| 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) |
| K0342 | Fire Alarm System - Initiation CFR(s): NFPA 101 Fire Alarm - Initiation Initiation of the fire alarm system is by manual means and by any required sprinkler system alarm, detection device, or detection system. Manual alarm boxes are provided in the path of egress near each required exit and 200 feet travel distance is not exceeded. 20.3.4.2, 21.3.4.2, 9.6.2 This STANDARD is not met as evidenced by: Based on review of documentation, the facility failed to provide the code required tamper switches (electronic supervisory signal) for the automatic sprinkler system per the requirements of: 2012 NFPA 101, 4.6.1.2, 4.6.12, and 9.7.2.1 2010 NFPA 72, 10.7.4, and 10.16.2 This deficiency affects the whole facility. Findings include: During a tour of the facility, the surveyor observed the following in the sprinkler control valve pit: 1. One of two valves, the existing non-code approved tamper switch was a plug-in-type tamper switch 2. The other valve did not have a tamper switch. It appeared to the surveyor that the valve had a switch in the past but has been removed. A member of the maintenance staff and the administrator were present, when this deficiency was identified. . Findings include: During a tour of the facility, the surveyor observed the following in the sprinkler control valve pit: 1. One of two valves, the existing non-code approved tamper switch was a plug-in-type tamper switch 2. The other valve did not have a tamper switch. It appeared to the surveyor that the valve had a switch in the past but has been removed. A member of the maintenance staff and the administrator were present, when this deficiency was identified. . Findings include: During a tour of the facility, the surveyor observed the following in the sprinkler control valve pit: 1. One of two valves, the existing non-code approved tamper switch was a plug-in-type tamper switch 2. The other valve did not have a tamper switch. It appeared to the surveyor that the valve had a switch in the past but has been removed. A member of the maintenance staff and the administrator were present, when this deficiency was identified. . |