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 the purpose of Form CMS-2786W?
A: The purpose of Form CMS-2786W is to document the fire safety survey report for Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) based on the 2012 Life Safety Code.
Q: Who is the intended audience for Form CMS-2786W?
A: Form CMS-2786W is intended for Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities).
Q: What does the form cover?
A: The form covers fire safety survey report for Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) based on the 2012 Life Safety Code.
Q: When was the 2012 Life Safety Code implemented?
A: The 2012 Life Safety Code was implemented in 2012.
Q: What is the purpose of the fire safety survey report?
A: The purpose of the fire safety survey report is to assess the fire safety measures in place at Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) and ensure compliance with the 2012 Life Safety Code.
Form Details:
Download a printable version of Form CMS-2786W 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.