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This document is a statement outlining deficiencies found during a health survey and a plan of correction to address those deficiencies, as required by the Department of Health and Human Services.
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CMS-2567 is a form used by healthcare facilities to report deficiencies identified during the survey process conducted by the Centers for Medicare & Medicaid Services (CMS).
Healthcare facilities that participate in Medicare or Medicaid programs are required to file CMS-2567 when deficiencies are identified during a survey.
To fill out CMS-2567, facilities must provide details about each deficiency, including the severity, scope, and remediation plans. Clear and concise language should be used to describe the issues.
The purpose of CMS-2567 is to document compliance issues and deficiencies in healthcare facilities, assisting in ensuring quality care and patient safety.
CMS-2567 must report the nature of the deficiency, the specific regulations violated, the date of the survey, and any corrective actions planned or taken by the facility.
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