(a) State-approved training course. The facility may use a paid feeding assistant, if the paid feeding assistant has successfully completed a state-approved training course that meets the requirements of §19.1115 of this subchapter (relating to Requirements for Training of Paid Feeding Assistants) before feeding a resident.
(b) Supervision. A paid feeding assistant must work under the supervision of an RN or an LVN. In an emergency, a paid feeding assistant must call a supervisory nurse for help. A paid feeding assistant can only feed a resident in the dining room.
(c) Resident selection criteria.
  (1) The facility must ensure that a paid feeding assistant provides dining assistance only for a resident who has no complicated feeding problems, which include difficulty swallowing, recurrent lung aspirations, and tube or parenteral/IV feedings.
  (2) The facility must base resident selection on the interdisciplinary team's assessment and the resident's latest assessment and comprehensive care plan. A resident's comprehensive care plan must reflect the resident's appropriateness for a paid feeding assistant.

Source Note: The provisions of this §554.1113 adopted to be effective June 1, 2004, 29 TexReg 5416; amended to be effective March 24, 2020, 45 TexReg 2025; transferred effective January 15, 2021, as published in the Texas Register December 11, 2020, 45 TexReg 8871