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 012509 (X3) Date Survey Completed 04/05/2023
Name of Provider or Supplier North Alabama Nephrology Center Street Address, City, State 1311 North Memorial Parkway #200, 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)
K0211 Means of Egress - General
CFR(s): NFPA 101

Means of Egress - General Aisles, passageways, corridors, exit discharges, exit locations, and accesses are in accordance with Chapter 7, and the means of egress is continuously maintained free of all obstructions to full instant use in case of emergency, unless modified by 20/21.2.2 through 20/21.2.11. 20.2.1, 21.2.1, 7.1.10.1


This STANDARD is not met as evidenced by:
. Based on observation, the facility failed to maintain the means of egress per the requirements of: 2012 NFPA 101, 21.2.1, and 7.2.2.5.3.1 This deficiency affects 1 of 3 stairwells. Findings include: On 04/04/2023, during a tour of the facility from 1:00 pm to 4:00 pm, the surveyor observed the following in the stairwell by the Water Treatment Room: 1. A shop vac, a large peice of plywood, four plastic totes, a five gallon bucket and five cardboard boxes on the landing 2. A large folding plastic table, a 48" x 18" box and some trash at the egress door A member of the maintenance staff was present when this deficiency was identified. .