According to the OBRA Omnibus Reconciliation Act of 1987, what is a requirement for nursing homes accepting Medicaid?

The requirement outlined in the Omnibus Budget Reconciliation Act (OBRA) of 1987 specifies that nursing homes accepting Medicaid must employ or consult with a registered dietitian (RD). This regulation ensures that the nutritional needs of residents are adequately met by having a qualified professional involved in meal planning, assessment, and dietary care.

The presence of a registered dietitian is crucial for maintaining residents' health, particularly given the unique dietary needs that can arise in older populations, such as those with chronic illnesses or those recovering from surgery. The dietitian’s expertise allows for the development of individualized nutrition plans, which helps in promoting health, managing disease, and enhancing the overall quality of life for residents.

Other options provided do not align with OBRA’s stipulations for nursing homes. For example, while providing snacks or serving food on demand might contribute to residents' satisfaction, they are not specific regulatory requirements under OBRA for Medicaid-accepting facilities. Similarly, there is no stipulation mandating the employment of multiple dietitians, as a single dietitian can fulfill the necessary criteria by consulting on dietary needs.