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This document outlines the results of a survey conducted at Bryan Health and Rehab in Scotland Neck, NC. It provides a detailed account of deficiencies identified during the survey, including failure to complete timely assessments and provide appropriate care for residents, particularly concerning pressure ulcers and mobility management. It also includes the facility\'s plan of correction for addressing these deficiencies.
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How to fill out cms-2567
How to fill out cms-2567
01
Download the CMS-2567 form from the CMS website.
02
Begin by entering the facility name and address in the appropriate sections at the top of the form.
03
Fill in the date of the survey and the surveyor's name.
04
Clearly indicate the type of deficiencies found during the survey in the designated area.
05
Provide detailed descriptions of the deficiencies, including how they were identified.
06
Include the references for each deficiency to applicable regulations or standards.
07
If applicable, note any immediate jeopardy situations or significant findings.
08
List the corrective actions that need to be taken by the facility, along with timelines if required.
09
Review the form thoroughly for accuracy and completeness before submission.
10
Submit the completed CMS-2567 form to the appropriate CMS regional office.
Who needs cms-2567?
01
Healthcare facilities undergoing Medicare and Medicaid certification surveys.
02
Providers required to document deficiencies found during inspections or audits.
03
Administrators and compliance officers managing facility improvements.
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What is cms-2567?
CMS-2567 is a form used by healthcare providers to report deficiencies found during surveys or inspections conducted by the Centers for Medicare & Medicaid Services (CMS).
Who is required to file cms-2567?
Healthcare providers that participate in Medicare and Medicaid programs are required to file CMS-2567 when deficiencies are identified during surveys.
How to fill out cms-2567?
To fill out CMS-2567, providers must complete sections detailing the deficiency, corrective actions taken, the timeline for correction, and the responsible individual for the actions.
What is the purpose of cms-2567?
The purpose of CMS-2567 is to document and communicate non-compliance with federal regulations, allowing facilities an opportunity to correct identified deficiencies.
What information must be reported on cms-2567?
CMS-2567 must include information such as the facility's name, the nature of the deficiencies, evidence of compliance, and timelines for correction.
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