Specifications include, but are not limited to: Vendor must review and/or evaluate all new admissions within the first seven (7) calendar days of admission to hospital. Vendor must monitor all charts, for all tube feeding residents at a minimum of once a month basis. Vendor must complete nutritional assessments of the facility residents as needed including annual, significant change, and new admissions. Vendor must make recommendations to the Facility Physicians for diet changes based on tab values (calories and carbohydrate counts). This includes but not limited to Nutritional Supplements either oral or tube fed. Vendor must review diet orders for appropriateness on a monthly basis or as needed if significant change occurs and make recommendations as necessary. Vendor must monitor all charts of any diabetic residents on a weekly basis and make any necessary recommendations toward diet change. Vendor must monitor charts of all residents with decubitus ulcers on a monthly basis.