Long-term care facility immunization rule and reporting
Long‐term care facilities (LTCF) are required to report resident and employee immunization data to the Utah Department of Health and Human Services Immunization program each year. This requirement is stated in section 5—Reporting of Data—of Utah Admin Rule R432-40, the long-term care facility immunization rule.
What is a long-term care facility?
Long-term care facilities are defined by Utah Admin Rule R432-40 as nursing care facilities, small health care facilities, assisted living type I and type II, intermediate care facilities for the intellectually disabled, and a general acute care hospital swing bed.
What does the rule require?
The Utah Admin Rule R432-40 requires long-term care facilities (LTCFs) to implement and maintain comprehensive immunization programs for residents and employees. Here’s a summary of the requirements:
- Offer influenza vaccination every year during the current flu season to all residents and employees.
- Offer COVID-19 vaccination to all residents and employees within 3 months of becoming eligible per ACIP recommendations.
- Offer pneumococcal vaccination for each resident who has no record of being vaccinated or meets the vaccination criteria based on ACIP recommendations.
- Collect vaccination records and immunization histories.
- Document medical contraindications to and refusals of offered vaccines.
- Report resident and employee vaccination data each year.
Facilities whose staff administer vaccinations must have resident standing orders for influenza, pneumococcal, and COVID-19 vaccines.
Make sure employees responsible for assessing, documenting, and reporting resident and employee immunization data complete the long-term care immunization rule online training and receive an overview of reporting requirements at the time of hire.
Frequently asked questions
Required training
Long-term care facility immunization rule training
Required online training
Complete the interactive training module and receive your certificate.

Long-term care facility resources
Employee immunization policy sample




