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This document outlines the results of a survey conducted by the Centers for Medicare & Medicaid Services (CMS) regarding deficiencies found at Cardinal Nursing and Rehabilitation Center, as well as the provider\'s plan of correction to address those deficiencies. It includes identification details of the facility, the date of the survey, and regulatory compliance information.
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How to fill out cms-2567

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How to fill out cms-2567

01
Obtain a copy of the CMS-2567 form from the CMS website or your regulatory agency.
02
Start by filling out the top section with basic information including the facility name, address, and the date of the form.
03
Indicate the survey date and the type of survey conducted.
04
List the deficiencies found during the survey in the designated section, providing a clear description of each issue.
05
Specify the regulatory citation for each deficiency to ensure compliance is understood.
06
Include a plan of correction for each identified deficiency, detailing the steps that will be taken to address them.
07
Assign responsible individuals or positions for each part of the plan of correction.
08
Review the completed form for accuracy and completeness.
09
Submit the form to the appropriate regulatory agency as instructed.

Who needs cms-2567?

01
The CMS-2567 form is needed by healthcare facilities, nursing homes, and assisted living facilities that are subject to federal and state health regulations and have undergone a survey or inspection.
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CMS-2567 is a form used by healthcare facilities to report deficiencies in compliance with federal health and safety regulations.
Healthcare facilities that participate in Medicare and Medicaid programs are required to file CMS-2567 if deficiencies are identified during surveys.
To fill out CMS-2567, facilities must provide details about the deficiencies, including the specific regulations violated, a description of the deficiency, the facility's corrective actions, and evidence of compliance.
The purpose of CMS-2567 is to document and communicate deficiencies in compliance with health and safety standards to ensure facilities take corrective actions.
Information that must be reported on CMS-2567 includes the nature of the deficiency, the affected areas, the corrective measures taken, and the date the corrections were implemented.
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