| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 010001 | (X3) Date Survey Completed 09/29/2017 |
| Name of Provider or Supplier Southeast Health Medical Center | Street Address, City, State 1108 Ross Clark Circle, Dothan, 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) |
| A0000 | A full survey following a complaint with conditions of participation cited was completed at the request of The Centers for Medicare and Medicaid Services (CMS) on 9/29/17. Based on the full survey the Alabama State Survey Agency recommends Southeast Alabama Medical Center be found out of compliance with the condition 482.41: Physical Environment, based on the Life Safety Code survey findings. The cited conditions from the 8/24/17 complaint survey were in substantial compliance based on the acceptable plan of correction and on-site full survey: 482.12, Governing Body; 482.13, Patient Rights; 482.21, Quality Assurance Performance Improvement and 482.23, Nursing Services. |