Form 2567 lists each cited deficiency by F-Tag, describes the surveyor's findings including specific resident examples, and assigns a scope and severity rating. The facility responds with a plan of correction on the same form.
The completed form is a public record.
Alternative Names:
Form 2567, CMS-2567
Why it Matters?
This document is the single most requested item in nursing home discovery, and it is powerful because it combines an official finding with narrative detail describing specific residents and incidents. The facility's plan of correction is equally significant, since it constitutes an acknowledgment of the deficiency and a commitment to specific remedial steps. A subsequent identical citation after a plan of correction is the strongest available evidence of institutional indifference.
Frequently Confused with
Related terms
Frequently asked questions
What does Form 2567 contain?
Why does the plan of correction matter in litigation?





