Therapeutic Diets

Pureed Cycle Menus
For Nursing Homes.

IDDSI Level 4 pureed meals that support safe swallowing and steady blood sugar. Consistency across shifts, safety for residents.

Part of our comprehensive suite of Menus for Assisted Living Facilities.

More Than Just "Blended Food"

In nursing homes, a pureed menu is a clinically-directed texture level. The goal is simple: Swallow safety first, reliable nutrition second.

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Smooth & Cohesive

Food must be completely lump-free and hold its shape on a spoon.

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No Chewing

Designed for residents who cannot safely chew or manipulate food in the mouth.

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IDDSI Testing

Must pass the Spoon Tilt Test (slides off easily) and Fork Drip Test (no lumps).

Why Pureed Menus Are Critical

Dysphagia Prevalence

Dysphagia is common in residential aged care. National survey papers estimate prevalence in nursing homes ranging from 13.4% to 52.7%.

Pneumonia Risk

Clinical geriatrics guidance indicates that pneumonia risk is about three times higher in patients with dysphagia. Aspiration pneumonia may account for up to 86.7% of pneumonia cases in older adults.

Malnutrition Risk

Texture-modified diets can unintentionally reduce intake if meals aren't appealing. Studies show pureed food is associated with a higher prevalence of under-nutrition without proper fortification.

Diabetes-Friendly Puree Logic

We balance dysphagia safety with steady blood sugar control using a practical carb rhythm.

Breakfast

Moderate Carb (30-45g)

Protein-forward start.

Lunch

Main Meal (45-55g)

Largest calorie intake.

Dinner

Light Meal (15-25g)

Lean protein + veg emphasis.

*We use low-added-sugar approaches and protein/fat boosts (Greek yogurt, olive oil) to improve intake without sugar spikes.

One-Week Pureed Cycle Menu (Week 1)

IDDSI Level 4 compliant. Smooth, cohesive, and fortified.

Day
Breakfast (Moderate)
Lunch (Main Meal)
Dinner (Light)
Monday
Pureed Oatmeal + Blended Eggs + Pureed Fruit
Pureed Chicken Sandwich (Molded) + Pureed Salad + Tomato Soup
Pureed Baked Cod + Pureed Green Beans
Tuesday
Pureed Greek Yogurt + Banana + Blended Toast
Pureed Turkey Wrap + Carrots + Veggie Soup + Pudding
Pureed Lean Beef Stew (Veg-heavy) + Broccoli
Wednesday
Pureed Pancakes + Fruit Topping + Pureed Sausage
Pureed Veggie Stir Fry + Brown Rice + Salad + Sweet Potato
Pureed Lean Pork + Pureed Peas
Thursday
Pureed High-Fiber Cereal + Eggs + Orange
Pureed Tuna Sandwich + Fruit + Side Salad
Pureed Pasta Marinara + Small Meatball + Veg
Friday
Pureed French Toast + Berries + Turkey Bacon
Pureed Cheeseburger + Salad + Corn + Fries (Molded)
Pureed Chicken Pot Pie (Veg-forward)
Saturday
Pureed Veggie Omelet + Blended Toast + Fruit
Pureed Pizza + Salad + Soup
Pureed Ham + Pureed Asparagus
Sunday
Pureed Waffles + Fruit + Blended Eggs
Pureed Soup & Sandwich + Potatoes + Carrots
Pureed Roast Beef + Non-starchy Veg

Safe Prep Rules

Real-world guardrails for your kitchen staff:

  • Cook First: Always cook foods to temperature before pureeing.
  • Test Texture: Use Spoon Tilt and Fork Drip tests every time.
  • Avoid Hazards: No skins, seeds, chunks, or stringy vegetables unless fully smooth.
  • Thicken Correctly: Use potato flakes, Greek yogurt, or commercial thickener if too thin.

Survey Compliance

Facilities are required to provide diets that meet each resident’s daily nutritional needs and special dietary needs, considering preferences.

42 CFR § 483.60

Texture modification and diabetic plans fall directly into this federal requirement.

Ensure Safety & Compliance.

Get IDDSI-compliant pureed cycle menus delivered to your facility for just $15/month.

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