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Incident Report – 11/16/2022
6441 Holder Rd, Clemmons, NC 27012

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Summary

On November 16, 2022, Lewisville Fire Department responded to an EMS call at 6441 Holder Rd, Clemmons, NC 27012, a 24-hour care nursing home (four or more persons).

The alarm was received at 5:34 PM, 2 other personnel arrived at 5:40 PM, and the last unit was cleared at 5:56 PM. The time to arrive was 6 minutes and the total incident time was 22 minutes.

The following actions were taken during the incident: provide manpower and provide basic life support (BLS).

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Location

Type Street address
Address 6441 Holder Rd, Clemmons, NC 27012
County Forsyth County
State NC
City Clemmons
Zip Code 27012
Property Use 24-hour care Nursing homes, 4 or more persons

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 6 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 22 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 11
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift A
District FOR

Personnel

Support Personnel 0
EMS Personnel 0
Other Personnel 2

Fire Department

Name Lewisville Fire Department
Department Type Mostly volunteer
Address 216 Lewisville-Clemmons Rd
Lewisville, NC 27023
Phone (336) 945-5983
Website https://www.lewisvillefire.com

Actions Taken

First Action Taken Provide manpower
Second Action Taken Provide basic life support (BLS)

Metadata

Incident Key NC_03409_11162022_1230_0
State North Carolina
Fire Department ID 03409
Incident Date 11/16/2022
Incident Number 1230
Exposure Number 0
NFIRS Version 5.0
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