Infection Prevention & Control Topic: Physical Environment / Environment of Care (EOC)

SHEA/APIC: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/28/2025)

  • This guidance document updates the 2008 SHEA/Association for Professionals in Infection Control and Epidemiology (APIC) guideline: Infection Prevention and Control in the Long-Term Care Facility and is intended to assist nursing homes in the United States in defining and implementing their infection prevention and control (IPC) programs and practices.
  • Recommendations and implementation suggestions address IPC leadership, staffing, and resources, healthcare personnel and residents‘ adherence to precautions and effective hand hygiene, outbreak preparedness, training, occupational health, cleaning and disinfection in the care environment, and the involvement of IPC in the facility.

VDH Clinician Letter: Interim Recommendations for the Management of Healthcare Personnel Exposed to or Infected with COVID-19 or Seasonal Influenza (09/30/2025)

VDH is providing updated recommendations for the management of healthcare personnel (HCP) exposed to or infected with COVID-19 or seasonal influenza. Healthcare facilities should evaluate VDH recommendations and consider updating HCP return to work and management guidance. These recommendations are not regulatory requirements or mandates.

Staying Safe in the Splash Zone

1 – Essentials
Any Practice Setting
Clinical / Direct Healthcare Personnel
English
Free
Non-Clinical / Indirect Healthcare Personnel
Physical Environment / Environment of Care (EOC)
VCU Virginia Infection Prevention Training Center (VIPTC)
Video
Water Management

Project Firstline Training Toolkit for Certified Nursing Assistants (CNA) ​

3 – Intermediate
Activity Included
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
CDC
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Downloadable
English
Facilitator Guide
Free
Infection Preventionists
Nursing Home / Skilled Nursing Facility (SNF)
Personal Protective Equipment (PPE)
Physical Environment / Environment of Care (EOC)
Post-Training Support Materials
Print Resources
Slideshow
Spanish
Standard Precautions
Toolkit
Urinary Catheter
Webinar (Pre-recorded)

Norovirus Essentials

1 – Essentials
Any Practice Setting
English
Free
Gastrointestinal Infections
Non-Clinical / Indirect Healthcare Personnel
Patients, Family, Visitors, Unpaid Caregivers
Physical Environment / Environment of Care (EOC)
Print Resources
VDH

Legionella Prevention & Control Webinar

This is a webinar intended for infection preventionists in Virginia, that provides information that can be valuable to infection preventionists in other states. It reviews the natural history of Legionella infections, how to reduce the risk, how to diagnose cases, and how to remediate if surveillance testing or cases occur.

2 – Foundational
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Adult Day Care
All settings
Ambulatory (Outpatient) Care
Ambulatory Surgery
Any Practice Setting
Assisted Living Facility (ALF)
Behavioral Health Facilities
Closed Captioning
Construction
Dental
Department of Health
Dialysis
Emergency Medical Services (EMS)
English
Free
Home Health
Hospice and Palliative Care
Infection Preventionists
Mobile Clinic
Nursing Home / Skilled Nursing Facility (SNF)
Outbreak Investigation
Pediatric / NICU
Physical Environment / Environment of Care (EOC)
Regulatory Compliance
Respiratory Infections
Surveillance
VCU Virginia Infection Prevention Training Center (VIPTC)
Video
Virginia
Water Management
Webinar (Pre-recorded)

Legionella Environmental Assessment Form (LEAF)

This fillable form can be used to document a facility’s water systems, help determine whether to conduct Legionella environmental sampling, and, if so, develop a sampling plan. An accompanying guide provides instructions and additional considerations for using the fillable form. The guide helps the evaluation team to understand form questions and also more fully assess potential risks in the facility’s water system. The form is available at: https://www.cdc.gov/legionella/downloads/legionella-environmental-assessment-marking-guide-508.pdf

3 – Intermediate
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Adult Day Care
All settings
Ambulatory (Outpatient) Care
Ambulatory Surgery
Any Practice Setting
Assisted Living Facility (ALF)
Auditing / Observation / Monitoring / Assessment Tools
Behavioral Health Facilities
CDC
Checklist
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Construction
Dental
Department of Health
Dialysis
Downloadable
Emergency Medical Services (EMS)
English
Free
Home Health
Hospice and Palliative Care
Infection Preventionists
Mobile Clinic
Non-Clinical / Indirect Healthcare Personnel
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Physical Environment / Environment of Care (EOC)
Print Resources
Quality Improvement
Respiratory Infections
Risk Assessment
Select pathogens of public health concern
Water Management

Infection Control Actions for Respiratory Viruses

This is a 2-paged infographic that shows how respiratory viruses are transmitted, how masks and respirators reduce risk and how hand hygiene and disinfecting surfaces are other behaviors that reduce risk

1 – Essentials
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Adult Day Care
All settings
Ambulatory (Outpatient) Care
Ambulatory Surgery
Any Practice Setting
Assisted Living Facility (ALF)
Behavioral Health Facilities
CDC
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
COVID-19
Dental
Department of Health
Dialysis
Downloadable
Emergency Medical Services (EMS)
Employee/Occupational Health
English
Free
Hand Hygiene
Home Health
Hospice and Palliative Care
Infection Preventionists
Influenza (Flu)
Mobile Clinic
Non-Clinical / Indirect Healthcare Personnel
Nursing Home / Skilled Nursing Facility (SNF)
Patients, Family, Visitors, Unpaid Caregivers
Pediatric / NICU
Personal Protective Equipment (PPE)
Physical Environment / Environment of Care (EOC)
Print Resources
Respiratory Infections
Standard Precautions
Transmission-Based Precautions

VDH Environmental Checklist

This is a checklist as an EXCEL worksheet that can be used electronically or printed. It provides a list of expected cleaning tasks. It can be edited to individualize it for different facilities.

2 – Foundational
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Adult Day Care
All settings
Ambulatory (Outpatient) Care
Ambulatory Surgery
Any Practice Setting
Assisted Living Facility (ALF)
Behavioral Health Facilities
Checklist
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Dental
Department of Health
Dialysis
Downloadable
Emergency Medical Services (EMS)
English
Free
Home Health
Hospice and Palliative Care
Infection Preventionists
Mobile Clinic
Non-Clinical / Indirect Healthcare Personnel
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Physical Environment / Environment of Care (EOC)
Spreadsheet
Standard Precautions
VDH

VDH Environmental Checklist for Blood Spills

This is a checklist as an EXCEL worksheet that can be used electronically or printed. It provides a list of expected cleaning tasks to be performed after a spill of blood or other potentially infectious bodily fluids. It can be edited to individualize it for different facilities.

2 – Foundational
Acute Care Hospital
Acute Care Rehabilitation or Long-Term Care Acute Hospital (LTACH)
Adult Day Care
All settings
Ambulatory (Outpatient) Care
Ambulatory Surgery
Any Practice Setting
Assisted Living Facility (ALF)
Behavioral Health Facilities
Bloodborne Pathogens
Checklist
Cleaning and Disinfection
Clinical / Direct Healthcare Personnel
Dental
Department of Health
Dialysis
Downloadable
Emergency Medical Services (EMS)
English
Free
Hand Hygiene
Home Health
Hospice and Palliative Care
Infection Preventionists
Injection Safety
Mobile Clinic
Non-Clinical / Indirect Healthcare Personnel
Nursing Home / Skilled Nursing Facility (SNF)
Pediatric / NICU
Personal Protective Equipment (PPE)
Physical Environment / Environment of Care (EOC)
Spreadsheet
Standard Precautions
VDH