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Form CMS-672 Resident Census and Conditions of Residents
What Is Form CMS-672?
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 May 1, 2012 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CMS-672?
A: Form CMS-672 is a Resident Census and Conditions of Residents form.
Q: Who uses Form CMS-672?
A: Form CMS-672 is used by nursing homes and long-term care facilities to collect data on their residents.
Q: What information is collected on Form CMS-672?
A: Form CMS-672 collects information on the number of residents, their physical and mental conditions, and their functional abilities.
Q: Why is Form CMS-672 important?
A: Form CMS-672 is important for assessing the quality of care provided by nursing homes and long-term care facilities.
Q: How often is Form CMS-672 filled out?
A: Form CMS-672 is typically filled out during the residents' admission process and then updated regularly, usually quarterly or annually.
Form Details:
- Released on May 1, 2012;
- 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 fillable version of Form CMS-672 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-672 Resident Census and Conditions of Residents
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