| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01C0001002 | (X3) Date Survey Completed 04/09/2025 |
| Name of Provider or Supplier Mobile-Sc, Ltd | Street Address, City, State 6144 A Airport Boulevard, Mobile, AL | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| K0000 | K3 Building: 0101 K6 Plan Approval: 2004 K7 Survey Under: 2012 Existing AHCO Generator: Diesel, Caterpillar, 250 kW with remote stop station (installed 2011) FACP: Edwards: EST2 (installed 2004) Locking Devices: None Smoke Detection: Corridor Case per day: 50, ortho, eye surgery, and pain management Type of Structure: one story with a partial basement unprotected noncombustible, Type II (000). The facility has a complete automatic sprinkler system. During a routine recertification survey conducted on this date, the requirements of 42 CFR, Subpart 416.44(b) were not met as evidenced by the following deficiencies of the 2012 NFPA 101 Life Safety Code (LSC), the 2012 NFPA 99 Health Care Facilities Code and the standards referenced by these codes, as observed by the LS Surveyor while accompanied by the facility maintenance personnel. . |