Dietary, Infection Control and Physical Plant

About 5 of every 50 questions on a Texas NFA State Exam practice exam come from this topic.

Sources checked November 13, 2026

What to know

Dietary services, infection control and the physical plant. Residents get at least three meals daily, with no more than 14 hours between a substantial evening meal and breakfast, or up to 16 hours when a nourishing bedtime snack is served and a resident group agrees. Menus are prepared a week ahead, substitutions are recorded the day of use, menu and food purchase records are kept 30 days, the diet manual can be no more than five years old, and the facility keeps a seven-day supply of staples and two days of perishables. A qualified dietitian, or a director such as a certified dietary manager who gets regular dietitian consultation, runs food service; consultant hours start at eight a month for 60 residents and rise four hours for each added 30. Paid feeding assistants complete a 16-hour course, work under an RN or LVN and help only residents without complicated feeding problems. The infection control program covers TB screening before employees start work, immediate reporting of reportable diseases to the local health authority, an infection preventionist, antibiotic stewardship and flu vaccination by November 30. Newer buildings limit bedrooms to two residents, with 80 square feet per resident.

Where it comes from

• 26 TAC §§ 554.1102, 554.1104, 554.1107, 554.1110, 554.1111
• 26 TAC §§ 554.1113, 554.1115, 554.1116
• 26 TAC §§ 554.1601, 554.1602
• 26 TAC § 554.1701

Try a practice question

Ready for a full run? The Texas Nursing Facility Administrator State Exam Practice Test is 50 questions in 120 minutes, scored at 75%. For the official exam's details, see Texas Nursing Facility Administrator License Exam Requirements.