The CMS-2567: Statement of Deficiencies Explained

Form CMS-2567 records survey deficiencies and provides the facility's Plan of Correction response area. This walkthrough explains the fields, how to read a finding, and where to find official records. The annotated worksheet is self-created, uses invented details, and is not the official form.

Two-column format

Self-created illustrative orientation worksheet

This page's visual aid is not a reproduction of CMS's form and contains no real resident, facility, or survey data. Use the official CMS-2567 PDF and CMS form information page for the current form and instructions.

Field walkthrough

Finding survey records

Check Medicare Care Compare, the CMS Provider Data Catalog nursing-home datasets, the facility, and the applicable State Survey Agency contact directory. Access and release timing vary by provider, survey type, state, and release stage.

CMS's public-release guidance describes the official CMS-2567 as publicly releasable within 14 days after receipt by the provider, supplier, or laboratory for the applicable process. CMS's Nursing Home Enforcement FAQ describes an acceptable POC as due within 10 calendar days after receipt; confirm the date and instructions with the State Survey Agency.

Editorial note and sources

Owned by the POCDesk editorial team, an editorial publisher rather than a clinical or legal practice. Substantively updated September 16, 2026. Form revisions, release timing, survey records, and state access paths can change. This guide does not reproduce the official form, identify real resident or facility data, or determine whether a finding is current or corrected. Read CMS nursing-home enforcement and the CMS release policy memo for source context.

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Official Sources

POCDesk analyzes official government data. Verify any facility's record or read the underlying regulations at these primary sources: