| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 010007 | (X3) Date Survey Completed 12/12/2024 |
| Name of Provider or Supplier Mizell Memorial Hospital | Street Address, City, State 702 N Main St, Opp, 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 recertification survey was conducted on 12/10/24 to 12/12/24 at Mizell Memorial Hospital, a 99 bed acute care hospital, which resulted in condition level deficiences at CFR 482.41, Physical Environment and related standards. |