Wisconsin survey readiness

What Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living can ask you for, each line cited — and the ones you can't yet produce.

The building

Wisconsin requirements loaded — the rules below are Wisconsin’s own.

0 of 31 ready.

31 of the outstanding items are the ones a survey opens with.

WisconsinCommunity-Based Residential Facility (CBRF)

What Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living can ask for, each cited. Checked July 2026.

Goes in the planIs the section written, and does it say what the rule requires?

The local fire department must be made aware of the areas of refuge, if any, and the potential number of residents who would use them. A CBRF with an area of refuge must notify the local fire department of its emergency evacuation plan, including the use and location of each area of refuge and the potential number of residents and employees who would use each one.

Wis. Admin. Code DHS 83.47 · Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living

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Fire, tornado, flooding and other emergency or disaster procedures must be clearly communicated to a new resident within 72 hours after admission.

Wis. Admin. Code DHS 83.48 · Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living

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Must be filed or approvedWas it sent — and where approval is required, was it approved?

The local fire department must be made aware of the areas of refuge, if any, and the potential number of residents who would use them. A CBRF with an area of refuge must notify the local fire department of its emergency evacuation plan, including the use and location of each area of refuge and the potential number of residents and employees who would use each one.

Wis. Admin. Code DHS 83.47 · Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living

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Must be done, on a scheduleWhen did it last happen, and was that inside the interval?

Drills at the required frequency: Fire evacuation drills at least quarterly with both employees and residents, and at least one a year simulating conditions during usual sleeping hours. Tornado, flooding or other emergency and disaster evacuation drills at least semi-annually.

Wis. Admin. Code DHS 83.47 (fire safety) and DHS 83.48 · Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living

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Drill documentation must include the date and time and the facility's TOTAL EVACUATION TIME — and the facility must record any resident whose evacuation time exceeded the limit allowed under DHS 83.35(5), along with the type of assistance that resident needed. Wisconsin turns the drill into a measurement of whether each resident can still be safely housed there.

Wis. Admin. Code DHS 83.47 · Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living

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Records to retainHow far back can you produce the records?

Drills at the required frequency: Fire evacuation drills at least quarterly with both employees and residents, and at least one a year simulating conditions during usual sleeping hours. Tornado, flooding or other emergency and disaster evacuation drills at least semi-annually.

Wis. Admin. Code DHS 83.47 (fire safety) and DHS 83.48 · Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living

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Drill documentation must include the date and time and the facility's TOTAL EVACUATION TIME — and the facility must record any resident whose evacuation time exceeded the limit allowed under DHS 83.35(5), along with the type of assistance that resident needed. Wisconsin turns the drill into a measurement of whether each resident can still be safely housed there.

Wis. Admin. Code DHS 83.47 · Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living

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Life-safety systems

The code-based tests a life-safety survey opens with. These are the starred ones — the full schedule is the compliance calendar.

Test record

NFPA 72 Table 14.4.3.2 (supervisory device testing) (2022) · national · keep: Minimum 5 years

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Certificate + inspection report

NFPA 72 §14.4 (annual ITM) (2022) · national · keep: Minimum 5 years

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Test record

NFPA 25 §5.3.3 / §13.7 (2023) · national · keep: Life of system

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Static + residual pressures; compare to prior; >10% drop investigated

NFPA 25 §5.3.3 (main drain quarterly where sole supply passes through backflow preventer or PRV) (2023) · national · keep: Life of system

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Pressures vs prior year

NFPA 25 §13.2.5 (2023) · national · keep: Life of system

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Written record for AHJ

NFPA 80 §5.2.1 (annual, 13 criteria) (2022) · national · keep: 3 years

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Report

NFPA 110 §8.3.1 (2022) · national · keep: Per authority

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Damper log with location, ID, pass/fail and corrective action.

NFPA 80 §19.4 / NFPA 105 Ch. 6 (2022) · national · keep: Until the next test, minimum 3 years

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Written report listing every damper by location with pass/fail

NFPA 80 §19.4 / NFPA 105 Ch. 6 (hospital 6-year interval) (2022) · national · keep: Until the next test, minimum 3 years

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Monthly firefighter service log.

ASME A17.1 §8.6.11.1 (2019) · state-governed · keep: Minimum 3 years

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Trip test report with trip time and water delivery time.

NFPA 25 §13.4.4.2.2 (3-year full trip) (2020) · national · keep: Minimum 3 years

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Tank inspection report.

NFPA 25 §9.2.6 (interior inspection) (2020) · national · keep: Until the next interior inspection

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Smoke control test report with fan and damper positions.

NFPA 92 §8.4.2 (dedicated: semiannual) (2021) · national · keep: Minimum 3 years

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Signed drill sheet: date, time, shift, participants, evacuation time.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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Signed drill sheet.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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Signed drill sheet.

NFPA 101 §19.7.1 / CMS LSC (2012) · national · keep: Survey cycle

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After-action report and improvement plan.

42 CFR §483.73(d)(2) (—) · national · keep: Minimum 3 years

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Signed HVA.

42 CFR §483.73(a)(1) (—) · national · keep: Minimum 3 years

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Dated plan revision.

42 CFR §483.73(a) (—) · national · keep: Minimum 3 years

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Dated plan revision and team roster.

ASHRAE 188 / CMS QSO-17-30 (2018) · national · keep: Survey cycle

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Readings against control limits.

ASHRAE 188 §7 (2018) · national · keep: Survey cycle

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Receptacle test record by room.

NFPA 99 §6.3.3.2 (12-month interval applies to receptacles not listed hospital grade) (2021) · national · keep: Minimum 3 years

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Rounds log.

NFPA 101 §19.3.6 (2012) · national · keep: Survey cycle

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Barrier log with locations.

NFPA 101 §19.3.7 (2012) · national · keep: Survey cycle

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Photo of posting with date.

29 CFR §1904.32(b)(6) (—) · national · keep: 5 years

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Temperature log by unit.

FDA Food Code §3-501.16 (cold holding, as adopted by your state) (2022) · state-governed · keep: Minimum 1 year

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Inspection report and corrective-action record.

Local AHJ (—) · local · keep: Minimum 3 years

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What Wisconsin requires

Community-Based Residential Facility (CBRF)Group home / residential care home
  • Your fire and evacuation drill records for the period. Drills at the required frequency: Fire evacuation drills at least quarterly with both employees and residents, and at least one a year simulating conditions during usual sleeping hours. Tornado, flooding or other emergency and disaster evacuation drills at least semi-annually. Wis. Admin. Code DHS 83.47 (fire safety) and DHS 83.48
  • Time the evacuation, and record who was too slow. Drill documentation must include the date and time and the facility's TOTAL EVACUATION TIME — and the facility must record any resident whose evacuation time exceeded the limit allowed under DHS 83.35(5), along with the type of assistance that resident needed. Wisconsin turns the drill into a measurement of whether each resident can still be safely housed there. Wis. Admin. Code DHS 83.47
  • Tell the fire department about your areas of refuge. The local fire department must be made aware of the areas of refuge, if any, and the potential number of residents who would use them. A CBRF with an area of refuge must notify the local fire department of its emergency evacuation plan, including the use and location of each area of refuge and the potential number of residents and employees who would use each one. Wis. Admin. Code DHS 83.47
  • Brief every new resident within 72 hours. Fire, tornado, flooding and other emergency or disaster procedures must be clearly communicated to a new resident within 72 hours after admission. Wis. Admin. Code DHS 83.48
Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living · checked July 2026

The evidence, and where it comes from

Every item above needs something you can hand over. The Wisconsin fire drill log produces the drill record at the frequency this state sets, the emergency plan builder writes the plan itself from the same research, and the compliance calendar puts the life-safety tests on dates. Anything you record against the building shows up on the checklist already ticked.

Everything else we’ve researched about Wisconsin

Same state, the problems either side of this one. Each carries its own statute and the date we last checked it.

A self-assessment against published rules, not a compliance determination. CompliMaint issues nothing — Wisconsin Dept. of Health Services — Division of Quality Assurance, Bureau of Assisted Living and your authority having jurisdiction do. Requirements we could not verify are absent rather than guessed at.