CMS 2567 | CMS Dynamic List Information Dynamic List Data Form # CMS 2567 Form Title STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION Revision Date 2022-03-18 O M B # 0938-0391 O M B Expiration Date 2025-03-31 Special Instructions N A
CMS 2567 – STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION A CMS 2567 is a form used by the Centers for Medicare Medicaid Services (CMS) to document and report findings of deficiencies during state inspections or surveys of healthcare facilities
Mastering the Plan of Correction: A Step-by-Step Guide for CMS-2567 . . . Discover a detailed guide on completing a Plan of Correction (POC) for the CMS-2567 form Learn how to address deficiencies, improve patient care, and ensure healthcare regulatory compliance through effective, actionable strategies
Form CMS 2567 CMS 2567 Statement of Deficiencies and Plan of Correction Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide suficient protection to the patients (See reverse for further instructions )
Statement of Deficiencies and Plan of Correction - AAPC INSTRUCTIONS FOR COMPLETION OF THE STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (CMS-2567) I PURPOSE This document contains a listing of deficiencies cited by the surveying State Agency (SA), Accrediting Organization (AO) or Regional Office (RO) as requiring correction