This version of the form is not currently in use and is provided for reference only. Download this version of Form CMS-2786r for the current year.
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 October 1, 2016 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-2786r?
A: Form CMS-2786r is a Fire Safety Survey Report.
Q: What is the purpose of Form CMS-2786r?
A: The purpose of Form CMS-2786r is to report on the fire safety compliance of a health care facility.
Q: What is the 2012 Code referenced in Form CMS-2786r?
A: The 2012 Code referenced in Form CMS-2786r is the fire safety code that was applicable in 2012.
Q: Who uses Form CMS-2786r?
A: Health care facilities use Form CMS-2786r to report their fire safety compliance.
Q: What information is included in Form CMS-2786r?
A: Form CMS-2786r includes information about the health care facility's fire safety features, equipment, and compliance with fire safety regulations.
Q: Is Form CMS-2786r mandatory?
A: Yes, health care facilities are required to submit Form CMS-2786r to report on their fire safety compliance.
Form Details:
Download a printable version of Form CMS-2786r 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.