For facilities serving three or more meals per day, no more than how many hours must elapse between the end of an evening meal containing a protein food and the beginning of a morning meal?

The correct answer is 14 hours. This guideline is based on maintaining food safety standards and ensuring that residents receive adequate nutrition throughout the day. The requirement that no more than 14 hours elapse between the end of an evening meal containing a protein food and the start of a morning meal is intended to limit the duration between protein sources in a resident's diet, which is essential for promoting health and wellness in a nursing home environment.

By adhering to this 14-hour limit, facilities can help to ensure that residents are not experiencing excessive gaps in protein intake, which can support muscle health and overall nutritional balance. It reflects best practices in meal planning within nursing facilities, ensuring adequate and timely nourishment.