Senior Care Records.

Plymouth Health Services

916 E Clifford St, Plymouth, WI, 53073

Nursing home50 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 8 deficiencies against Plymouth Health Services in Plymouth, Wisconsin at its most recent standard inspection on 2025-08-20, 1 of them arising from complaints. Medicare rates it 1 out of 5 overall.

1 / 5Medicare overall rating
50certified beds
8deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.35
Potential for minimal harmThe least serious band.0
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm

F

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies · F0814 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm

F

Ensure 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.

Pharmacy Service Deficiencies · F0761 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm

E

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm

D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · F0644 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2025-08-20 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure 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.

Nutrition and Dietary Deficiencies · F0803 · 2025-07-10 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · F0684 · 2024-10-09 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies · F0690 · 2024-08-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies · F0692 · 2024-08-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2024-08-26 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2024-07-31 · from a complaint · No actual harm, potential for more than minimal harm

D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2024-06-26 · standard survey · No actual harm, potential for more than minimal harm

F

Give the resident's representative the ability to exercise the resident's rights.

Resident Rights Deficiencies · F0551 · 2024-06-26 · standard survey · No actual harm, potential for more than minimal harm

D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · F0623 · 2024-06-26 · standard survey · No actual harm, potential for more than minimal harm

D

Notify 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.

Resident Rights Deficiencies · F0625 · 2024-06-26 · standard survey · No actual harm, potential for more than minimal harm

D

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Resident Assessment and Care Planning Deficiencies · F0646 · 2024-06-26 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · F0757 · 2024-06-26 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies · F0806 · 2024-06-26 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home1 of 5
Nurse hours per resident per dayReported by the home to CMS3.82816
Nursing staff turnoverShare of nursing staff who left in a year73.1%
Ownership

Who owns Plymouth Health Services

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
NSHR OPERATIONS LLCOrganization100%since 10/01/2019
ARROWHEAD 123 LLCOrganization10%since 10/01/2019
THE LANE MORRELL BOWEN TRUSTOrganization10%since 10/01/2019
MILLS, DAVIDIndividual18%since 10/01/2019
CIBC BANK USAOrganizationNOT APPLICABLEsince 12/31/2024
CIBC BANK USAOrganizationNOT APPLICABLEsince 12/31/2024
BAUMANN, TROYIndividualNOT APPLICABLEsince 10/01/2019
HOEHN, JEFFREYIndividualNOT APPLICABLEsince 10/01/2019
CIBC BANK USAOrganizationNOT APPLICABLEsince 12/31/2024
CLIFTONLARSONALLEN LLPOrganizationNOT APPLICABLEsince 12/01/2019
CONTINUUM THERAPY PARTNERS LLCOrganizationNOT APPLICABLEsince 03/01/2025
NORTH SHORE HEALTHCARE LLCOrganizationNOT APPLICABLEsince 12/01/2019

Part of the NORTH SHORE HEALTHCARE group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Plymouth Health Services a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Plymouth Health Services has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 9208934777 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 525685.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction