Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code

Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code

What Is Form CMS-2786W?

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.

FAQ

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.

ADVERTISEMENT

Form Details:

  • Released on July 1, 2018;
  • The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code

4.4 of 5 (73 votes)
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code

    1

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 2

    2

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 3

    3

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 4

    4

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 5

    5

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 6

    6

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 7

    7

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 8

    8

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 9

    9

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 10

    10

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 11

    11

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 12

    12

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 13

    13

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 14

    14

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 15

    15

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 16

    16

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 17

    17

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 18

    18

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 19

    19

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 20

    20

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 21

    21

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 22

    22

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 23

    23

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 24

    24

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 25

    25

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 26

    26

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 27

    27

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 28

    28

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 29

    29

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 30

    30

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 31

    31

  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 1
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 2
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 3
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 4
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 5
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 6
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 7
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 8
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 9
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 10
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 11
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 12
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 13
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 14
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 15
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 16
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 17
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 18
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 19
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 20
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 21
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 22
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 23
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 24
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 25
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 26
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 27
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 28
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 29
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 30
  • Form CMS-2786W Fire Safety Survey Report - Intermediate Care Facilities for Individuals With Intellectual Disabilities (Large Facilities) - 2012 Life Safety Code, Page 31
Prev 1 2 3 4 5 ... 31 Next
ADVERTISEMENT