Plymouth Health ServicesCMS ratings, inspections and fines
- Address
- 916 E Clifford St, Plymouth, WI 53073
- CCN
- 525685
- Ownership type
- For-profit, corporation
- Certified beds
- 50
- Residents per day
- 20
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Plymouth Health Services an overall rating of 1 of 5 stars. The last standard survey was on 20 Aug 2025. The latest survey cycle has 8 health citations. The median for nursing homes in Wisconsin is 7. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sheboygan County median | Wisconsin median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 8 homes in the county, 323 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wisconsin median |
|---|---|---|---|
| Cycle 1 (latest) | 20 Aug 2025 | 8 | 7 |
| Cycle 2 | 26 Jun 2024 | 13 | 7 |
| Cycle 3 | No date | 15 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0584 | 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. | E | Complaint investigation | 31 Jul 2026 |
| 20 Aug 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0761 | 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. | E | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 19 Sep 2025 |
| 20 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 19 Sep 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jul 2025 | F0803 | 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. | D | Complaint investigation | 1 Aug 2025 |
| 9 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 Nov 2024 |
| 26 Aug 2024 | F0690 | 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 | Complaint investigation | 23 Sep 2024 |
| 26 Aug 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 23 Sep 2024 |
| 26 Aug 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Sep 2024 |
| 26 Jun 2024 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0625 | 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 | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Jul 2024 |
| 26 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Jul 2024 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Aug 2024 |
| 10 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Jul 2024 |
| 19 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Apr 2024 |
| 19 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Apr 2024 |
| 19 Mar 2024 | F0585 | 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 | Complaint investigation | 19 Apr 2024 |
| 19 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 19 Apr 2024 |
| 19 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Apr 2024 |
| 19 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Apr 2024 |
| 19 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 19 Apr 2024 |
| 10 May 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 2 Jun 2023 |
| 10 May 2023 | F0578 | 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. | D | Standard survey | 2 Jun 2023 |
| 10 May 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 2 Jun 2023 |
| 10 May 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 2 Jun 2023 |
| 10 May 2023 | F0687 | Provide appropriate foot care. | D | Standard survey | 2 Jun 2023 |
| 10 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 2 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wisconsin median | Wisconsin average (CMS) |
|---|---|---|---|
| All nurse staff | 3.83 | 4.00 | 4.21 |
| Registered nurses (RN) | 1.03 | 0.90 | 0.99 |
| Licensed practical nurses (LPN) | 0.80 | 0.64 | |
| Nurse aides | 2.01 | 2.58 | |
| All nurse staff, weekends | 3.36 | 3.60 | 3.77 |
- Nurse staff turnover in a year
- 73.1%
- Nurse staff turnover, Wisconsin median
- 46.2%
- RN turnover in a year
- 85.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.2% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.9% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 12.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 38.1% | 14.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- NSH Plymouth LLC
- Chain
- North Shore Healthcare (59 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| NSHR Operations LLC | 5% or greater direct ownership interest | 100% | 1 Oct 2019 |
| Arrowhead 123 LLC | 5% or greater indirect ownership interest | 10% | 1 Oct 2019 |
| Cibc Bank USA | 5% or greater mortgage interest | 31 Dec 2024 | |
| Cibc Bank USA | 5% or greater security interest | 31 Dec 2024 | |
| Cibc Bank USA | Operational/managerial control | 31 Dec 2024 | |
| Cliftonlarsonallen LLP | Operational/managerial control | 1 Dec 2019 | |
| Continuum Therapy Partners LLC | Operational/managerial control | 1 Mar 2025 | |
| North Shore Healthcare LLC | Operational/managerial control | 1 Dec 2019 | |
| NSH Rehab LLC | Operational/managerial control | 1 Mar 2025 | |
| Wipfli LLP | Operational/managerial control | 1 Feb 2025 | |
| Arrowhead 123 LLC | Adp of the snf | 1 Dec 2019 | |
| Cliftonlarsonallen LLP | Adp of the snf | 9 Jun 2025 | |
| Continuum Therapy Partners LLC | Adp of the snf | 9 Jun 2025 | |
| North Shore Healthcare LLC | Adp of the snf | 9 Jun 2025 | |
| NSH 916 East Clifford Street LLC | Adp of the snf | 9 Jun 2025 | |
| NSH Rehab LLC | Adp of the snf | 9 Jun 2025 | |
| Wipfli LLP | Adp of the snf | 9 Jun 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Sheboygan County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Rocky Knoll Health Care | Plymouth | 3 of 5 | 4 | $0 | 10 Jun 2026 | |
| Sheboygan Senior Community Inc | Sheboygan | 1 of 5 | 9 | $0 | 20 Jan 2026 | |
| Sheboygan Health Services | Sheboygan | 3 of 5 | 5 | $0 | 19 Mar 2026 | |
| Edenbrook Sheboygan | Sheboygan | 1 of 5 | 14 | $345,576 | 30 Apr 2025 | |
| Sheboygan Progressive Health Services | Sheboygan | 1 of 5 | 8 | $0 | 13 Aug 2025 | |
| Meadow View Health Services | Sheboygan | 4 of 5 | 4 | $0 | 18 Dec 2025 | |
| Morningside Health Services | Sheboygan | 3 of 5 | 7 | $0 | 11 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Plymouth Health Services (CCN 525685). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/plymouth-health-services-plymouth-wi-525685/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Plymouth Health Services last inspected?
- The latest inspection with a citation in the CMS record was on 1 Jul 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 26 Jun 2024.
- Who operates Plymouth Health Services?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain North Shore Healthcare. The CMS ownership file names 6 organisations for operational or managerial control. This site does not show the names of persons.
- Is Plymouth Health Services a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Wisconsin as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.