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J Am Geriatr Soc. 2012 Feb;60(2):284-9. doi: 10.1111/j.1532-5415.2011.03817.x. Epub 2012 Jan 30.

Characteristics, services, and infection control practices of New York City assisted living facilities, 2010.

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  • 1Center for Disease Control and Prevention, Council of State and Territorial Epidemiologists, Atlanta, Georgia, USA.



To describe New York City (NYC) assisted living facility (ALF) characteristics, services offered, and infection control practices and to identify infection control barriers and unmet needs.




ALFs licensed or applying to be licensed in NYC.


Seventy ALFs; 70 of 77 eligible facilities participated (91% participation rate).


Telephone interview questions assessed ALF characteristics, services offered, and infection control practices, including glucometry practices.


ALFs provided a broad range of services, such as vaccination (90%), assistance with taking medication (75%), bathing and showering (33%), and blood glucose monitoring (90%). Ninety percent of the facilities had nurses on site (directly employed or through a contract agency). Five facilities reported that residents sometimes shared glucometers, and one reported that fingerstick devices were sometimes shared. The majority of facilities wanted educational materials for staff (83%) and residents (77%) on topics including influenza, respiratory illness, norovirus, standard precautions, and general infection control. ALFs had a range of sick leave policies and infection control training requirements. Eighty-nine percent of the facilities reported having designated staff responsible for infection control, although 50% had nonclinical job titles.


NYC ALFs were varied in terms of nursing services offered, characteristics, and residents' needs; therefore, public health agencies may need to be flexible in their assistance. Public health agencies should consider strengthening relationships with ALFs to identify unmet needs and gaps in services.

[PubMed - indexed for MEDLINE]
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