The California Department of Public Health (CDPH) issued an All Facilities Letter addressing the placement of patients with positive Clostridium difficile tests in skilled nursing facilities. The letter states that patients should not be denied placement in a skilled nursing facility until they have obtained negative tests for C. difficile, even if they are no longer symptomatic. The CDPH advises against this practice, as it is not an appropriate approach for mitigating the impact of C. difficile in skilled nursing facilities. The letter also provides recommendations for preventing the transmission of C. difficile, including the use of contact precautions, proper hygiene, and thorough cleaning of equipment and surfaces. Healthcare facilities must adhere to these guidelines to ensure the safety and well-being of their patients and staff. Non-compliance may result in consequences such as fines or penalties. The letter emphasizes the importance of maintaining a clean and safe environment for all residents and healthcare workers in skilled nursing facilities.

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