Objective - Introduction The spread of emerging highly antibiotic-resistant bacteria (HARB), as well as noroviruses and Clostridioides difficile in France, warrants an assessment of care practices and the resources involved in waste management. The objective of this study is to describe the general policy regarding excreta management and to identify all existing resources in healthcare facilities (HCFs) and long-term care facilities (LTCFs). Materials and Methods The national SPARES and PRIMO initiatives coordinated an audit between December 2018 and May 2019 using a harmonized national methodology developed by GREPHH, which included a literature review of procedures, equipment, and training, combined with a one-day assessment of resource availability (facilities, equipment, consumables) within care units. The overall policy of emergency departments (EDs) and medical-social care units (MSCs), expressed as a percentage of achieved objectives, was evaluated based on four criteria: documentation resources, equipment, equipment policy, and training plan. Results In this survey, 773 EDs and 441 MSCs were included. The percentage of objectives achieved (median) in terms of the overall policy of healthcare facilities was 74% for university hospitals and 65% for general hospitals. The lowest score was achieved by long-term care facilities (43% for nursing homes). The prevalence of patients using bedpans was 29% in medical wards, 30% in rehabilitation wards, and 57% in intensive care units. The prevalence of incontinent patients was 31% in medical care but 75% in nursing homes. Handheld showers in restrooms were observed in 20% of surgical units and 31% of nursing homes. Only 11% of care units met the necessary equipment requirements (bedpans, protective bags, etc.), and 5% of nursing home living units. While 80% of care units were equipped with bedpan washers, only 9% followed best practices for their use. Conclusion The GEx audit shows that excreta management is insufficiently controlled. The national SPARES and PRIMO initiatives should propose audits of practices, optimization of resources, and methods for excreta management, particularly regarding the use of bedpan washers and handheld showers.