Skip to content
Health Licensing

July 26, 2010

MEMORANDUM

To: Administrators, Hospitals and Nursing Homes

From: Nancy E. Maertens, Director, Division of Health Licensing

Subject: Provider-wide Exception to the Requirements of §803 of Regulation 61-16, Standards for Licensing Hospitals and Institutional General Infirmaries, and §1405.C of Regulation 61-17, Standards for Licensing Nursing Homes

Standards established in South Carolina regulations require hospitals and nursing homes to have the facility dietary services under the direction of a dietitian or qualified food service supervisor. Regulation 61-16, Standards for Licensing Hospitals and Institutional General Infirmaries, §803 requires that the qualified food service supervisor, “1. Is a graduate of a dietetic technician or dietetic assistant training program approved by the American Dietetic Association; or 2. Is a graduate of a State-approved course; or 3. Has training and experience in food service supervision and management equivalent in content to the programs in paragraph 1 or 2 above.” Regulation 61-17, Standards for Licensing Nursing Homes, §1405.C requires that the qualified food service supervisor, “1. Is a graduate of a dietetic technician training program approved by the American Dietetic Association; or 2. Is a graduate of a course of study meeting the requirements of the American Dietetic Association and approved by the state; or 3. Has at least three (3) years of training and experience in meal service supervision and management in a military service equivalent in content to the programs described in §1405.C.1 and C.2.”

On August 1, 2008, the Department issued a temporary Provider-wide Exception to the requirements of §803 of Regulation 61-16, and §1405.C of Regulation 61-17. In consideration of the Department’s commitment to establishing standards that do not compromise the health, safety, and well-being of patients and/or residents, the Department has determined that it is appropriate at this time to adopt the temporary standards outlined in the August 1, 2008, memorandum as a permanent Provider-wide exception.

Therefore, all hospitals and nursing homes will be required to meet the standards outlined in each respective regulation, i.e., R.61-16 §803, and R.61-17, §1405.C, or, as an alternative, the qualified food service supervisor shall meet any one of the following options:

  1. Is a graduate of a dietetic technician training program approved by the American Dietetic Association; or
  2. Is a graduate of a course of study meeting the requirements of the American Dietetic Association and approved by the state; or
  3. Is certified by the Certifying Board for Dietary Managers of the Dietary Managers Association and maintains that credential through forty-five hours of Dietary Managers Association approved continuing education every three years; or
  4. Has at least three (3) years of training and experience in meal service supervision and management in a military service equivalent in content to the programs described in paragraph 1, 2, or 3 above.

This exception applies to hospitals and nursing homes and relates solely to South Carolina licensing standards. Any adverse condition(s) that may be related to this exception may result in revocation of the exception by the Department.

If there are any questions, you may call Shara Merritt at 803-545-4976.

NEM/shh
Cc: Pamela M. Dukes, DHEC
Dennis Gibbs, DHEC
Sara Granger, DHEC
Mary Jo Roué, DHEC
Randall Lee, South Carolina Health Care Association
Vicki Moody, Aging Services Institute of South Carolina
Joe Saleeby, South Carolina Nursing Home Association
James R. Walker, Jr., South Carolina Hospital Association
Richard Schmitt, South Carolina Dietary Managers Association


For additional information, contact: Division Director Gwendolyn Thompson - (803) 545-4370