I am a Certified Dietary Manager who has worked in nursing homes, memory care and assisted living facilities for decades. I have some limited understanding of how these facilities work, how they are structured to meet medicaid and medicare regulations etc, and much a deeper understanding of how these kitchens and dining programs work. I know the diets/ texture modifications, assessments, nutrition screens are written etc, why the menus written are the way they are etc. If you have questions about any of this, I am willing to answer based on my experience and training. I also know what I do NOT KNOW, so lets not get into why your Mom was prescribed drug X or why the physical therapist decreased the number of scheduled minutes or visits for your uncle.