| 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) |
| K0131 | Multiple Occupancies CFR(s): NFPA 101 Multiple Occupancies - Sections of Ambulatory Health Care Facilities Multiple occupancies shall be in accordance with 6.1.14. Sections of ambulatory health care facilities shall be permitted to be classified as other occupancies, provided they meet both of the following: * The occupancy is not intended to serve ambulatory health care occupants for treatment or customary access. * They are separated from the ambulatory health care occupancy by a 1 hour fire resistance rating. Ambulatory health care facilities shall be separated from other tenants and occupancies and shall meet all of the following: * Walls have not less than 1 hour fire resistance rating and extend from floor slab to roof slab. * Doors are constructed of not less than 1-3/4 inches thick, solid-bonded wood core or equivalent and is equipped with positive latches. * Doors are self-closing and are kept in the closed position, except when in use. * Windows in the barriers are of fixed fire window assemblies per 8.3. Per regulation, ASCs are classified as Ambulatory Health Care Occupancies, regardless of the number of patients served. 20.1.3.2, 21.1.3.3, 20.3.7.1, 21.3.7.1,42 CFR 416.44 This STANDARD is not met as evidenced by: Based on observation, the facility failed to maintain the 2-hour fire barrier separating the Ambulatory Surgery Center (ASC) from the Medical Office Building per the requirements of: 2012 NFPA 101, 21.1.3.1, and 6.1.14 This deficiency affects the only 2 hour fire barrier separating the different occupancies. Findings include: During a tour of the facility, the surveyor observed a 2” unsealed penetration over the Front Entrance double doors, above the Lobby ceiling in the 2-hour fire rated barrier separating the ASC from the Medical Office Building. A member of the maintenance staff was present when this deficiency was identified. . |