| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 01C0001013 | (X3) Date Survey Completed 07/25/2018 |
| Name of Provider or Supplier Op Surg Ctr, Inc And Surgicare Of Huntsville, Inc | Street Address, City, State 721 Madison Street, Huntsville, 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: 0203 K6 Plan Approval:1985 K7 Survey Under: 2012 Existing K8 ASC Generator: One Diesel, Kohler 1280 kW FACP: Faraday MPC-7000 Locking Devices: Full Time Magnetic Smoke Detection: Complete Case Load: 2200 a Month Type of Structure: One story unprotected wood frame, Type V (000). This building has a complete automatic sprinkler system. The unprotected wood roof deck was observed above the ceiling in the egress corridor outside of OR's 6 and 7, and in the main corridor between the 4 hour fire wall and the OR Area. During a routine recertification survey conducted on this date, this building was found not in 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. . . K3 Building: 0303 K6 Plan Approval:1985 K7 Survey Under: 2012 Existing K8 ASC Generator: One Diesel, Kohler 1280 kW FACP: Faraday MPC-7000 Locking Devices: Full Time Magnetic Smoke Detection: Complete Case Load: 2200 a Month Type of Structure: Four story protected noncombustible, Type II (222). This building has a complete automatic sprinkler system, except in the Electrical Rooms, see 2010 NFPA 13, 8.15.10.3. During a routine recertification survey conducted on this date, this building was found not in 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. . . K3 Building: 0103 K6 Plan Approval:1985 K7 Survey Under: 2012 Existing K8 ASC Generator: One Diesel, Kohler 1280 kW FACP: Faraday MPC-7000 Locking Devices: Full Time Magnetic Smoke Detection: Complete Case Load: 2200 a Month Type of Structure: One story unprotected wood frame, Type V (000). This building has a complete automatic sprinkler system. The unprotected wood was observed above the ceiling in the Doctors' Lounge Corridor. During a routine recertification survey conducted on this date, this building was found not in 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. . |