A Life Safety Code citation for electrical equipment or wiring comes with a deadline. Once you receive the Statement of Deficiencies (Form CMS-2567), you generally have 10 calendar days to submit a plan of correction. This page drafts one for you for the six electrical K-tags, using the structure survey agencies expect. Pick the tag, check what the surveyor found, and edit the draft before you submit it.

Nothing you type is sent anywhere. The builder runs in your browser. It writes a draft, not a final answer: your administrator should review it, and your state survey agency's letter may ask for a specific format.

Plan of Correction Builder

What did the surveyor find? (check all that apply)

What a Plan of Correction Has to Cover

Survey agencies look for the same four parts in every plan of correction, plus a completion date for each. The builder writes all four:

  1. How the cited problem was corrected. The specific devices, rooms or receptacles the surveyor named, and what was done to each.
  2. How you found every other instance. A facility-wide check, not just the items on the 2567. Surveyors on the revisit will look beyond the original rooms.
  3. What changed so it won't happen again. The policy, schedule or process change, and the staff in-service that goes with it.
  4. How you'll monitor it. Who audits, how often, how many items, and how results reach your QAPI committee.

Each part needs a date, and the plan is signed by the administrator or another authorized representative.

Typical Correction Times by Electrical Tag

These medians come from CMS correction dates for nursing home citations from September 2023 to August 2026 (full analysis). Use them to set a completion date you can actually meet.

TagWhat it coversMedian days to correctMost common finding
K921PCREE testing and maintenance37 daysNo documentation of electrical safety testing for patient care equipment
K920Power strips and extension cords30 daysExtension cords used in place of permanent wiring
K914Bedside receptacles37 daysNo record of receptacle testing at patient bed locations
K912Receptacle grounding34 daysNon-hospital-grade receptacles at patient bed locations
K919Use of electrical equipment26 daysResident-owned electrical items in use without an inspection
K911Electrical systems41 daysElectrical panels obstructed or circuits not labeled

Source: PCREETest.com analysis of CMS Provider Data Catalog, Nursing Homes: Fire Safety Deficiencies (processed September 2026).

Evidence to Keep With Your Plan

On the revisit, the surveyor wants to see that what you promised actually happened. For the electrical tags, that usually means:

  • A device-level test report with measured ground resistance and leakage current values, not just pass/fail
  • A current equipment inventory with asset IDs, locations and test dates
  • Out-of-service tags and repair or replacement records for every device that failed
  • The technician's training and experience documentation and the test instrument's calibration certificate
  • Receptacle test logs and the power strip audit sheet, if those tags were cited
  • In-service sign-in sheets and your completed audit tools

Why the Testing Itself Matters

A plan of correction is a promise about resident safety, not just paperwork. Patient care equipment with a broken ground or excessive leakage current can shock a resident who is frail, wet, or connected to more than one device. Having a qualified biomedical technician test every device, and remove the ones that fail, is what actually makes the room safe, and it's what makes the plan hold up on the revisit. If you need the testing done, request a quote and say when your revisit is expected.

This page is general information, not legal or regulatory advice. Follow the instructions in your state survey agency's letter.

Frequently Asked Questions

How long do we have to submit a plan of correction for a K-tag?
Generally 10 calendar days after you receive the Statement of Deficiencies (Form CMS-2567). Your state survey agency's cover letter gives the exact due date and where to send it.
What completion date should we use?
One you can meet and document. Nationally, the median time to correct was 37 days for K921, 30 days for K920 and 26 days for K919. If outside testing is needed, book the technician before you commit to a date.
What evidence should we keep for a K921 plan of correction?
A device-level test report with measured values, a current equipment inventory, records for devices that failed (removed, repaired, re-tested or replaced), the technician's qualifications, the instrument calibration certificate, in-service sign-in sheets and your audit results.
Does the builder save or send what I type?
No. The draft is created in your browser and nothing is submitted unless you choose to download the worksheet.
Who signs the plan of correction?
The administrator or another authorized facility representative signs and dates the plan of correction on the CMS-2567.

About the Author

PCREE Test Editorial Team

Content reviewed by biomedical professionals with experience in patient care electrical equipment testing, NFPA 99 compliance, and CMS Life Safety survey preparation for skilled nursing facilities.