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This form documents the findings of deficiencies related to healthcare facilities and the corresponding plans of correction required to address those deficiencies. Specifically, it includes a summary of deficiencies, compliance statements, and the actions taken in response to complaints investigated.
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CMS-2567 is a form used by healthcare providers to report deficiencies found during surveys by the Centers for Medicare & Medicaid Services (CMS).
Healthcare facilities that are surveyed by CMS or state agencies are required to file CMS-2567 to document any deficiencies found during the survey process.
To fill out CMS-2567, facilities must identify deficiencies, provide a description of each, specify the regulatory requirement, and include an explanation of corrective actions taken or planned.
The purpose of CMS-2567 is to ensure that healthcare facilities comply with federal standards and regulations, documenting any areas of non-compliance to ensure quality care for patients.
CMS-2567 must report the nature of each deficiency, the specific regulatory requirements involved, the dates of the survey, and the facility’s plan for corrective actions.
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