{"content":[{"text":"Page 2 – State Survey Agency Directors","bbox":{"left":0.117647,"top":0.043136,"width":0.315667,"height":0.020212}},{"text":"“Detergent and water physically remove many microorganisms from linen through dilution \n during the wash cycle. An effective way to destroy microorganisms in laundry items is \n through hot water washing at temperatures above 160 degrees F (71 degrees C) for 25 \n minutes. Alternatively, low temperature washing at 71 to 77 degrees F (22-25 degrees C) \n plus a 125-part-per-million (ppm) chlorine bleach rinse has been found to be effective and \n comparable to high temperature wash cycles.”","bbox":{"left":0.117647,"top":0.078424,"width":0.764824,"height":0.10795500000000002}},{"text":"The CMS is also adding guidance on maintenance of laundry equipment and laundry items and \n ozone laundry cleaning systems. These updates in interpretive guidance complement other \n guidance within the SOM under “Handling Linens to Prevent and Control Infection \n Transmission.”","bbox":{"left":0.117647,"top":0.199803,"width":0.7458819999999999,"height":0.07248500000000002}},{"text":"C. Procedures 42 CFR §483.65(c)","bbox":{"left":0.117647,"top":0.287364,"width":0.283588,"height":0.020984999999999976}},{"text":"Laundry detergents. Advances in technology allow modern-day detergents to be much more \n effective in removing soil and reducing the presence of microbes than those used in the past \n when much of the research on laundry processing was first conducted. The CMS in \n collaboration with the CDC has determined that facilities may use any detergent designated for \n laundry in laundry processing. Further, laundry detergents used within nursing facilities are not \n required to have stated anti-microbial claims. Facilities should closely follow manufacturer’s \n instructions for laundry detergents used. The CMS does not endorse any specific laundry \n detergent or product.","bbox":{"left":0.117647,"top":0.321621,"width":0.7519210000000001,"height":0.14218200000000003}},{"text":"Water temperatures and chlorine bleach rinses. Laundry processing conducted within \n facilities typically occurs in a low water temperature environment. Many laundry items are \n composed of materials that cannot withstand a chlorine bleach rinse and remain intact. The \n chlorine bleach rinse is not required for all laundry items processed in low temperature washing \n environments due to the availability of modern laundry detergents that are able to produce \n hygienically clean laundry without the presence of chlorine bleach (The Association for the \n Advancement of Medical Instrumentation defines the term \"hygienically clean\" as \"free of \n pathogens in sufficient numbers to cause human illness.”). However, the chlorine bleach rinse \n may still be used for laundry items composed of materials such as cottons. Hot water washing at \n temperatures greater than 160 degrees F for 25 minutes and low temperature washing at 71 to 77 \n degrees F (22-25 degrees C) with a 125-part-per-million (ppm) chlorine bleach rinse remain \n effective ways to process laundry. If a facility chooses to process laundry using a hot water \n temperature environment, the temperature maintained for 25 minutes should be 160 degrees \n Fahrenheit.","bbox":{"left":0.117647,"top":0.478439,"width":0.760156,"height":0.24642400000000003}},{"text":"Maintenance of equipment and laundry items. Facilities are not required to maintain a record \n of water temperatures during laundry processing cycles. The CDC recommends leaving washing \n machines open to air when not in use to allow the machine to dry completely and to prevent \n growth of microorganisms in wet, potentially warm environments. Facilities are required to \n follow manufacturer’s instructions for all materials involved in laundry processing (e.g., washing \n machines; dryers; any laundry detergents, rinse aids, or other additives employed during the","bbox":{"left":0.117647,"top":0.7395,"width":0.7629410000000001,"height":0.10733300000000001}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}