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This document outlines deficiencies found during a Life Safety Code survey at Promedica Skilled Nursing & Rehab (Voorhees West) and the corresponding plans of correction.
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How to fill out cms-2567
How to fill out cms-2567
01
Obtain the CMS-2567 form from the appropriate CMS website or office.
02
Provide the facility name and address at the top of the form.
03
Fill in the date of the survey or the date of the survey findings.
04
List any identified deficiencies in a clear and concise manner.
05
Include specific references to the applicable regulations for each deficiency.
06
Provide a detailed description of the findings associated with each deficiency.
07
Document any corrective actions taken or planned to address the deficiencies.
08
Include signatures and dates from the surveyor and, if applicable, the facility representative.
Who needs cms-2567?
01
Healthcare facilities undergoing inspections by the Centers for Medicare & Medicaid Services (CMS).
02
Organizations seeking to address compliance deficiencies identified during surveys.
03
Facilities that are required to document and report their corrective actions following a survey.
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What is cms-2567?
CMS-2567 is a form used by healthcare facilities to report deficiencies identified during surveys conducted by the Centers for Medicare & Medicaid Services (CMS).
Who is required to file cms-2567?
Healthcare facilities that are certified to participate in Medicare and Medicaid programs are required to file CMS-2567 to document any deficiencies found during inspections.
How to fill out cms-2567?
To fill out CMS-2567, facilities must detail the specific deficiencies identified, provide information about the conditions and areas involved, and outline the plans for correction.
What is the purpose of cms-2567?
The purpose of CMS-2567 is to ensure compliance with federal health and safety regulations, document deficiencies, and facilitate corrective action to maintain quality care in healthcare facilities.
What information must be reported on cms-2567?
CMS-2567 must report information such as the nature of the deficiencies, the specific regulations violated, the date of the survey, and any plans for corrective actions.
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