We developed a tool to evaluate antibiotic stewardship in outpatient hemodialysis infection prevention and control assessments, based on the Centers for Disease Control and Prevention's Core Elements of Outpatient antibiotic stewardship. Of facilities assessed (n=12), the average score was 79% (range 44%-100%) for implementation of the Core Elements. Tracking and reporting had the highest engagement (94.1%) and education had the lowest (58.3%). By leveraging hemodialysis-specific tools, infection preventionists can assess antibiotic use and provide actionable feedback.