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This document outlines the deficiencies identified during a survey of Accordius Health at Clemmons, as well as the plans of correction for those deficiencies.
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How to fill out cms-2567
How to fill out cms-2567
01
Begin by obtaining the CMS-2567 form from the appropriate source.
02
Fill in the facility information including name, address, and CMS certification number.
03
Provide the date of the survey that prompted the completion of the form.
04
Indicate the type of survey conducted (e.g., standard, complaint).
05
Detail any deficiencies found during the survey in the designated sections.
06
Include any comments or additional explanations for each deficiency listed.
07
Sign and date the form once all information has been completed.
Who needs cms-2567?
01
The CMS-2567 form is needed by healthcare facilities undergoing surveys by the Centers for Medicare & Medicaid Services (CMS), including nursing homes and hospitals.
02
It is also important for surveyors and regulatory agencies that assess compliance with federal health and safety standards.
03
Facilities must use this form to document any deficiencies and corrective actions taken.
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What is cms-2567?
CMS-2567 is a form used by healthcare providers to report deficiencies and compliance issues in healthcare facilities, particularly in the context of Medicare and Medicaid.
Who is required to file cms-2567?
Healthcare facilities that participate in Medicare and Medicaid programs are required to file CMS-2567 when they identify deficiencies or have compliance issues.
How to fill out cms-2567?
To fill out CMS-2567, facilities need to accurately document deficiencies observed during surveys, provide the relevant details, and submit the form to the appropriate state agency or CMS.
What is the purpose of cms-2567?
The purpose of CMS-2567 is to ensure compliance with federal health and safety standards, and to protect the health and welfare of individuals in healthcare facilities.
What information must be reported on cms-2567?
CMS-2567 must report specific deficiencies, the dates they were observed, the relevant regulation citations, and any corrective actions taken or planned.
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