| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01C0001009 | (X3) Date Survey Completed 07/30/2025 |
| 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) |
| K0345 | Fire Alarm System - Testing and Maintenance CFR(s): NFPA 101 Fire Alarm Systems - Testing and Maintenance A fire alarm system is tested and maintained in accordance with an approved program complying with the requirements of NFPA 70, National Electric Code, and NFPA 72, National Fire Alarm and Signaling Code. Records of system acceptance, maintenance and testing are readily available. 9.6.1.3, 9.6.1.5, NFPA 70, NFPA 72 This STANDARD is not met as evidenced by: Based on observation and review of documentation, the facility failed to maintain the fire alarm system per the requirements of: 2012 NFPA 101, 19.3.4.1, and 9.6.1.3 2010 NFPA 72, 10.5.5.2.1, 10.5.5.2.4, 18.5.4.4.7, and 21.914.4.5.3.2 This deficiency affects fire alarm system. Findings include: During a tour of the facility, the surveyor observed the following: 1. The facility failed to provide a smoke detector sensitivity test report conducted within the past two years. The facility failed to provide documentation of the last sensitivity test. 2. The facility was unable to locate the dedicated branch circuit breaker for the fire alarm system. This shall be identified as "FIRE ALARM CIRCUIT" and have a red marking. 3. The fire alarm panel failed to permanently identify the location of the dedicated electrical branch circuit disconnecting means (what panel, where this panel is located, and what circuit breaker). A member of the maintenance staff was present when this deficiency was identified. . |