When can a facility substitute a listed menu item?

A facility can substitute a listed menu item when uncontrollable situations arise, as it allows the institution to respond to circumstances that prevent the availability of specific foods. This could include situations such as supply chain disruptions, food shortages, or unexpected delivery issues. These factors are often beyond the control of the facility and require immediate action to ensure that residents still receive their meals in a timely manner.

In contrast, substituting based solely on a resident's request may not always be practical or feasible, especially if it disrupts the planned menu or if the requested item isn't available. Holiday celebrations might involve offering special items or variations, but the primary menu items should remain in place unless necessary changes are required. Finally, while food cost increases can impact budgeting and meal planning, they do not constitute an immediate, uncontrollable circumstance that justifies changing menu items without planning.