Other Plan of Correction Issues
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It is possible for facilities to receive multiple documents due to the multiple purposes of visits. The documents may include the same tags or different tags.
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Each document received requires a PoC.
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Below is an example of multiple CMS 2567s.
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On a complaint investigation, W159 was cited. Three months later, at the annual recertification survey and licensing inspection, W159 was re-cited and noted to be uncorrected.
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One CMS 2567 will be generated for the follow up to the complaint investigation, and another one will be generated for the annual recertification survey and licensing inspection. A PoC will be required for both of the CMS 2567s; however, the facility can use the same PoC for both CMS 2567s.
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Facilities need to ensure that they received all the pages of the CMS 2567 and Form 3724, including blank last pages. In some instances, the federal data system prints a blank last page due to the set up for the last printed line at the bottom of the previous page.
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All pages, including blank pages, must be returned to the Regulation Services office specified in the PoC letter that accompanied the CMS 2567 and Form 3724.
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Note: The PoC for each citation must include all four PoC elements. |