C70

PLYMOUTH HEALTH SERVICES

Grade C 70/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
1/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

50

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

916 E CLIFFORD ST, PLYMOUTH, WI 53073
9208934777

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.52h
LPN
0.41h
CNA
2.23h
Total
4.15h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

NSHR OPERATIONS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2019

100%

ARROWHEAD 123 LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

THE LANE MORRELL BOWEN TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

BAUMANN, TROY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

HOEHN, JEFFREY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

MILLS, DAVID

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2019

NORTH SHORE HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2019

BAUMANN, TROY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

HOEHN, JEFFREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

MILLS, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2019

BAUMANN, TROY

IndividualCORPORATE DIRECTORSince Oct 2019

HOEHN, JEFFREY

IndividualCORPORATE DIRECTORSince Oct 2019

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (36)

August 20, 2025Health7 deficiencies
0607DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 19, 2025
0644DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 19, 2025
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Sep 19, 2025
0761EMinimal harm, Pattern

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

Corrected Sep 19, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Sep 19, 2025
0814FMinimal harm, Widespread

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Sep 19, 2025
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 19, 2025
July 10, 2025Health1 deficiency
0803DMinimal harm, Isolated

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

Corrected Aug 1, 2025
October 9, 2024Health1 deficiency
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Nov 1, 2024
August 26, 2024Health3 deficiencies
0690DMinimal harm, Isolated

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

Corrected Sep 23, 2024
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 23, 2024
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Sep 23, 2024
July 31, 2024Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 31, 2024
June 26, 2024Health8 deficiencies
0551DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jul 29, 2024
0623DMinimal harm, Isolated

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

Corrected Jul 29, 2024
0625DMinimal harm, Isolated

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

Corrected Jul 29, 2024
0646DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 29, 2024
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jul 29, 2024
0806DMinimal harm, Isolated

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

Corrected Jul 29, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jul 29, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 29, 2024
June 10, 2024Health1 deficiency
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jul 1, 2024
March 19, 2024Health7 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 19, 2024
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Apr 19, 2024
0585DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 19, 2024
0607DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 19, 2024
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 19, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 19, 2024
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Apr 19, 2024
May 10, 2023Health6 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Jun 2, 2023
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jun 2, 2023
0687DMinimal harm, Isolated

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Jun 2, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jun 2, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 2, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 2, 2023
March 29, 2023Health1 deficiency
0553DMinimal harm, Isolated

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Resident Rights Deficiencies

Corrected Apr 21, 2023

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Frequently Asked Questions

What is the CareGrader rating for PLYMOUTH HEALTH SERVICES?

PLYMOUTH HEALTH SERVICES in PLYMOUTH, Wisconsin has a CareGrader grade of C (Average), with a composite score of 70.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for PLYMOUTH HEALTH SERVICES?

PLYMOUTH HEALTH SERVICES has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does PLYMOUTH HEALTH SERVICES have?

PLYMOUTH HEALTH SERVICES has 36 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does PLYMOUTH HEALTH SERVICES have?

PLYMOUTH HEALTH SERVICES has 50 certified beds with approximately 18 current residents (36% occupancy). The facility is located at 916 E CLIFFORD ST, PLYMOUTH, Wisconsin 53073. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.