Submission Time Frames

The actual CMS 2567 or 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 2567) or Statement of Licensing Violations form (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 2567.

The facility must submit an acceptable PoC within 10 working days of receipt of the Form 3724.