| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01C0001009 | (X3) Date Survey Completed 06/05/2019 |
| Name of Provider or Supplier Surgicare Of Mobile, Ltd | Street Address, City, State 2890 Dauphin St, 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: 1993, 08/24/2016 K7 Survey Under: 2012 Existing K8 ASC Generator: One Diesel, Kohler 180 kW (installed 2009) FACP: Simplex (installed 2016) Smoke Detection: Partial Locking Devices: None Number of cases a month: 1500 Type of Structure: 1993 one story protected noncombustible, Type II(111). 2016 unprotected ordinary, Type III(200). The facility has a complete automatic sprinkler system. During a routine recertification survey conducted on this date, the facility was found to be in substantial compliance with 42 CFR 416.44 (b) as evidenced by the following deficiencies of NFPA 101 Life Safety Code (LSC) and codes referenced by the LSC, as observed by the LSC Surveyors while accompanied by the facility maintenance personnel. . |