| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01C0001011 | (X3) Date Survey Completed 12/06/2023 |
| Name of Provider or Supplier Gadsden Surgery Center, Ltd | Street Address, City, State 418 South 5th Street, Gadsden, 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: 1984 / 1993 K7 Survey Under: 2012 Existing K8 ASC Generator: One Diesel, Caterpillar 150 kW (installed 1985) FACP: GE, EST (installed ?) Smoke Detection: Complete Building Sq. Ft.: 13,500 Census: Averages 20 cases a day Type of Structure: 1984/1993 One story unprotected Type II(000). The facility does not have an automatic sprinkler system. Facility has access-controlled egress doors. 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 Surveyors while accompanied by the facility maintenance personnel. . |