---
kind: "section"
citation: "38 C.F.R. § 51.350"
title: "38"
number: "51.350"
heading: "Provision of certain specialized services and environmental requirements."
url: "https://uscodex.org/cfr/38/51.350"
---

# §51.350. Provision of certain specialized services and environmental requirements.


The State home domiciliary care programs must comply with the requirements of [§ 51.140](/cfr/38/51.140.md), except [§ 51.140(f)(2) through (4)](/cfr/38/51.140.md?p=f-2..f-4) concerning dietary services; [§ 51.170](/cfr/38/51.170.md) concerning dental services; [§ 51.180](/cfr/38/51.180.md), except [§ 51.180(c)](/cfr/38/51.180.md?p=c) concerning pharmacy services; [§ 51.190](/cfr/38/51.190.md) concerning infection control; and [§ 51.200](/cfr/38/51.200.md), except § [51.200(a)](/cfr/38/51.200.md?p=a), [(b)](/cfr/38/51.200.md?p=b), [(d)(1)(ii) through (x)](/cfr/38/51.200.md?p=d-1-ii..d-1-x), [(f)](/cfr/38/51.200.md?p=d-1-f), and [(h)(3)](/cfr/38/51.200.md?p=d-h-3) concerning the physical environment. For purposes of this section, the references to “facility” in the cited sections also refer to a domiciliary.

- (a) **Dietary services.**
  - (1) There must be no more than 14 hours between a substantial evening meal and the availability of breakfast the following day, except as provided in (a)(3) of this section.
  - (2) The facility staff must offer snacks at bedtime daily.
  - (3) Sixteen hours may elapse between a substantial evening meal and breakfast the following day when a nourishing snack is offered at bedtime.
- (b) **Pharmacy services.**
  - (1) The drug regimen of each resident must be reviewed at least once every six months by a licensed pharmacist.
  - (2) The pharmacist must report any irregularities to the primary care physician and the director of nursing, and these reports must be acted upon.
- (c) **Life safety from fire.** The facility must meet the applicable requirements of the National Fire Protection Association's NFPA 101, Life Safety Code, as incorporated by reference in [§ 51.200](/cfr/38/51.200.md).
- (d) **Privacy.** The facility must provide the means for visual privacy for each resident.

## Notes

### Source

Source: 83 FR 61277, Nov. 28, 2018, unless otherwise noted.

### Authority

Authority: 38 U.S.C. 101, 501, 1710, 1720, 1741-1743, 1745, and as follows. Section 51.20 and 51.30 also issued under 38 U.S.C. 511, 1742, 7104 and 7105. Section 51.42 also issued under 38 U.S.C. 510, 1744, and Pub. L. 116-315 section 3007. Section 51.43 also issued under 38 U.S.C. 1712. Section 51.51 also issued under Pub. L. 116-315 section 3007. Section 51.310 also issued under 38 U.S.C. 1720(f).

### Source

Source: 65 FR 968, Jan. 6, 2000, unless otherwise noted.