LTCF COVID-19/Respiratory Pathogens Module
Facilities eligible to report data to NHSN’s LTCF COVID-19/Respiratory Pathogens Module include nursing homes/skilled nursing, Intermediate Care Facilities for individuals with Intellectual disability (ICF/ID), and assisted living facilities.
CDC’s NHSN provides healthcare facilities, such as long-term care facilities (LTCFs), with a secure reporting platform for reporting outcomes and process measures in a systematic way. Reported data are immediately available for use in strengthening local and national surveillance, monitoring trends in infection rates, assisting in identifying resource insecurities, and informing progress toward infection prevention goals.
The NHSN Long-term Care Facility Component supports the nation’s COVID-19 response through the LTCF COVID-19/Respiratory Pathogens Module. Facilities eligible to report data to NHSN’s LTCF COVID-19/Respiratory Pathogens Module include nursing homes/skilled nursing, Intermediate Care Facilities for individuals with Intellectual disability (ICF/ID), and assisted living facilities.
Data reported into the LTCF COVID-19/Respiratory Pathogens Module Surveillance Reporting Pathways facilitate assessment of the impact of COVID-19 and other Respiratory Pathogens through facility reported surveillance data. Examples of data reported in the pathways include:
- Counts of residents newly positive for COVID-19 and other respiratory pathogens based on viral test results.
- Counts of facility personnel newly positive for COVID-19 based on viral results.
- COVID-19 vaccination status of residents newly positive for COVID-19 and other respiratory pathogens.
- Hospitalizations among residents with a newly positive COVID-19/Respiratory Pathogens viral test result.
- COVID-19 related death counts among residents.
The Point-of-Care (POC) Test Reporting Tool is a separate reporting option for LTCFs to report SARS-CoV-2 test results provided by a POC device. NHSN routes reported POC laboratory test result data to the public health agency at the local or state level with jurisdictional authority and responsibility for receiving those data. Important: the reporting of POC test result data in this tool does not take the place of answering POC related questions in the Resident Impact and Facility Capacity surveillance reporting pathway.
Weekly reporting of COVID-19/Respiratory Pathogens Vaccination data for residents and healthcare personnel is another option available to LTCFs. Additional information about surveillance and vaccination reporting, please visit the Weekly HCP & Resident COVID-19 Vaccination webpage.
LTCF data submission options include manual data entry, CSV file submission by individual facilities or bulk CSV file upload for multiple facilities, and/or NHSN DIRECT CDA Automation for the Point-of-Care (POC) Test Reporting Tool. Information about the Direct protocol can be found here. Send questions to NHSNCDA@CDC.GOV with Subject line “Direct Submissions for POC data.”
For additional information about the LTCF COVID-19/Respiratory Pathogens Module, reporting options, data collection forms, form instructions, archived and upcoming trainings, and future updates, please review the resources on this page.
Enrollment and Data Security
- 5-Step Enrollment for Long-term Care Facilities
Instructions for LTCFs enrolling in NHSN for the first time. - LTCF COVID-19 Module Enrollment Refresher – May 2020
Training
Recent Trainings
- New! LTCF COVID-19/Respiratory Pathogens Module: Optional Reporting of Influenza and RSV Vaccinations and Cases for Long-term Care Facility Residents – October 2023
- New! LTCF COVID-19 Module: Surveillance Pathway Updates – June 2023
(Guidance for Post-Public Health Emergency (PHE) Reporting) - LTCF COVID-19 Module: Surveillance Pathway Updates – May 2022
- Updates to the NHSN COVID-19 Point of Care Test Reporting Tool – November 2021
- COVID-19 Resident Impact and Facility Capacity (RIFC) Pathway Updates [PDF – 2 MB] – September 2021
- LTCF COVID-19 Module Modifications – July Release [PDF – 2 MB] – July, 2021
- COVID-19 Resident Therapeutics Reporting Pathway [PDF – 3 MB] – June, 2021
- How to Upload a CSV File for Point of Care Testing Results [Video – 41 min] – April, 2021
- Point of Care Test Reporting Tool Recently Asked Questions and Common Mistakes [Video – 46 min] – April, 2021
Archived Trainings
- COVID-19 Resident Impact and Facility Capacity Reporting Pathway – February, 2021
- Point of Care Test Reporting Tool – Dec, 2021
- Office Hours: COVID-19 Module Updates for August 2020 [PDF – 1 MB] – September, 2020
- COVID-19 Data Quality Webinar – August, 2020
- Group Guide to Using LTCF COVID-19 Module – June, 2020
- COVID-19 Module Enrollment Guidance for LTCFs – May, 2020
- COVID-19 Module Overview for LTCFs – May, 2020
National CMS/CDC Nursing Home COVID-19 Training
Through the Quality Improvement Organization (QIO) Program, the Centers for Medicare & Medicaid Services (CMS) On-Demand Trainings are provided to Long-Term Care Facilities for infection control processes needed in nursing homes to manage COVID-19. To review a list of archived trainings and recordings, as well as view and register for upcoming trainings, please visit: CMS-CDC Fundamentals of COVID-19 Prevention.
- CMS Requirements for reporting in NHSN
- CMS COVID-19 Updates:
- Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID-19 Focused Survey Tool [PDF – 500 KB] – August 26, 2020
- Considerations for Interpreting Antigen Test Results in Nursing Homes Algorithm [PDF – 200 KB] – August 26, 2020
- CMS COVID-19 Reporting Requirements for Nursing Homes [PDF – 200 KB] – June 10, 2021
- FAQs about COVID-19 Data Published by CMS [PDF – 200 KB]
- CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 [PDF – 400 KB]
Facilities looking to upload their data by working directly with a vendor will need to work with the vendor directly to provide their OrgID and establish the process.
Vendors (e.g., EHR providers, EOC providers, etc.) intending to provide COVID-19 CSV uploads on behalf of NHSN facilities please submit an inquiry to NHSN@cdc.gov with the title “Vendor Support for NHSN COVID-19 Facility Reporting.”
NHSN will follow up to confirm procedural details as the process may differ by vendor.
Data Collection Forms and Instructions
Resident Impact and Facility Capacity
- COVID-19/Respiratory Pathogens Resident Impact and Facility Capacity Pathway Form (57.144) [PDF – 251 KB] (print-only) – October 23, 2023
- Table of Instructions (57.144) [PDF – 476 KB] – April 1, 2024
Staff and Personnel Impact
- COVID-19 Staff and Personnel Impact Pathway Form (57.145) [PDF – 161 KB] (print-only) – June 12, 2023
Point of Care Testing
- Point of Care Test Reporting Tool (57.155) [PDF – 80 KB] (print-only) – July 1, 2024
- Table of Instructions (57.155) [PDF – 200 KB] – July 1, 2024
Facility CSV Data Import
- Viewing and Uploading Facility COVID-19 CSV Data Files [PDF – 1 MB] – March 4, 2021
- Resident Impact and Facility Capacity – COVID-19
- CSV File Template [XLS – 369 B] – June 12, 2023
- File Layout [PDF – 256 KB] – June 12, 2023
- Resident Impact and Facility Capacity – Influenza/RSV
- CSV File Template [CSV – 238 Bytes] – October 23, 2023
- File Layout [PDF – 253 KB] – October 23, 2023
- Staff and Personnel Impact
- CSV File Template [XLS – 175 B] – June 12, 2023
- File Layout [PDF – 211 KB] – June 12, 2023
Group CSV Data Import
- Viewing and Uploading Group COVID-19 CSV Data Files [PDF – 1 MB] – March 4, 2021
- Resident Impact and Facility Capacity – COVID-19
- CSV File Template [XLS – 381 B] – June 12, 2023
- File Layout [PDF – 256 KB] – June 12, 2023
- Resident Impact and Facility Capacity – Influenza/RSV
- CSV File Template [XLS – 205 B] – October 23, 2023
- File Layout [PDF – 253 KB] – October 23, 2023
- Staff and Personnel Impact
- CSV File Template [XLS – 193 B] – June 12, 2023
- File Layout [PDF – 211 KB] – June 12, 2023
Point of Care (POC) Testing CSV Data Import
- Using DIRECT
- CSV File Template [CSV – 1 KB] – October 28, 2021
- File Layout [PDF – 458 KB] – April 2024
- Not using DIRECT
- CSV File Template [CSV – 1 KB] – October 28, 2021
- File Layout [PDF – 458 KB] – April 2024
- Staff Demographic Data
- CSV File Template [CSV – 1 KB] – February 4, 2021
- File Layout [PDF – 200 KB] – February 4, 2021
- Resident Demographic Data
- CSV File Template [CSV – 1 KB] – March 4, 2021
- File Layout [PDF – 500 KB] – March 4, 2021
- State/Territory/County codes for US [XLSX – 120 KB] – February 4, 2021
Facility Resources
- Analysis Resources
- Guide to COVID-19/Respiratory Pathogens Module Data Entry [PDF – 474 KB]
- Edit an Email Address in SAMS and the NHSN Facility [PDF – 500 KB] – December 4, 2020
- Change LTC Facility Type [PDF – 300 KB]
- Add a User in NHSN [PDF – 800 KB] – October 5, 2020
- Re-assign NHSN Facility Administrator [PDF – 500 KB] – October 5, 2020
- ADD and EDIT Facility CMS Certification Number (CCN) within NHSN [PDF – 1 MB]
- Join a Group and Accept the Confer Rights Template [PDF – 400 KB]
- Guidance for Reporting to Resident Impact and Facility Capacity Pathway [PDF – 530 KB] – June 12, 2023