Plymouth Health Services
916 E Clifford St, Plymouth, WI 53073 · CCN 525685
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 18.1
- Phone
- 9208934777
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-20 | 8 | 9.8 | 9.5 | -1.8 better |
| 2 | 2024-06-26 | 21 | 9.2 | 9.8 | +11.8 worse |
| 3 | 2023-05-10 | 7 | 8.3 | 9.3 | -1.3 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 3 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.71 | 73.3% |
| RN staffing (reported) | 1.36 | 75.0% |
| Total nurse staffing (adjusted) | 4.15 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- NORTH SHORE HEALTHCARE
- Facilities in chain
- 58
- Chain avg overall
- 2.80 / 5
Inspection citations (36)
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-08-20 · Health · corrected 2025-09-19
Potential for more than minimal harm
- DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2025-07-10 · Health · corrected 2025-08-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-09 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-26 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-08-26 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-08-26 · Health · corrected 2024-09-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-31 · Health · corrected 2024-08-31
Potential for more than minimal harm
- DF0551Give the resident's representative the ability to exercise the resident's rights.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-06-26 · Health · corrected 2024-07-29
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-10 · Health · corrected 2024-07-01
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-03-19 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-19 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-03-19 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-19 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-19 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-03-19 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-19 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-05-10 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-05-10 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-10 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-05-10 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2023-05-10 · Health · corrected 2023-06-02
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-10 · Health · corrected 2023-06-02
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-03-29 · Health · corrected 2023-04-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| NSHR OPERATIONS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-10-01 |
| ARROWHEAD 123 LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| THE LANE MORRELL BOWEN TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| BAUMANN, TROY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| HOEHN, JEFFREY | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| MILLS, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 |
| NORTH SHORE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-01 |
| BAUMANN, TROY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| HOEHN, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| MILLS, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| BAUMANN, TROY | Individual | CORPORATE DIRECTOR | — | 2019-10-01 |
| HOEHN, JEFFREY | Individual | CORPORATE DIRECTOR | — | 2019-10-01 |
Other facilities in Plymouth
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.