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The following are links to government websites or literature.

Electronic Code of Federal Regulations (e-CFR)

Handling of linens must prevent spread of infection.

Centers for Medicare & Medicaid Services (

Regulations and Guidance Manual

State Operations Manual: Guidance to Surveyors for Long Term Care Facilities
Detergent and water physically remove many microorganisms from the linen through dilution during the wash cycle. An effective way to destroy microorganisms in laundry items is through hot water washing at temperatures above 160F (71C) for 25 minutes.100 Alternatively, low temperature washing at 71 to 77 degrees F (22-25 degrees C) plus a 125-part-per-million (ppm) chlorine bleach rinse has been found to be effective and comparable to high temperature wash cycles.

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Information About Laundry Sanitizing and Water Temperature