Long-term care residents are at increased risk of infections for many reasons. As more people enter long-term care communities following hospital stays, communities are providing more hands-on, complex medical care to residents, such as wound care and maintenance of indwelling devices, which can lead to increased exposure to bacteria and infection. The shared living environment of a long-term care community can allow the spread of easily transmissible viral infections which cause respiratory or gastrointestinal infections among both staff and residents. 

Gastrointestinal infections from Clostridioides difficile (C. diff) are a major problem across U.S. healthcare settings. Although at one time most of these infections occurred in hospitals, now over 75% of C. diff infections are first identified outside of the hospital setting. Long-term care communities are among the most common places where C. diff infections can happen.

Infections: Create Improvement

Infection Prevention Control and Immunization Critical Element Pathway

Urinary Catheter or Urinary Tract Infection Critical Element Pathway

Unnecessary Medications Critical Element Pathway

Early Identification/​Containment Assessment Checklist

Hand Hygiene Assessment Checklist

Cleaning/​Disinfection Assessment Checklist

Antibiotic Stewardship Assessment Checklist

Toolkit for CDI Prevention and Management in Long Term Care

CDC C. difficile Website

Centers for Disease Control and Prevention Environmental Cleaning

CDC Hand Hygiene Website

AHRQ Antimicrobial Stewardship Toolkits

Infections: Engage 

Storyboard Guide from QAPI

Leadership Fact Sheet 

Staff Fact Sheet

Consumer Fact Sheet

Infections: Monitor & Sustain

Storyboard guide from QAPI

CMS QAPI Website

The Domestic Lean Goddess - PDSA Video

Tip Sheet on Testing Change & Starting Small