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Nursing Homes and Personal Care Facilities Nursing Homes and Personal Care Facilities
OSHA Standards

Nursing homes and personal care facilities hazards are addressed in specific standards for the general industry. This page highlights OSHA standards, Federal Registers (rules, proposed rules, and notices), directives (instructions for compliance officers), standard interpretations (official letters of interpretation of the standards), and ergonomic enforcement related to nursing homes and personal care facilities.
Section 5(a)(1) of the OSH Act, often referred to as the General Duty Clause, requires employers to "furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees". Section 5(a)(2) requires employers to "comply with occupational safety and health standards promulgated under this Act".

Note: Twenty-four states, Puerto Rico and the Virgin Islands have OSHA-approved State Plans and have adopted their own standards and enforcement policies. For the most part, these States adopt standards that are identical to Federal OSHA. However, some States have adopted different standards applicable to this topic or may have different enforcement policies.
Frequently Cited Standards

Nursing homes and personal care facilities must comply with all the General Industry standards (29 CFR 1910). Of these, the following standards, in order, were the most frequently cited by Federal OSHA from October 2006 through September 2007, in Nursing and Personal Care Facilities Industry Group (SIC code 8050).
Federal Registers Directives
  • Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens. CPL 02-02-069 [CPL 2-2.69], (2001, November 27). Includes revisions mandated by the Needlestick Safety and Prevention Act.
    • Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. Centers for Disease Control and Prevention (CDC), Morbidity and Mortality Weekly Report (MMWR) 50(RR11), (2001, June 29), 333 KB PDF, 67 pages. Updates and consolidates recommendations for the management of health-care personnel (HCP). Serves as Appendix E for CPL 02-02-069.
  • Enforcement Procedures and Scheduling for Occupational Exposure to Tuberculosis. CPL 02-00-106 [CPL 2.106], (1996, February 9). Provides uniform inspection procedures and guidelines to be followed when conducting inspections and issuing citations under Section 5(a)(1) of the OSH Act and pertinent standards for employees who are occupationally exposed to TB.
  • Search all available directives.
Standard Interpretations

The following letters of interpretation explain OSHA's requirements and how they apply in a particular situation. Note that enforcement guidance may be updated in response to new information and affected by changes to OSHA rules. To keep informed about such developments, you can visit OSHA's website. Example letters are listed below. Ergonomics Enforcement
 Safety and
 Health Topics
 
  Nursing Homes and Personal Care Facilities
  OSHA Standards
  Hazards and Solutions
  Safety and Health Program Elements
  Additional
Information
  Credits
 
Content Reviewed 02/22/2005
 
 


Accessibility Assistance
Contact the OSHA Directorate of Science, Technology and Medicine at 202-693-2300 for assistance accessing PDF materials.

 
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