Statement of Deficiencies

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)

A0724

FACILITIES, SUPPLIES, EQUIPMENT MAINTENANCE
CFR(s): 482.41(c)(2)

Facilities, supplies, and equipment must be maintained to ensure an acceptable level of safety and quality.

This STANDARD is not met as evidenced by:
Based on observations, and staff interviews, it was determined the facility failed to ensure expired supplies were not available for patient use. This had the potential to negatively affect all patients served by the hospital. Findings include: 1. A tour of the surgical suite was conducted on 12/10/24 at 10:05 AM with Employee Identifier (EI) # 8, Surgical Services Manager. The following supplies were found to be expired and available for patient use: Operating Room (OR) # 1 anesthesia cart: One Melker Emergency Cricothyrotomy Catheter Set with an expiration date of 7/2015. OR # 2 anesthesia cart: Two Becton Dickinson (BD) Insyte Autoguard Shielded Intravenous (IV) Catheters with an expiration date of 8/31/23 One Rusch Endotracheal Tube Oral/Nasal 6.5 millimeter (mm) with an expiration date of 2/28/21. OR # 2: Eight Culturettes with an expiration date of 11/29/24. The "Issue" (medical supply room ) Room: Twelve Cautery Tip Polishers with an expiration date of 8/31/24 and four with an expiration date of 4/30/24. OR Hallway: Nine BD 20 gauge (g) x (by) 3.5 mm Spinal Needles with an expiration date of 8/31/24. Six BD 25 g x 3.50 mm Spinal Needles with an expiration date of 9/30/24. Crash Cart # 2: Two green top laboratory tubes with an expiration date of 10/30/24. Block Cart: Two ICUmedical Extension Sets with an expiration date of 1/1/24. Malignant Hyperthermia Cart: One Bard Latex Free Foley Catheter Tray with an expiration date of 7/31/24. An interview was conducted on 12/10/24 with EI # 8, Surgical Services Manager, who confirmed at the time of the tour, the above items were expired and available for patient use.