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 01C0001013 (X3) Date Survey Completed 06/11/2025
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: 0303

K6 Plan Approval: 2007

K7 Survey Under: 2012 Existing

K8 ASC

Generator: One Diesel, Kohler 1280 kW (installed 2008 with remote manual stop station)

FACP: Siemens FC922-US (installed 01/2024)

Locking Devices: Full Time Magnetic

Smoke Detection: Complete

Case Load:  2200 a Month

 

Type of Structure: 2007 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.

 

.