Fire Safety Inspection & Emergency Preparedness Summary
Portage Cty Hlth Care Ctr
825 Whiting Ave
Stevens Point, WI 54481
(715) 346-1374
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| Deficiency Category | Inspection Date: 12/6/23 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 10/21/22 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 8/10/21 Complaint Reporting Period: 3/1/22 - 2/28/23 |
|---|---|---|---|
| Emergency Preparedness Deficiencies | |||
| Automatic Sprinkler Systems Deficiencies | |||
| Building Construction Deficiencies | |||
| Services Deficiencies | |||
| Corridor Walls and Doors Deficiencies | |||
| Egress Deficiencies | |||
| Electrical Deficiencies | |||
| Emergency Plans and Fire Drills Deficiencies | |||
| Fire Alarm Systems Deficiencies | |||
| Smoke Deficiencies | |||
| Interior Finish Deficiencies | |||
| Gas, Vacuum, and Electrical Systems Deficiencies | |||
| Hazardous Area Deficiencies | |||
| Illumination and Emergency Power Deficiencies | |||
| Laboratories Deficiencies | |||
| Medical Gases and Anesthetizing Areas Deficiencies | |||
| Smoking Regulations Deficiencies | |||
| Miscellaneous Deficiencies |
Detailed result for inspection on 12/6/23
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Wisconsin: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Implement emergency and standby power systems. | 12/6/23 | 1/4/24 | 2 - Minimal harm or potential for actual harm | Many |
Develop a communication plan. | 12/6/23 | 1/18/24 | 2 - Minimal harm or potential for actual harm | Many |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 12/6/23 | 2 - Minimal harm or potential for actual harm | Many |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| No Egress Deficiencies were found during this inspection period. |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Install properly constructed windows in hallway walls or doors. | 12/6/23 | 1/18/24 | 2 - Minimal harm or potential for actual harm | Few |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 12/6/23 | 1/18/24 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 12/6/23 | 1/18/24 | 2 - Minimal harm or potential for actual harm | Few |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 12/6/23 | 1/18/24 | 2 - Minimal harm or potential for actual harm | Many |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Meet requirements for the installation and maintenance of electrical systems. | 12/6/23 | 1/18/24 | 2 - Minimal harm or potential for actual harm | Some |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Provide a written emergency evacuation plan. | 12/6/23 | 1/22/24 | 2 - Minimal harm or potential for actual harm | Many |
Detailed result for inspection on 10/21/22
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Wisconsin: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 10/21/22 | 11/25/22 | 2 - Minimal harm or potential for actual harm | Many |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| No Egress Deficiencies were found during this inspection period. |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 10/21/22 | 11/25/22 | 2 - Minimal harm or potential for actual harm | Many |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | 10/21/22 | 11/25/22 | 2 - Minimal harm or potential for actual harm | Few |
Meet requirements for the installation and maintenance of electrical systems. | 10/21/22 | 11/25/22 | 2 - Minimal harm or potential for actual harm | Some |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| No Miscellaneous Deficiencies were found during this inspection period. |
Detailed result for inspection on 8/10/21
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Wisconsin: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 8/10/21 | 1 - Potential for minimal harm | Many |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| No Egress Deficiencies were found during this inspection period. |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Inspect, test, and maintain automatic sprinkler systems. | 8/10/21 | 10/1/21 | 2 - Minimal harm or potential for actual harm | Some |
Install a fire alarm system that can be heard throughout the facility. | 8/10/21 | 10/1/21 | 2 - Minimal harm or potential for actual harm | Some |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 8/10/21 | 10/1/21 | 2 - Minimal harm or potential for actual harm | Few |
Install corridor and hallway doors that block smoke. | 8/10/21 | 10/1/21 | 2 - Minimal harm or potential for actual harm | Some |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have proper medical gas storage and administration areas. | 8/10/21 | 10/1/21 | 2 - Minimal harm or potential for actual harm | Some |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | 8/10/21 | 10/1/21 | 2 - Minimal harm or potential for actual harm | Many |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| No Miscellaneous Deficiencies were found during this inspection period. |
| This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |