Nursing homes, hospitals and hotels with large water systems

Where is the building?

Draft a Legionella water management plan for a nursing home, hospital or hotel, built on ASHRAE 188 and the CDC toolkit. Free to read, pay to download.

  • Free to read
  • No sign-up until the draft
  • Every fact cites its source
BUILDINGWORK AREASTOREEXIT

ePlan fills in

  • Building footprint
  • Water supplier
  • Supplier violations

How it works

Legionella water management program, from one answer

  1. Tell us the building type and its water devices.One answer starts the project. ePlan names it and looks up the place.
  2. ePlan maps where Legionella could grow and sets control limits from the CDC toolkit.3 more questions, each with a "not sure yet" way out.
  3. Read the plan free, then download it for your team and surveyors.The draft marks what to check (amber), what to pick (blue) and what to fill in (violet).

What you get

Legionella water management program and 2 more documents

The first draft is free to read. Each document after it is drafted from the same confirmed facts.

The first draft

Legionella water management program

  1. Program team and roles
  2. Building water system description and flow diagram
  3. Risk assessment: where Legionella could grow and spread
  4. Control points, control measures and limits
  5. Monitoring and testing protocols
  6. Corrective actions when limits are missed

Modeled on: CDC Toolkit: Developing a Legionella Water Management Program, and ASHRAE Standard 188

Next · 2

Water management monitoring log

  1. Control point
  2. Reading (temperature or disinfectant)
  3. In or out of limits
  4. Corrective action
Next · 3

Cooling tower Maintenance Program and Plan (New York City)

  1. Tower and system description
  2. Water treatment and monitoring
  3. Cleaning and disinfection
  4. Records kept three years

From public data

What ePlan fills in, and from where

19%

of US Legionnaires' disease outbreaks from 2000 to 2014 were tied to long-term care facilities, and 15% to hospitals
Source: CMS memo QSO-17-30, revised July 6, 2018

Questions

Legionella water management program: what people ask

Do nursing homes and hospitals need a water management plan?

Yes. CMS expects certified hospitals, critical access hospitals and nursing homes to have water management plans that assess where Legionella could grow, follow the ASHRAE standard and CDC toolkit, and set and document testing protocols and control limits.

Source: cms.gov

Do we have to test the water for Legionella?

CMS does not require water cultures for Legionella. Testing protocols are up to the facility, but the plan must set acceptable ranges for control measures and record results and the corrective actions taken when limits are missed.

Source: cms.gov

What does New York City check on cooling towers?

The NYC Health Department inspects cooling tower systems and reviews each system's Maintenance Program and Plan and operating records. Owners must keep records of all cooling tower water maintenance for at least three years.

Source: nyc.gov

The rules this door follows