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Review the 2020 Statement of Deficiencies and Plan of Correction for Villages at Historic Silver crest, detailing a COVID-19 focused infection control survey.
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Healthcare facilities/providers needing to report deficiencies to the Centers for Medicare and Medicaid Services (CMS).
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Form CMS-2567 is the Statement of Deficiencies that is used by the Centers for Medicare & Medicaid Services (CMS) to summarize the deficiencies found during surveys of healthcare providers.
Healthcare providers and suppliers that are subject to Medicare or Medicaid regulations are required to file Form CMS-2567 when deficiencies are identified during surveys.
To fill out Form CMS-2567, individuals must provide details of the deficiencies identified, including the regulatory citations, a description of the deficiencies, and appropriate corrective action plans if applicable.
The purpose of Form CMS-2567 is to formally document deficiencies observed during surveys and to communicate these findings to the healthcare providers for corrective actions.
Form CMS-2567 must report information such as the name of the facility, date of the survey, description of the deficiencies, regulatory citations, and any plans for correction.
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