The search for a nursing home that had control of their handwashing led to Tralee, Ireland, according to an article on the McKnight's website.
Cúil Díden, built in 2002, compliments their observational handwash monitoring with electronics. Its standards of cleanliness includes work patterns where "everyone cleans because everyone cares."
Initial interviews with new residents and staff include a session on handwashing as a shared responsibility.
Residents are informed of the electronic reminder system used by all Cúil Díden caregivers, assuring handwashes are not missed. They are advised to check the color of the caregiver's badge of caring and remind him or her whenever a red badge is seen.