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Form CMS-2786M Worksheet for Determining Evacuation Capability - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Existing Facilities Only) - 2012 Life Safety Code
What Is Form CMS-2786M?
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 Form CMS-2786M?A: Form CMS-2786M is a worksheet for determining evacuation capability for Intermediate Care Facilities for Individuals With Intellectual Disabilities.
Q: Who is this form for?A: This form is for existing Intermediate Care Facilities for Individuals With Intellectual Disabilities.
Q: What is the purpose of this form?A: The purpose of this form is to determine the evacuation capability of these facilities in accordance with the 2012 Life Safety Code.
Q: What is an Intermediate Care Facility for Individuals With Intellectual Disabilities?A: An Intermediate Care Facility for Individuals With Intellectual Disabilities is a residential facility that provides care and services to individuals with intellectual disabilities.
Q: What is the 2012 Life Safety Code?A: The 2012 Life Safety Code is a set of safety standards for buildings and facilities, including healthcare facilities.
Q: Why is evacuation capability important?A: Evacuation capability is important to ensure the safety of residents in the event of an emergency or disaster.
Q: What information does this form require?A: This form requires information about the facility's evacuation plan, staff training, and equipment.
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-2786M 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-2786M Worksheet for Determining Evacuation Capability - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Existing Facilities Only) - 2012 Life Safety Code
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