Laundry & Textiles
Trusted guidance and practical resources for prevention, surveillance, and implementation
CMS
Resident Rights: Personal Clothing, Laundry Services & Property Protection
Federal nursing home regulations addressing residents' rights to personal clothing and belongings, basic personal laundry services, protection of property from loss or theft, and clean bed and bath linens. Useful for developing laundry practices that support infection prevention, resident dignity, and safe management of personal possessions.
CDC
Enhanced Barrier Precautions: PPE During Linen Changes in Nursing Homes
CDC guidance on gown and glove use during high-contact resident care activities, including changing bed linens. Clarifies when Enhanced Barrier Precautions apply to residents with wounds, indwelling medical devices, or multidrug-resistant organisms, and addresses PPE use by nursing and environmental services personnel.
TJC
Ligature and Suicide Risk Reduction — Psychiatric Unit Environmental Safety
Joint Commission FAQ explaining how ligature-resistant environmental expectations differ between locked and unlocked psychiatric units. Provides context for facility-specific safety assessments of patient-accessible areas, including laundry rooms where self-laundering is permitted.
SHEA
Multisociety Guidance for Infection Prevention and Control in Nursing Homes
Multisociety expert guidance addressing infection prevention in nursing homes, including laundry and linen management, resident personal clothing, cleaning and disinfection, Enhanced Barrier Precautions, and maintaining a home-like environment. Includes recommendations relevant to resident and family laundering practices.
CMS
Long-Term Care Laundry Services — CMS F880 Guidance
CMS interpretive guidance for nursing home laundry services under 42 CFR §483.80(e). Addresses resident clothing and bedding, contaminated laundry handling, safe transport, laundering processes, clean-linen storage, contractor oversight, and surveyor assessment of infection prevention practices.
CDC
Environmental Infection Control: Laundry and Bedding Recommendations
CDC recommendations for healthcare laundry facilities, contaminated textile handling, laundering processes, clean-linen protection, and microbiological sampling. Includes evidence and recommendation categories that help distinguish established infection prevention practices, regulatory requirements, and unresolved issues.
CDC
Targeted Environmental Investigation Checklist for Healthcare-Associated Fungal Outbreaks
CDC environmental investigation checklist for suspected healthcare-associated outbreaks involving Aspergillus, Mucorales, and other environmental fungi. Guides assessments of environmental cleanliness, moisture intrusion, construction activity, ventilation, and potential exposure sources, including patient linens. Designed for targeted outbreak investigations rather than routine environmental audits.
OSHA
Bloodborne Pathogens Standard: Contaminated Laundry Requirements
Federal occupational safety requirements for handling contaminated healthcare laundry under 29 CFR 1910.1030(d)(4)(iv). Addresses point-of-use containment, prohibited sorting or rinsing, minimal agitation, protective equipment, leak-resistant bags, labeling and color-coding, and transportation to off-site laundry facilities.
AAMI
ANSI/AAMI ST65: Processing of Reusable Surgical Textiles
AAMI recommended practice addressing the safe handling, laundering, processing, preparation, and transportation of reusable surgical textiles. Covers clean and soiled work areas, laundry equipment, personnel training, quality control, and preparation of textiles for healthcare use.
CDC
Guidance for Healthcare-Associated Mold Outbreaks
CDC guidance for recognizing, investigating, and responding to healthcare-associated mold outbreaks, including mucormycosis and aspergillosis. Addresses environmental investigations, public health notification, and potential contamination sources, including healthcare linens. Provides links to laundry facility assessments, healthcare textile checklists, and outbreak investigation tools.
AORN
Surgical Attire Guidelines: Laundering and Infection Prevention
AORN guidance addressing laundering of scrub apparel, management of reusable surgical head coverings, and handling of contaminated attire in perioperative settings. Includes considerations for facility laundering, applicable state requirements, and infection prevention practices intended to reduce textile-associated contamination.
OSHA
Hospital Laundry: Biological Hazards and Infectious Diseases
OSHA guidance addressing occupational hazards associated with contaminated healthcare laundry, including bloodborne pathogen exposure, sharps injuries, protective equipment, safe handling, containment, labeling, and transport. Identifies applicable regulatory requirements and recommended work practices for protecting laundry personnel.
ALM
Laundry Assessment Checklist
Complimentary assessment checklist for evaluating contracted healthcare laundry services, including infection prevention, quality assurance, and worker safety. Supports facility visits, direct observation of laundry practices, documentation of findings, and communication with laundry management.
AJIC
Keeping Healthcare Linens Clean: Underrecognized Hazards and Critical Control Points
Peer-reviewed article identifying overlooked contamination risks after healthcare textiles have been laundered. Examines critical control points involving laundry facilities, transportation, linen carts, storage, and distribution. Includes practical assessment checklists for infection preventionists evaluating healthcare and laundry facilities.
TRSA
Hygienically Clean Healthcare Certification Standards
Healthcare laundry certification program incorporating documented best management practices, independent facility inspections, and microbiological testing of processed textiles. Provides criteria for evaluating laundry quality assurance, contamination prevention, employee safety, and textile processing.
HLAC
Infection Prevention Checklist for Laundry Facilities and Healthcare Textiles
Practical infection prevention checklist for evaluating healthcare laundry operations, including soiled and clean textile separation, environmental controls, PPE, employee safety, laundry carts, processing practices, and textile storage. Useful for facility assessments and contracted laundry oversight.
TJC
Linen Management: Covering, Storage and Transport
Joint Commission FAQ clarifying expectations for clean-linen transportation and storage, including covered storage carts versus active dispensing carts. Explains how facilities can use evidence-based guidance and risk assessments to establish their linen-management practices.
