Healthcare Pest Reference
A national authoritative reference mapping U.S. federal, state, and accrediting
body pest control compliance requirements for healthcare facilities. Primary-source
anchored. Independently verified. Maintained by a Board Certified Entomologist.
For hospital risk management, infection prevention, plant operations, accreditation
readiness teams, healthcare procurement, and legal counsel litigating healthcare
pest matters.
Phase 1 in progress. The current reference covers 20 authorities
across the federal regulatory spine, with the Utah state framework as a depth prototype.
Subsequent phases expand to additional state regulatory frameworks, accrediting bodies,
standards bodies, and institutional credentialing references.
Authority Index
Federal Regulators
- CDC HICPAC Guidelines for Environmental Infection Control — Pest Control Recommendations CDC HICPAC Guidelines for Environmental Infection Control in Health-Care Facilities (2003), Part II, Section E.V.
- CMS Conditions of Participation for Hospitals — Physical Environment 42 CFR Part 482, Subpart C, Section 482.41
- CMS State Operations Manual Appendix A — Hospital Survey Protocol CMS Pub. 100-07, State Operations Manual, Appendix A, Rev. 238 (03-20-2026)
- EPA Integrated Pest Management in Health Care Facilities Toolkit (2021) EPA Publication No. 907K21002, Integrated Pest Management in Health Care Facilities (July 2021)
- FDA Food Code 2022 — Pest Control in Healthcare Food Service FDA Food Code 2022, Sections 6-501.111 and 6-202.13
- OSHA Hazard Communication Standard — Pesticide Storage and SDS Requirements 29 CFR 1910.1200
- USDA Rescission of 7 CFR Part 110 — Federal Pesticide Recordkeeping Requirements USDA Final Rule, Rescission of 7 CFR Part 110, Federal Register Vol. 90 No. 90 (May 12, 2025), FR Doc 2025-08220, effective July 11, 2025
- VHA Directive 1850.02 — Pest Management Operations Program Department of Veterans Affairs, Veterans Health Administration Directive 1850.02, Pest Management Operations Program, December 22, 2022
Recognized Authorities
- AORN 2026 Guidelines for Perioperative Practice — Environmental Cleaning and Pest Exclusion Association of periOperative Registered Nurses (AORN), Guidelines for Perioperative Practice, 2026 Edition. Guideline for Environmental Cleaning.
- APIC Text of Infection Control and Epidemiology — Environmental Services and Pest Management Association for Professionals in Infection Control and Epidemiology (APIC), APIC Text of Infection Control and Epidemiology, Environmental Services chapter
- ESACC Board Certified Entomologist (BCE) Credential Entomological Society of America Certification Corporation (ESACC), Board Certified Entomologist (BCE) Program, eligibility revised effective January 1, 2025
- FGI Guidelines for Design and Construction — Pest Exclusion in Healthcare Facility Design Facility Guidelines Institute (FGI), Guidelines for Design and Construction of Hospitals; Guidelines for Design and Construction of Outpatient Facilities; Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. 2022 Edition.
- Healthcare-Associated Infection Costs and Pest Exposure Financial Framing Multiple primary sources: Scott 2009 CDC HAI cost estimates; Zimlichman 2013 JAMA Internal Medicine per-event HAI costs; Sheele 2017 ICHE academic medical center bed bug operational costs; CMS Hospital Value-Based Purchasing program under §1886(o) Social Security Act
- NACMCF 1997 HACCP Principles — Pest Control as Prerequisite Program National Advisory Committee on Microbiological Criteria for Foods, Hazard Analysis and Critical Control Point Principles and Application Guidelines, August 14, 1997, Appendix A — Examples of Common Prerequisite Programs
- USP General Chapter <797> — Pharmaceutical Compounding for Sterile Preparations United States Pharmacopeia, General Chapter <797> Pharmaceutical Compounding — Sterile Preparations, Official November 1, 2023
- USP General Chapter <800> — Hazardous Drugs Handling in Healthcare Settings United States Pharmacopeia, General Chapter <800> Hazardous Drugs — Handling in Healthcare Settings, Official December 1, 2019, Compendially Applicable November 1, 2023
How This Reference Works
Each authority page is a self-contained explanation of one regulatory authority.
Pages include the verbatim regulatory text where publicly available, a plain-language
summary, the facility types the requirement applies to, the documentation evidence
surveyors expect, the citation pathway surveyors use, and explicit notes on any
adjacent claims that have been investigated and disconfirmed as fabricated or
weakly sourced.
Every claim on this reference carries a source tier rating and a confidence
rating. Citations should be verified against the primary source for any
litigation-grade application. The reference notes where primary sources are
paywalled and institutional access is required for direct verbatim verification.
See the methodology page for the source tier hierarchy,
confidence ratings, verification discipline, and the explicit catalog of fabricated
claims that have been investigated and excluded from this reference.
Maintained by Trenton L. Frazer, Board Certified Entomologist (BCE #B3413,
General Entomology specialty), MS Entomology, University of Florida.
See the about page for credentialing detail and the
reference's relationship to the operator's commercial and consulting practices.