Setting of Care: Nursing Home / Skilled Nursing Facility (SNF)

Surveillance for Candida auris — United States, 2022–2024 (07/02/2026)

CDC reported continued growth of Candida auris in U.S. healthcare settings from 2022–2024. Clinical cases increased from 2,882 to 6,197, and screening cases increased from 6,226 to 12,432.

CDC emphasizes continued C. auris screening of high-risk patients, appropriate Transmission-Based Precautions, use of disinfectants effective against C. auris, communication of C. auris status during transfers, antifungal susceptibility testing, and strong coordination between healthcare facilities and public health to limit further transmission.

Society for Healthcare Epidemiology of America (SHEA)

Infection Prevention and Control of Candida auris in Pediatric Settings (6/23/2026)

The guidance recommends identifying at-risk pediatric patients through targeted screening, using appropriate isolation and room-placement precautions, and coordinating closely with infection prevention and public health partners when Candida auris is suspected or confirmed. It also emphasizes prevention through meticulous hand hygiene, effective environmental cleaning and disinfection, and careful management of shared medical equipment, toys, common spaces, visitors, breastfeeding, skin-to-skin contact, and caregiver-child interactions.

CDC: Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026)

  • Core Elements of Hospital Diagnostic Excellence (DxEx) (February 4, 2026)
    • The Diagnostic excellence (DxEx) provides guidance to implement actionable strategies within hospitals to enhance diagnostic accuracy through improved diagnostic reasoning, testing methodologies, and communication processes, ultimately elevating patient safety standards.
    • It encourages the implementation of systematic approaches and evidence-based practices for improving diagnostic processes, ultimately aiming to reduce errors and increase patient safety across healthcare settings.

Infection Prevention Quick Guide-Enhanced Barrier Precautions

The Infection Prevention Quick Guide for Enhanced Barrier Precautions is a checklist developed by the Virginia Department of Health (VDH). It is a step-by-step review of infection prevention and control activities regarding the use of Enhanced Barrier Precautions in Nursing Homes.

IPC Foundation Level

English

Print Resources

Checklist

QR Codes

Clinical/Direct Healthcare Personnel

Infection Preventionist

Nursing Home/Skilled Nursing Facility

Cleaning & Disinfection

Enhanced Barrier Precautions

 

Personal Protective Equipment (PPE)

Standard Precautions

Wound Care

Multidrug Resistant Organisms (MDRO)

Bed Bugs: Quick Guide for Nursing Home IPs

The infection prevention quick guide for bed bugs is a resource that provides key concepts to alleviate a bed bug infestation in a nursing home. The quick guide includes a checklist of actions to take, templates for communication to residents and staff and additional resources and contacts to help mitigate the problem.

IPC Foundational Level

English

Print Resources

Checklist

Infection Preventionist

Nursing Home / Skilled Nursing Facility

Assisted Living Facility

Behavioral Health Facilities

Cleaning & Disinfection

Physical Environment / Environment of Care (EOC)

Outbreak Investigation

Bed Bugs

AHRQ: Toolkit for Improving Skin Care and MDRO Prevention in Long-Term Care Settings

SHEA: Multisociety Guidance for Infection Prevention and Control in Nursing Homes (10/20/2025)

  • The guidance offers recommendations for infection prevention and control (IPC) in nursing homes to address challenges including medical acuity and the rise of multidrug-resistant organisms.
  • It emphasizes the importance of IPC leadership, training, and adherence to precautions while also considering the balance between maintaining a home-like environment and ensuring effective infection prevention measures.

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.