Symposium on Culture Change and the Food and Dining Requirements.

Linda Roberts was content advisor to the Pioneer Network and CMS for Creating Home II. Currently she is a member of the Pioneer Network Food and Clinical Standards Task force representing the American Dietetic Association. This makes her uniquely qualified to support your transitions in culture change.

Culture change is taking out the ‘care’ and replacing it with ‘living’, thus the phrase long-term living. Culture change is transitioning from a health care model to a home-like community of choice; transitioning from residents to elders. Therapeutic diets are replaced with liberalized, individualized meal plans allowing the elder to select preferred foods.

Culture change is different for every building. Elder preference may vary from a 5-star dining experience, to a country kitchen setting, or perhaps the option of both. LRA dietitians have worked with a variety of long-term living communities guiding them through the journey. How can we help you? Learn more . . .

Regulatory Compliance

Preparing dining services for OBRA survey requires specialized knowledge of food service operations and nutrition care. Changes in the survey protocols and enforcement rules have increased the risk for an IJ or G level citation. F325 and F371 now begin at an E level citation.

Person centered care adds a new dimension to regulatory compliance. Is quality of life measured by the absence of clothing protectors, tray-lines, liquid supplements, therapeutic diets, and set meal times? Has anyone asked the elder? Overall, how does your operation rate?

LRA can assist you in identifying potential compliance issues. Our team of consultant dietitians will evaluate your current systems using some of the same protocols, tasks and quality indicators used by the surveyors. Upon completion of the mock survey you will receive a detailed list of recommendations for immediate correction along with tools to help your community stay ahead in the regulatory compliance arena. Learn more . . .

Operations Efficiency & Profitability

Food service operators within the long-term care setting are being asked to do more without additional resources. Systems that have served the kitchen well for years may be antiquated and in need of a fresh perspective in order to identify an updated, cost effective approach.

LRA has worked with clients to identify wasteful practices and develop detailed systems and protocols to help streamline dining operations. LRA was able to save one client over $100K per year by consolidating job duties, controlling inventory, decreasing costs without hurting quality, and guiding the Dining Service Director every step of the way.

What can LRA do for you?  Contact us to Learn more . . .