Form CMS-2786V Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) - 2012 Life Safety Code

Form CMS-2786V Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) - 2012 Life Safety Code

What Is Form CMS-2786V?

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 the CMS-2786V Fire Safety Survey Report?
A: The purpose of the CMS-2786V Fire Safety Survey Report is to assess the fire safety compliance of Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) based on the 2012 Life Safety Code.

Q: What does the CMS-2786V Fire Safety Survey Report cover?
A: The CMS-2786V Fire Safety Survey Report covers the fire safety compliance of Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) based on the 2012 Life Safety Code.

Q: Who is responsible for conducting the CMS-2786V Fire Safety Survey?
A: The CMS-2786V Fire Safety Survey is conducted by surveyors from the Centers for Medicare & Medicaid Services (CMS).

Q: What is an Intermediate Care Facility for Individuals With Intellectual Disabilities?
A: An Intermediate Care Facility for Individuals With Intellectual Disabilities (ICF/IID) is a residential facility for individuals with intellectual disabilities or related conditions who require an intermediate level of care.

Q: What is the 2012 Life Safety Code?
A: The 2012 Life Safety Code is a set of fire safety requirements and standards developed by the National Fire Protection Association (NFPA) to ensure the safety of occupants in healthcare facilities.

Q: What are some of the fire safety measures assessed in the CMS-2786V Fire Safety Survey?
A: Some of the fire safety measures assessed in the CMS-2786V Fire Safety Survey include fire alarm systems, sprinkler systems, fire extinguishers, emergency evacuation plans, and fire drills.

Q: Why is fire safety important in Intermediate Care Facilities for Individuals With Intellectual Disabilities?
A: Fire safety is important in Intermediate Care Facilities for Individuals With Intellectual Disabilities to protect the lives and well-being of the residents who may have mobility or cognitive impairments that affect their ability to safely escape in the event of a fire.

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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-2786V 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-2786V Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Small Facilities) - 2012 Life Safety Code

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