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 01C0001011 (X3) Date Survey Completed 12/07/2023
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)
E0000 A recertification survey was conducted on 12/5/23 to 12/7/23 at Gadsden Surgery Center. The facility was found to be in substantial compliance with the Emergency Preparedness Conditions for Coverage under 42 CFR 494.62.