For how long must menus, with changes or substitutes, be kept on file in the facility?

The correct duration for which menus, including any changes or substitutes, must be kept on file in the facility is 30 days. This requirement is essential for several reasons related to ensuring regulatory compliance, food safety, and proper nutritional planning for residents. Keeping menus on file allows for transparency in meal planning and helps in tracking dietary choices to meet the specific health needs of the residents.

Retaining menus for this length of time aids in evaluating the quality of food service and allows for the assessment of dietary variety and nutritional adequacy. It also facilitates compliance with state regulations and guidelines, which are designed to protect the health and well-being of assisted living residents by ensuring they receive nutritious and varied meals.

The other durations mentioned—15 days, 60 days, and 14 days—do not align with the established requirement for the retention of menus in assisted living facilities, making 30 days the appropriate choice to ensure compliance and proper documentation in food service operations.