Per QSO-17-30-Hospitals/CAHs/NHs, initially released in June 2017, all hospitals, critical access hospitals and long-term care facilities that receive CMS funding must develop and adhere to policies and procedures that inhibit microbial growth in building water systems that reduce the risk of growth and spread of Legionella and other opportunistic pathogens in water. These facilities must have water management plans and documentation that, at a minimum, ensure each facility conducts a facility risk assessment to identify where Legionella and other opportunistic waterborne pathogens (e.g. Pseudomonas, Acinetobacter, Burkholderia, Stenotrophomonas, nontuberculous mycobacteria, and fungi) could grow and spread in the facility water system; develops and implements a Water Management Program that considers the ASHRAE industry standard and the CDC toolkit; specifies testing protocols and acceptable ranges for control measures, and document the results of testing and corrective actions taken when control limits are not maintained; maintains compliance with other applicable Federal, State and local requirements.