State Operations Manual (Pub. 100-07), Ch. 6 § 6132.1
Generating the Statement of Deficiencies
6132.1 - Generating the Statement of Deficiencies
(Rev. 199, Issued: 01-17-20, Effective: 01-17-20, Implementation: 01-17-20)
The Form CMS-2567 can be generated using the appropriate module in the ASPEN
suite (e.g., ACO, ARO, ACTS, ASE-Q). Direct references to regulations are shown
with a corresponding D-tag (data tag) number. In the summary statement column at
the appropriate D-tag number, the surveyor includes the regulatory citation along
with the description of the laboratory’s deficient practices. The surveyor should
refer to the Principles of Documentation manual for preparing a defensible citation.
The SA must always obtain and maintain thorough and comprehensive documentation
to support the survey findings and certification decisions to sustain the action in the
event of a hearing or judicial review. The SA must use all available sources of
information to assist with completing the Form CMS-2567.