Registered Dietitian (RD)

Legacy Healthcare; City of Rochester (NY); On-site; USD 65,000 - 90,000; Full time

Job summary

Legacy Healthcare seeks a Registered Dietitian to assess residents’ nutritional needs and develop, implement, and monitor individualized nutrition care plans aligned with physician orders and regulations. The RD will work with a multidisciplinary team to optimize residents’ health and quality of life.

The role focuses on comprehensive assessments, care plan development, nutrition education, and regulatory compliance within a long-term care setting.

Qualifications

• Bachelor’s or Master’s degree in Nutrition, Dietetics, or related field.
• RD/RDN credential through the Commission on Dietetic Registration (CDR).
• Active state licensure/certification, if required.

Responsibilities

• Conduct comprehensive nutrition assessments at admission and regular intervals.
• Develop, implement, and update individualized nutrition care plans based on residents’ conditions and goals.
• Monitor residents for weight loss, malnutrition, dehydration, and swallowing difficulties.
• Collaborate with interdisciplinary care team (physicians, nursing, speech therapy, dietary staff, social services).
• Recommend diets, supplements, and texture modifications per physician orders.
• Participate in care plan meetings, QAPI activities, and clinical rounds.
• Provide nutrition education to residents, families, and staff as needed.
• Review menu plans for nutritional adequacy and regulatory compliance.
• Ensure CMS, state, and local regulations related to nutrition services.
• Document assessments, interventions, and outcomes in medical records timely.
• Support survey readiness and respond to nutrition deficiencies, if applicable.

Skills

Clinical assessment

Documentation

Communication

Interdisciplinary teamwork

Independent work

Education

Bachelor’s or Master’s in Nutrition/Dietetics

Registered Dietitian (RD/RDN) credential (CDR)

Active state licensure/certification

Tools

Electronic Health Records (EHR)

Job description

Job Summary

The Registered Dietitian (RD) is responsible for assessing residents’ nutritional needs and developing, implementing, and monitoring individualized nutrition care plans in accordance with physician orders, federal and state regulations, and facility policies. The RD plays a key role in supporting resident health, recovery, and quality of life through evidence-based nutrition interventions.

Key Responsibilities

• Conduct comprehensive nutrition assessments upon admission and at regular intervals, including significant change and quarterly assessments

• Develop, implement, and update individualized nutrition care plans based on residents’ medical conditions, preferences, and goals

• Monitor residents for nutritional risk factors such as weight loss, malnutrition, dehydration, and swallowing difficulties

• Collaborate with the interdisciplinary care team (physicians, nursing, speech therapy, dietary staff, and social services)

• Recommend appropriate diets, supplements, and texture modifications in compliance with physician orders

• Participate in care plan meetings, quality assurance/performance improvement (QAPI) activities, and clinical rounds

• Provide nutrition education to residents, families, and staff as needed

• Review and analyze menu plans for nutritional adequacy and regulatory compliance

• Ensure compliance with CMS, state, and local regulations related to nutrition services

• Document all assessments, interventions, and outcomes accurately and timely in the medical record

• Support survey readiness and respond to deficiencies related to nutrition services, if applicable

Qualifications

• Bachelor’s or Master’s degree in Nutrition, Dietetics, or a related field

• Current Registered Dietitian (RD or RDN) credential through the Commission on Dietetic Registration (CDR)

• Active state licensure/certification, if required

• Minimum of 1 year of experience in long-term care or skilled nursing preferred (new graduates may be considered)

• Knowledge of CMS regulations and long-term care nutrition standards

• Strong clinical assessment, documentation, and communication skills

• Ability to work independently and as part of an interdisciplinary team

Physical & Work Requirements

• Ability to sit, stand, and walk throughout the facility

• Ability to review medical records and use electronic health record systems

• Occasional lifting or assisting with resident-related tasks as needed