Statement of Deficiencies

Statement of Deficiencies	(X1) Provider/Supplier/CLIA Identification Number 01C0001013	(X3) Date Survey Completed 06/12/2025
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)

Q0221

NOTICE OF RIGHTS
CFR(s): 416.50(a)

§416.50(a) Standard: Notice of Rights An ASC must, prior to the start of the surgical procedure, provide the patient, the patient’s representative, or the patient’s surrogate with verbal and written notice of the patient’s rights in a language and manner that ensures the patient, the representative, or the surrogate understand all of the patient’s rights as set forth in this section. The ASC’s notice of rights must include the address and telephone number of the State agency to which patients may report complaints, as well as the Web site for the Office of the Medicare Beneficiary Ombudsman.

This STANDARD is not met as evidenced by:
Based on the posted Patient Rights and Responsibilities framed document, and staff interview, it was determined the facility failed to include the correct State Agency Hotline phone number 1 (800) 356-9596 as part of the contact information for grievances and complaints.

This deficient practice had the potential to negatively affect all patients served by this facility.

Upon entrance to the facility on 6/10/25 at approximately 9:15 AM, an observation of the posted Patient Rights and Responsibilities framed document located in the facility lobby revealed the State Agency Hotline phone number was incorrect.

An interview was conducted on 6/12/25 at 2:40 PM with Employee Identifier (EI) # 1, Director of Nursing, who confirmed the incorrect phone number was posted.