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This document outlines deficiencies found during a CMS survey at Greenwood Healthcare Center, including care plan issues and staff conduct failures. It details corrective actions taken.
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Form CMS-2567 is the Statement of Deficiencies that is used by the Centers for Medicare & Medicaid Services (CMS) to document violations of Medicare regulations in healthcare facilities.
Providers and suppliers of healthcare services that receive Medicare certification and undergo surveys by state or federal representatives must file Form CMS-2567 to report deficiencies.
To fill out Form CMS-2567, providers must comprehensively document each deficiency found during a survey, providing detailed information about the nature of the deficiency, the regulations violated, and any corrective actions taken.
The purpose of Form CMS-2567 is to formally communicate the results of health facility inspections and to ensure compliance with federal standards for safety and quality of care.
Form CMS-2567 requires reporting of the facility's name, address, date of survey, specific deficiencies identified, related regulations, and any corrective actions or plans to address the deficiencies.
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