Incident Report – 11/03/2020 4635 Limerick Ln, Mount Pleasant, WI 53406
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Summary
On November 3, 2020, South Shore Fire Department responded to a fire incident at 4635 Limerick Ln, Mount Pleasant, WI 53406, a 24-hour care nursing home (four or more persons).
The alarm was received at 4:14 PM, 10 suppression, 2 EMS, and 2 other personnel arrived at 4:20 PM, and the last unit was cleared at 6:13 PM. The time to arrive was 6 minutes and the total incident time was 1 hour, 59 minutes.
The following actions were taken during the incident: extinguish, salvage and overhaul, and incident command.
As a result of the incident, there was 1 other fire injury.
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Location
| Type | Street address |
| Address | 4635 Limerick Ln, Mount Pleasant, WI 53406 |
| County | Racine County |
| State | WI |
| City | Mount Pleasant |
| Zip Code | 53406 |
| Property Use | 24-hour care Nursing homes, 4 or more persons |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 6 minutes
Last unit cleared at
Alarm to last unit cleared: 1 hour, 59 minutes
Response
| Incident Type | Building fires |
| Mutual Aid Given/Received | Automatic aid received |
| Resources Include Mutual Aid | No |
| Shift | C |
| District | 134 |
Personnel
| Support Personnel | 10 |
| EMS Personnel | 2 |
| Other Personnel | 2 |
Fire Department
| Name | South Shore Fire Department |
| Department Type | Career |
| Address | 3900 Old Green Bay Rd Mount Pleasant, WI 53403-9488 |
| Phone | (262) 995-1200 |
Actions Taken
| First Action Taken | Extinguish |
| Second Action Taken | Salvage & overhaul |
| Third Action Taken | Incident command |
Injuries/Deaths
| Fire Service Injuries | 0 |
| Other Fire Injuries | 1 |
| Fire Service Deaths | 0 |
| Other Fire Deaths | 0 |
Losses *
| Property Loss | $50,000 |
| Contents Loss | $15,000 |
| Property Value | $250,000 |
| Contents Value | $15,000 |
- Losses are approximate and are considered less reliable than other data elements per NFIRS fire data analysis guidelines.
Metadata
| Incident Key | WI_51040_11032020_204613_0 |
| State | Wisconsin |
| Fire Department ID | 51040 |
| Incident Date | 11/03/2020 |
| Incident Number | 204613 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
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EMS Report
Patient Description
| Provider Impression/Assessment | Respiratory distress |
| Patient Age | 0 |
| Patient Gender | Female |
| Patient Race | White |
| Patient Ethnicity | Other |
Timeline
Arrived at
Transported at
Arrival to transport: 1 hour, 21 minutes
Injury Types
| Cause of Illness/Injury | Smoke inhalation |
Procedures Used
| Procedure Used | Other procedure |
Fire Report
Cause
| General Cause | Flame, Heat |
| Main Fire Cause | Open Flame |
| Priority Cause | Ember, rekindle |
Ignition
| Area of Origin | Exterior balcony, unenclosed porch |
| Heat Source | Hot ember or ash |
| Item First Ignited | Undetermined |
| Cause of Ignition | Unintentional |
| Factor Contributing To Ignition | Heat source too close to combustibles |
Spread
| No Flame Spread/Same As First/Unknown | Yes |
Structure
| Not Residential | No |
| Number of Buildings Involved | 1 |
| Structure Type | Enclosed building |
| Structure Status | In normal use |
| Building Height: Stories Above Grade | 1 |
| Building Height: Stories Below Grade | 1 |
| Total Square Feet | 2000 sqft |
Number of Stories With Damage
| Story of Fire Origin | 1 |
Acres
| Less Than One Acre | No |
Automatic Extinguishing System
| AES Presence | None Present |
Detector
| Detector Presence | Detectors Present |
| Detector Type | Smoke |
| Detector Power | Hardwire with battery |
| Detector Operation | Operated |
| Detector Effectiveness | Alerted Occupants |
Civilian Casualty Report
Injured Person
| Gender | Female |
| Age | 43 |
| Race | White |
| Ethnicity | Other |
| Affiliation | Civilian |
Injury Date and Time
| Injury Date and Time | 11/03/2020 4:15 PM |
Severity
| Severity | Injury |
Cause of Injury
| Cause of Injury | Exposed to fire products |
Activity When Injured
| Activity When Injured | Rescue attempt |
Location
| General Location At Time of Injury | In area of origin |
| Location At Time of Incident | In area of origin and involved |
Disposition
| Disposition | Transported to emergency care facility |
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