All citations for Door County Memorial Hospital SNF

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Door County Memorial Hospital SNF

Last standard health inspection on record

April 28, 2026

Showing 1 to 14 of 14 citations

  1. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 22, 2026).

  2. No harm, with potential for more than minimal harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  3. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of February 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2025).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 2025).

  5. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  6. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    A waiver was granted (June 11, 2024).

  7. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

  8. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    A waiver was granted (June 11, 2024).

  9. No harm, with potential for more than minimal harm

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

  10. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  11. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

  12. No harm, with potential for more than minimal harm

    Meet other general requirements.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0200, Egress Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

  13. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 16, 2024).

  14. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of January 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 8, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.