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 017037 (X3) Date Survey Completed 05/11/2023
Name of Provider or Supplier Alabama Homecare Of Montgomery, Llc Street Address, City, State 400 South Union Street Suite 285, Montgomery, 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)
G0000 A recertification survey was conducted on 5/9/23 to 5/11/23 and standard level deficiencies were cited.