Infection control surveyor 2026

1. Click ‘Get Form’ to open the infection control surveyor in the editor.
2. Begin by filling out Part 1, ASC Characteristics. Enter the ASC Name, Address, and CMS Certification Number as prompted.
3. Provide details about the ASC's operation year and previous federal survey dates. Ensure accuracy for compliance tracking.
4. In Section 7, indicate if the ASC participates in Medicare and specify the accreditation organization if applicable.
5. Proceed to Part 2, Infection Control & Related Practices. Carefully assess each practice by selecting 'Yes' or 'No' based on observations during your site visit.
6. Utilize the notes section to document any observations or explanations for practices that were not observed.

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