Due to budget cuts in Illinois, there are beginning to be a shortage of certified nursing assistants (CNA) in the nursing homes. CNA’s play a major role with providing basic care to patients and assisting with adult daily living activities. Basic care includes bathing, toileting, dressing, and last feeding. Feeding is a critical area for speech-language pathologist (SLP) in this setting. Issues affecting most SLP’s are the lack of responsibility following protocol with patient’s diet and delivering swallowing and aspiration precautions. Majority of patients are left unattended when need tray set-up, supervision, and/or assistance in the dining room or bedroom. There is lack of assistance with feeders and inadequate posture when left in the