| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 013429 | (X3) Date Survey Completed 12/10/2025 |
| Name of Provider or Supplier Grove Hill Primary Care | Street Address, City, State 297 South Jackson Street, Grove Hill, 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) |
| J0000 | A recertification survey was conducted at Grove Hill Primary Care 12/09/25 to 12/10/25. Standard level deficiencies were cited which will require a plan of correction. |