Submission Time Frames
The actual CMS Form 2567 or HHSC Form 3724 will not be presented to the facility at the exit conference. However, surveyors will present sufficient information regarding problem areas to enable the facility to begin developing a PoC.
A provider can submit the Statement of Deficiencies (CMS Form 2567) or Statement of Licensing Violations form (HHSC Form 3724) with the PoC electronically. The provider can begin this process by contacting the regional survey office.
The facility must submit an acceptable PoC within 10 calendar days of receipt of the CMS Form 2567.
The facility must submit an acceptable PoC within 10 working days of receipt of the HHSC Form 3724.
Licensed ICFs may submit their PoCs using HHSC Form 3724 and CMS Form 2567 at the same time. If submitted within the shorter time frame of 10 calendar days after the date the facility receives the forms, both forms will be considered timely.
If a licensed ICF submits a PoC on the CMS Form 2567 form beyond 10 calendar days, it will be considered late.
Conversely, if a facility waits and submits both forms according to the state requirement on the 10th working day, then the CMS Form 2567 will be considered late, resulting in possible consequences. The agency will send a failure to submit notice on the next business day after that 10th working day.
The facility is encouraged to submit its PoC and implement the corrective action as soon as possible.
Additional Time for Submission
A facility administrator can request additional time to develop a PoC.
HHSC may ask that the plan be completed as precisely as present information permits and that it be followed by a more specific plan as early as possible.
The agency will not amend a PoC without the facility's concurrence (SOM 2728B).