Over the past decade health care is no longer predominantly received in the physician’s office. Long term nursing facilities, home health care agencies, and specialized ambulatory care centers have made it easier to people to receive proper medical care, however it was difficult to monitor infection and control practices. Since the number of people in the aging population greater than 65 is increasing more people are requiring the use of long-term nursing facilities as well as home health agonies. Hospital beds has on the decline, at the same time long term care setting continue to increase (Moro, Gagliotti, 2013). The challenge long –term care facilities continue to face are infections and antimicrobial resistance. Patients of LTCFs, are more
