A system and method for evaluating hand decontamination compliance in a medical care facility includes a plurality of patient stations; a plurality of hand hygiene stations; personnel tags for personnel in the medical care facility; readers at the patient stations and at the hand hygiene stations capable of detecting the presence of personnel tags; and a controller for detecting whether a personnel tag accessed a hand decontamination station before presence at one of the patient stations. In an alternate embodiment, personnel tags of healthcare workers and patients are tracked in space within the facility to indicate contacts between the healthcare workers and the patients and whether the healthcare workers accessed hand hygiene prior to the contact. Hand hygiene stations include hand washing stations and antimicrobial hand rub dispensers.