Superior Health Quality Alliance Directed Plans of Correction Support Request

If your facility has received an enforcement letter requiring a Directed Plan of Correction from a Federal survey and you would like support and corrective assistance from Superior Health Quality Alliance, please provide the following information.

1. Contact Information

First Name

Last Name

Facility Name

Email Address

Phone Number

2. Centers for Medicare & Medicaid Services (CMS) Certification Number (CCN) for the facility. This is your six-digit provider number found on your 2567 statement of deficiencies in the middle box at the top of the page.

3. Provide the F-Tags from the Statement of Deficiencies, CMS-2567 form. These should also be included in the directed plan of correction: Examples: F880, F884, F887