Long-Term Care Manual

A guide for long-term care providers, nursing and assisted living facilities staff.


This online manual was developed by Spokane Regional Health District as a communicable disease guide for long-term care providers, nursing and assisted living facilities staff.



This section includes policies, procedures and forms for disease reporting.

HIPAA & Disease ReportingVAERS (Vaccine Adverse Event Reporting System)
Communicable Disease Reporting Form


The following fact sheets include information about hepatitis A, B and C.

Hepatitis A Fact SheetHepatitis B Fact SheetHepatitis C Fact Sheet



Find information about tuberculosis, diagnosing tuberculosis, drug regimen recommendations and tuberculosis-related laws and regulations pertaining to nursing homes.

TB Suspect/Disease Report Form
Diagnosis of TB in Adults & Children
TB Fact Sheet
TB Drug Regimen Recommendations
How is 2-Step TB Testing Done?
TB Laws & Regulations for Nursing Homes
TB Skin Test Interpretation

Norovirus & Other Enteric Diseases

Antibiotic Resistance


This section provides immunization schedules and personnel vaccination recommendations.

Adult Immunization Schedules
Healthcare Personnel Vaccination Recommendations

Other SRHD Programs & Services

SRHD provides disease prevention and response-related services to the communities of Spokane County, including the following:

Substantial Exposure to Bloodborne Pathogens
Stay Independent-Fall Prevention

Communicable Disease Fact Sheets

These fact sheets provide information about communicable diseases and associated ramifications for care facility settings and can be distributed to healthcare professionals as needed.

Clostridium difficile
PertussisMosquitoes and West Nile Virus
Scabies for Institutional Settings
Zoster Algorithm/Transmission-Based Precautions
Communicable Disease Reporting & Resource Manual

Manual containing disease information, reporting, immunization and county services listing for providers.

Click Here

Falls Prevention for Health Care Providers

Working closely with health care providers as they are a trusted source of prevention information specific to falls.

Click Here