CMS SOM App. B, Tag G680

The HHA must maintain and document an infection control program which has as

its goal the prevention and control of infections and communicable diseases.

Interpretive Guidelines § 484.70

The home health setting presents unique challenges for infection control, because: care is

delivered in the home environment, not a structured facility; sterile supplies are

transported by staff and may need to be stored and protected in the home; and patients

may not have access to basic hygiene necessities in their home. It is essential that HHAs

have a comprehensive and effective infection control program, because the consequences

of poor infection prevention and control can be very serious.

The manner and degree of noncompliance identified in relation to the standard level tags

for §484.70 may result in substantial noncompliance with this CoP, requiring citation at

the condition level.

Survey Procedures § 484.70

• Surveyors will focus their observation of infection control practices by the HHA

during home visits.

• Determine whether the policies and procedures of the HHA’s infection control

program are implemented correctly based on observations of care.

• Determine that there is an ongoing, documented program for the prevention and

control of infections and communicable diseases among patients and HHA

personnel.