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Nursing Homes and Personal Care Facilities

Nursing Homes and Personal Care Facilities - (Left) Photo Credit: iStock-175387282 | Copyright: kali9, (center) gettyimages - 200166625-001 |Copyright-  Andersen Ross, (Right) gettyimages - 200263640-001 | Copyright - Jochen Sands
Nursing Homes and Personal Care Facilities Menu


In Focus: Ebola

Ebola virus

Frederick A. Murphy/CDC

OSHA's Ebola webpage provides a comprehensive source of information for protecting workers from exposure to the Ebola virus.

Related Topics


In 2010, nursing homes and personal care facilities had one of the highest rates of injury and illness among industries for which lost workday injury and illness (LWDII) rates are calculated. According to the Bureau of Labor Statistics, nursing and personal care facilities experienced an average LWDII rate of 4.9 compared with 1.8 for private industry as a whole, despite the fact that feasible controls are available to address hazards within this industry.

Health care workers face a number of serious safety and health hazards. They include bloodborne pathogens and biological hazards, potential chemical and drug exposures, waste anesthetic gas exposures, respiratory hazards, ergonomic hazards from lifting and repetitive tasks, laser hazards, workplace violence, hazards associated with laboratories, and radioactive material and x-ray hazards. Some of the potential chemical exposures include formaldehyde, used for preservation of specimens for pathology; ethylene oxide, glutaraldehyde, and paracetic acid used for sterilization; and numerous other chemicals used in healthcare laboratories.

Nursing aides, orderlies, and attendants had the highest rates of musculoskeletal disorders of all occupations in 2010. The incidence rate of work related musculoskeletal disorders for these occupations was 249 per 10,000 workers. This compares to the average rate for all workers in 2010 of 34.

In addition to the medical staff, large healthcare facilities employ a wide variety of trades that have health and safety hazards associated with them. These include mechanical maintenance, medical equipment maintenance, housekeeping, food service, building and grounds maintenance, laundry, and administrative staff.


Highlights standards information related to nursing homes and personal healthcare facilities.


OSHA Enforcement

Directs employers and employees to OSHA enforcement policy and guidance documents that pertain to nursing and residential care facilities.


Hazards and Solutions

Provides a list of the most prevalent hazards in this industry and possible solutions for hazards associated with working in nursing homes and personal care facilities.


Safety and Health Programs

Provides references that were selected to assist in developing a safety and health program for nursing homes and personal care facilities.


Additional Resources

Provides links and references to additional resources related to first aid.


State Legislation

California A-1136 safe patient handling legislation signed into law October 2011.


Maryland SB 879 safe patient handling legislation signed into law April 2007.

Minnesota HB 712.2 safe patient handling legislation signed into law May 2007.

New Jersey S-1758/A-3028 safe patient handling practice act signed into law January 2008.

New York Companion bills A11484 and A07836/S05116 and S08358 signed into law on October 18, 2005.

Ohio House Bill 67 was signed into law on March 21, 2006, Section 4121.48.

Rhode Island House 7386 and Senate 2760 passed on July 7, 2006.

Texas Senate Bill 1525 was signed into law on June 17, 2005.

Washington House Bill 1672 was signed into law on March 22, 2006.

How do I find out about employer responsibilities and workers' rights?

Workers have a right to a safe workplace. The law requires employers to provide their employees with safe and healthful workplaces. The OSHA law also prohibits employers from retaliating against employees for exercising their rights under the law (including the right to raise a health and safety concern or report an injury). For more information see www.whistleblowers.gov or Workers' rights under the OSH Act.

OSHA can help answer questions or concerns from employers and workers. To reach your regional or area OSHA office, go to the OSHA Offices by State webpage or call 1-800-321-OSHA (6742).

Small business employers may contact OSHA's free and confidential On-site Consultation program to help determine whether there are hazards at their worksites and work with OSHA on correcting any identified hazards. Consultants in this program from state agencies or universities work with employers to identify workplace hazards, provide advice on compliance with OSHA standards, and assist in establishing injury and illness prevention programs. On-site Consultation services are separate from enforcement activities and do not result in penalties or citations. To contact OSHA's free consultation service, go to OSHA's On-site Consultation web page or call 1-800-321-OSHA (6742) and press number 4.

Workers may file a complaint to have OSHA inspect their workplace if they believe that their employer is not following OSHA standards or that there are serious hazards. Workers can file a complaint with OSHA by calling 1-800-321-OSHA (6742), online via eComplaint Form, or by printing the complaint form and mailing or faxing it to the local OSHA area office. Complaints that are signed by a worker are more likely to result in an inspection.

If you think your job is unsafe or if you have questions, contact OSHA at 1-800-321-OSHA (6742). Your contact will be kept confidential. We can help. For other valuable worker protection information, such as Workers' Rights, Employer Responsibilities, and other services OSHA offers, visit OSHA's Workers' page.

In Focus: Ebola

Ebola virus

Frederick A. Murphy/CDC

OSHA's Ebola webpage provides a comprehensive source of information for protecting workers from exposure to the Ebola virus.

Related Topics


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