Infection Control in US Nursing Homes

Updated 30 October 2026 · Educational resource

Infection prevention is a core responsibility of every US nursing home. Older adults and people with chronic conditions are at higher risk for healthcare-associated infections, including urinary tract infections, respiratory infections, and skin infections. Federal regulations require facilities to have an infection prevention and control program overseen by a trained individual.

Core practices

• Hand hygiene for all staff, residents, and visitors
• Standard and transmission-based precautions when indicated
• Safe injection and medication practices
• Environmental cleaning and disinfection
• Surveillance for infections and outbreaks
• Antibiotic stewardship to reduce unnecessary antibiotic use

During outbreaks or public health emergencies, facilities may implement additional measures such as cohorting, visitor restrictions, or enhanced testing. Families should ask how the facility communicates infection status and what precautions visitors must follow. CMS surveyors review infection control practices during inspections, and deficiencies in this area are publicly reported.

Disclaimer: Infection control protocols can change with public health guidance. This page provides general information only.

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