Form CMS-2786Y Fire Safety Evaluation System - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) - 2012 Life Safety Code

Form CMS-2786Y Fire Safety Evaluation System - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) - 2012 Life Safety Code

What Is Form CMS-2786Y?

This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on July 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form CMS-2786Y?
A: Form CMS-2786Y is used for fire safety evaluation of Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) based on the 2012 Life Safety Code.

Q: Who is required to complete Form CMS-2786Y?
A: Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) are required to complete Form CMS-2786Y.

Q: What does the form evaluate?
A: The form evaluates the fire safety compliance of the facility, based on the 2012 Life Safety Code.

Q: What is the 2012 Life Safety Code?
A: The 2012 Life Safety Code is a set of regulations and standards designed to ensure the safety of individuals in healthcare facilities.

Q: Can facilities make changes to the form?
A: No, facilities are not allowed to make changes to the form. It must be completed as provided by CMS.

Q: What happens after completing Form CMS-2786Y?
A: After completing the form, it is submitted to the appropriate state or local authority for review and approval.

Q: Are there any penalties for non-compliance?
A: Yes, facilities that are found to be non-compliant with fire safety regulations may face penalties or corrective actions.

Q: Does the form need to be updated regularly?
A: Yes, the form should be updated as necessary to reflect any changes in the facility's fire safety compliance.

Q: Can facilities seek assistance or guidance in completing the form?
A: Yes, facilities can seek assistance or guidance from state or local authorities, as well as fire safety experts or consultants.

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Form Details:

  • Released on July 1, 2018;
  • The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form CMS-2786Y by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.

Download Form CMS-2786Y Fire Safety Evaluation System - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) - 2012 Life Safety Code

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  • Form CMS-2786Y Fire Safety Evaluation System - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) - 2012 Life Safety Code, Page 1
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