Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391

Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 01C0001009 (X3) Date Survey Completed 07/31/2025
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)
Q0000 An onsite recertification survey was conducted on 7/29/25 to 7/31/25 at Surgicare of Mobile. Standard level deficiencies were cited for the Health survey and will require a Plan of Correction.

Condition level deficiencies and related standards for the Life Safety survey were cited at 416.44 Environment.