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Long-Term Care Facility HAI Toolkit

COVID-19 Guidance: Visit our Healthcare Partner Resources page. Guidance for long-term care facilities is posted in the Healthcare Providers and Clinical Laboratories section, under "Clinical and Infection Control Guidance."

On this page:

Infection Control Resources

Organism Specific Resources

Infection Control Resources

Antimicrobial Stewardship

  • CDC's Core Elements of Antibiotic Stewardship for Nursing Homes
    Guidance: Nursing homes are encouraged to work in a step-wise fashion, implementing one or two activities to start and gradually adding new strategies from each element over time. Any action taken to improve antibiotic use is expected to reduce adverse events, prevent emergence of resistance, and lead to better outcomes for residents in this setting
  • Oregon AWARE Provider Resources
    Resources: This webpage provides links to prescribing recommendations for upper respiratory tract infections and online training modules that introduce communication techniques to use during antibiotic stewardship interactions
  • Oregon Statewide Antibiogram
    Resource: This report presents all statewide data together for gram-positive and gram-negative organisms and breaks down the data by region, providing separate reports for the Portland Tri-county area and the rest of Oregon excluding the Portland Tri-county area

Hand Hygiene and Environmental Cleaning

Hand Hygiene

Environmental Cleaning


  • Interfacility transfer communication
    Information and resources: As part of best practice during patient transfers, information about a patient's medical status, including colonization or infection with a multidrug-resistant organism, should travel with a patient and be readily available to medical providers
  • Healthcare Acquired Infection Reporting
    Information and resources: The Oregon Health Authority (OHA) provides oversight and support for mandatory HAI reporting activities in Oregon hospitals.


    Oregon hospitals report HAIs using the National Healthcare Safety Network (NHSN) reporting tool. This includes the reporting of CLABSIs, certain kinds of SSIs, and several healthcare facility process measures designed to ensure quality and to reduce HAIs.

General Training and Resources

  • Getting Ready for Influenza and Norovirus: Key Information for Long-term Care Facilities (LTCFs)
    Webinar Recording: Provides information about influenza and norovirus symptoms, modes of transmission, and strategies to prevent spread. Introduces and explains a new law promoting recognition, reporting, and control of disease outbreaks in LTCFs. Reviews current recommendations from Oregon Health Authority regarding transfer of recovering influenza and norovirus patients from hospitals to LTCFs. 

  • Tracking Infections for Long-term Care Facilities
    Resources and toolkits: CDC's National Healthcare Safety Network provides long-term care facilities with a customized system to track infections in a streamlined and systematic way.

Organism Specific Resources

Multidrug Resistant Organisms

MDRO stands for multidrug-resistant organism. An MDRO causes human disease which has acquired antibiotic resistance, as listed and defined by the Centers for Disease Control and Prevention (CDC) in Antibiotic Resistance Threats in the United States, 2013 (pdf).

Carbapenem-resistant Enterobacteriaceae (CRE)

Clostridium difficile

Methicillin Resistant Staphylococcus aureus (MRSA)

Vancomycin Resistant Enterococci (VRE)

  • VRE infection control guidelines
    Guidelines from New York State Department of Health: Care of patients colonized or infected with VRE in hospitals, long-term care facilities and home health care


Respiratory Conditions

CDC resources

Outbreaks in long-term care facilities (LTCF)

Sample letters / Alerts

Urinary Tract Infections/Catheter Associated Urinary Tract Infections