Healthcare facilities managers are already required under the Centers for Medicare and Medicaid Services Conditions of Participation to identify and manage all facilities related risks to patients and staff. Many facilities have already adopted an “all hazards” approach that uses an interdisciplinary team to identify and categorize risks from a probability and severity perspective, and to manage those risks deemed most critical through appropriate mitigation strategies. Development of a risk matrix and a mitigation prioritization strategy will be discussed. Additionally, resource requirements and the methodology to demonstrate compliance to activities having jurisdiction will be described.