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 July 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CMS-2786X?
A: Form CMS-2786X is a Fire Safety Survey Report.
Q: What does the form cover?
A: The form covers Intermediate Care Facilities with Intellectual Disabilities (Apartment House).
Q: What year's Life Safety Code does the form reference?
A: The form references the 2012 Life Safety Code.
Form Details:
Download a printable version of Form CMS-2786X by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.