Federal Deficiencies

All ICFs must meet specific federal requirements.

A deficiency is a failure on the part of the facility to meet a federal standard specified in SOM Appendix J.

The CMS Form 2567, Statement of Deficiencies, specifies the deficient practice identified during a survey or investigation. It supports the citation with evidence about how the facility failed to comply with federal requirements (W tags).

If a surveyor cites a tag, LTCR will email the HHS Form 3724 and CMS Form 2567 to the facility within 10 business days from the date of exit.