Nurse helping senior man at a long-term care facility

Long-term care facilities

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 the online training below and receive an overview of reporting requirements at the time of hire.

See the Utah Admin R432-40 ruleopens in a new tab

Frequently asked questions


Required training

Long-term care facility immunization rule training

The online Utah Admin Rule R432-40 long-term care facility immunization rule training is required for all employees who are responsible for long-term care facility resident and employee immunization data assessment, documentation, and reporting. This course is provided through the TRAIN Learning Network. You will need to create a free online account to complete this course and receive a certificate if you do not already have one. 

Once you complete the course and pass the quiz, exit the training and you will see the 'certificate' button in the upper right hand corner of the course page. Click this button to download your certificate. To show completion of this training, you must email your certificate with the name of the facility you are affiliated with to [email protected]. Keep a copy for your records. 

TRAIN Utah immunization rule training course page with login prompt and open book graphic.
Start Long-term care facility online trainingopens in a new tab

Long-term care facility resources

Long-term care facility guidebook

The long-term care facility immunization rule guidebook title page image. Five older adults sit around a table, eating and smiling in a bright dining room.