C. auris Prevention

Sunrise Care Center: Eliminating C. auris Transmission in a 180-Bed SNF

Skilled Nursing FacilityPhoenix, AZ180 bedsResults over 9 months

Sunrise Care Center identified three C. auris-positive residents following a regional outbreak alert from the Arizona Department of Health. The facility's existing CHG wipe protocol was inadequate for achieving the residual skin concentration required to suppress C. auris shedding. The facility faced potential CMS citations and resident transfer restrictions.

Results at a Glance

C. auris Transmission Events
3 cases0 cases
100% down
CHG Skin Concentration
<80 mcg/mL156+ mcg/mL
2x threshold
Regulatory Citations
2 pending0
Cleared
Cost of Outbreak Response
$340K$0
Fully prevented

The Challenge

Sunrise Care Center identified three C. auris-positive residents following a regional outbreak alert from the Arizona Department of Health. The facility's existing CHG wipe protocol was inadequate for achieving the residual skin concentration required to suppress C. auris shedding. The facility faced potential CMS citations and resident transfer restrictions.

The Solution

Following CDC guidance and the Gussin 2025 research, the facility implemented Bed Shower Wib for all C. auris-positive residents and high-risk contacts. The Wib's full-body CHG delivery system achieved and maintained the critical skin concentration threshold, dramatically reducing shedding during high-contact care activities.

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Implementation Process

1

Isolated C. auris-positive residents and implemented contact precautions per CDC guidance.

2

Deployed Wib systems for all positive residents and high-risk contacts within 48 hours.

3

Trained infection control team and nursing staff on C. auris-specific CHG bathing protocol.

4

Conducted weekly skin cultures to monitor C. auris colonization levels.

5

Expanded Wib use to all high-acuity residents as a preventive measure after outbreak resolution.

"The Gussin study was the turning point for us. We needed a system that could actually deliver the CHG concentration the science required. The Wib was the only product that could do that for bedridden residents. We went from three positive cases to zero transmission in nine months."
Maria Gonzalez, RN, CIC
Director of Infection Prevention, Sunrise Care Center

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Key Outcomes

100% elimination of C. auris transmission — zero new cases in 9 months post-implementation

Achieved critical CHG skin concentration threshold in all treated residents

Cleared two pending CMS regulatory citations related to infection control practices

Avoided estimated $340,000 in outbreak response, isolation, and regulatory costs

Facility selected as a regional model for C. auris prevention by state health department

Protocol shared with 12 affiliated facilities in the same SNF network

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Full Case Study PDF — Sunrise Care Center: Eliminating C. auris Transmission in a 180-Bed SNF

Formatted for sharing with your infection control committee, CNO, or CFO. Includes all metrics, protocol details, and implementation timeline.

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