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Deficiency Records for Door County Memorial Hospital Snf

View the most recent health deficiencies and inspection results for Door County Memorial Hospital Snf. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Door County Memorial Hospital Snf. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-07-02 2025-07-27 Y
Respond appropriately to all alleged violations. Health 2025-07-02 2025-07-25 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-07-02 2025-07-23 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-07-02 2025-07-23 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-02-19 2025-03-26 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-02-19 2025-03-12 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2025-02-19 2025-03-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-02-19 2025-03-06 N
Provide and implement an infection prevention and control program. Health 2025-02-19 2025-02-27 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-02-19 2025-02-22 N
Install proper backup exit lighting. Fire Safety 2024-01-04 2024-06-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-04 2024-06-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-04 2024-02-16 N
Respond appropriately to all alleged violations. Health 2024-01-04 2024-02-12 Y
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-04 2024-01-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-04 2024-01-31 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-01-04 2024-01-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-04 2024-01-08 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-01-04 2024-01-08 N
Meet other general requirements. Fire Safety 2024-01-04 2024-01-08 N

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