Form CMS-2567 Statement of Deficiencies and Plan of Correction

What Is Form CMS-2567?

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 February 1, 1999 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-2567?
A: Form CMS-2567 is a statement of deficiencies and plan of correction used by the Centers for Medicare and Medicaid Services (CMS) to document and address noncompliance issues in healthcare facilities.

Q: What is the purpose of Form CMS-2567?
A: The purpose of Form CMS-2567 is to identify and document deficiencies found during surveys and inspections of healthcare facilities, and to outline the facility's plan of correction to address those deficiencies.

Q: Who uses Form CMS-2567?
A: Form CMS-2567 is used by surveyors from CMS, state agencies, and accreditation organizations to document deficiencies and ensure compliance in healthcare facilities.

Q: What information is included in Form CMS-2567?
A: Form CMS-2567 includes details about the deficiencies found, the regulations or requirements that were violated, and the corrective actions that the facility plans to take.

Q: What happens after Form CMS-2567 is submitted?
A: After Form CMS-2567 is submitted, the facility is required to implement the plan of correction and provide evidence of compliance. CMS or the state agency will then review the plan of correction and determine if the deficiencies have been adequately addressed.