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If a nursing home does not have a dietician on staff, they must still ensure that residents receive proper dietary care and nutrition. This can be achieved by providing consultation from a registered dietician or someone meeting the American Dietetic Association standards. This ensures that residents receive expert advice and guidance on their dietary needs and meal planning. Consulting with a dietician or a professional meeting the ADA standards helps to maintain the health and well-being of the residents, as dietary needs can vary greatly among individuals in a nursing home setting.

The other options are not the optimal choices in this scenario. Consulting with the head nurse or nursing home administrator may not provide the specialized knowledge and expertise in dietary planning and nutritional requirements that a dietician or a professional meeting ADA standards can offer. Similarly, consulting with a dietician from a local hospital, while helpful in some cases, may not guarantee that the individual has specific training and expertise in the dietary needs of elderly residents in a nursing home setting.