Federal inspection record · CMS data as of October 1, 2026
Plymouth Health Services
916 E Clifford St, Plymouth, WI · (920) 893-4777
- Certified beds
- 50
- Residents per day
- 25
- Ownership
- For-Profit
- Chain
- North Shore Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2006
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wisconsin homes
Plymouth Health Services carries 88 inspection points. That is fewer than 36% of Wisconsin's 321 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–11 pts
- 4★ 11–37 pts
- 3★ 37–76 pts
- 2★ 76–130.75 pts
- 1★ over 130.75 pts
Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights9E
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor 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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor 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.
Freedom from Abuse, Neglect, and Exploitation7D
- D
Respond appropriately to all alleged violations.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care6D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate foot care.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- 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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service6E
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Inspection history
2025-08-20
10 health deficiencies · 9 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-06-26
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2023-05-10
18 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 1 h 18 min of it from a registered nurse.
This home
3 h 47 min
Wisconsin average
4 h 15 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 83% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 96.9% | 96.0% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury10.8 pts worse | 14.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1 pts worse | 7.0% | 6.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.2 pts worse | 9.1% | 4.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse | 23.6% | 16.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication20.5 pts worse | 36.4% | 15.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts worse | 18.2% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts worse | 3.2% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts worse | 4.7% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts worse | 26.1% | 23.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 4.2% | 4.9% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.1 pts worse | 72.8% | 86.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication5 pts worse | 6.2% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.2 pts worse | 75.0% | 82.2% | 80.1% |
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Who owns and runs it
40 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Nshr Operations LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 14 facilities |
| Mills, David | 5% Or Greater Indirect Ownership Interest · Individual | 18% | 38 facilities |
| Arrowhead 123 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 15 facilities |
| The Lane Morrell Bowen Trust | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 14 facilities |
| Arrowhead 123 LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Baumann, Troy | Corporate Director · Individual | 0% | 56 facilities |
| Baumann, Troy | Operational/Managerial Control · Individual | 0% | 56 facilities |
| Baumann, Troy | Adp Of The SNF · Individual | 0% | 56 facilities |
| Belongia, Christina | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Belongia, Christina | Adp Of The SNF · Individual | 0% | 45 facilities |
| Cibc Bank Usa | 5% Or Greater Mortgage Interest · Organization | 0% | 208 facilities |
| Cibc Bank Usa | 5% Or Greater Security Interest · Organization | 0% | 208 facilities |
| Cibc Bank Usa | Operational/Managerial Control · Organization | 0% | 208 facilities |
| Cliftonlarsonallen | Operational/Managerial Control · Organization | 0% | 124 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Continuum Therapy Partners LLC | Operational/Managerial Control · Organization | 0% | 45 facilities |
| Continuum Therapy Partners LLC | Adp Of The SNF · Organization | 0% | 45 facilities |
| Gee, Darren | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Gee, Darren | Adp Of The SNF · Individual | 0% | 45 facilities |
| Greer, Lauren | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Greer, Lauren | Adp Of The SNF · Individual | 0% | 46 facilities |
| Hoehn, Jeffrey | Corporate Director · Individual | 0% | 57 facilities |
| Hoehn, Jeffrey | Operational/Managerial Control · Individual | 0% | 57 facilities |
| Hoehn, Jeffrey | Adp Of The SNF · Individual | 0% | 57 facilities |
| North Shore Healthcare LLC | Operational/Managerial Control · Organization | 0% | 55 facilities |
| North Shore Healthcare LLC | Adp Of The SNF · Organization | 0% | 55 facilities |
| Nsh 916 East Clifford Street LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Nsh Rehab LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Nsh Rehab LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Patzer, Colleen | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Patzer, Colleen | Adp Of The SNF · Individual | 0% | 45 facilities |
| Purtell, Brian | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Purtell, Brian | Adp Of The SNF · Individual | 0% | 46 facilities |
| Quednow, Dawn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Quednow, Dawn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ramnanan, Keshni | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Ramnanan, Keshni | Adp Of The SNF · Individual | 0% | 18 facilities |
| The Lane Morrell Bowen Trust | Adp Of The SNF · Organization | 0% | 14 facilities |
| Wipfli Llp | Operational/Managerial Control · Organization | 0% | 102 facilities |
| Wipfli Llp | Adp Of The SNF · Organization | 0% | 102 facilities |
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Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D
Ensure proper usage of power strips and extension cords.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Egress2E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Meet other general requirements that are deficient.
Services1D
- D
Have elevators that firefighters can control in the event of a fire.
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Other homes nearby
-
Rocky Knoll Health Care
Plymouth, WI
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 43 min
- Fines
- $0
-
Sheboygan Senior Community Inc
Sheboygan, WI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
Sheboygan Health Services
Sheboygan, WI · North Shore Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0