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Nursing HomeMedicaid Investigative

Plymouth Health Services

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

916 E Clifford St, Plymouth, WI 5307350 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 27 Google reviews

5
4
3
2
1
Plymouth Health Services Nursing Home in Plymouth, WI — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (8 vs median 7)
  • High staff turnover (73%)
  • High RN turnover (75%)

Bottom 25% in WI · Meets national RN staffing standard · Very high staff turnover · Worst in NORTH SHORE HEALTHCARE chain · No penalties on record

Source: Medicare data

What this means for your family

While some families report a warm, family-like atmosphere and strong therapy services, there are significant, recurring concerns regarding the physical state of the building and the consistency of care. We strongly recommend touring the facility in person to assess cleanliness and asking management directly about their protocols for handling personal property and medication management.

Google Reviews

Google Reviews

27 reviews on Google
Plymouth Health Services receives highly polarized feedback, with some visitors praising the staff's caring nature and activities, while others report serious concerns regarding neglect, facility maintenance, and unprofessional management. Recent reviews highlight a stark contrast between a perceived 'family atmosphere' and reports of a 'grungy' and 'outdated' environment. Families considering this facility should be aware of recurring complaints about the physical condition of the building and inconsistent quality of care.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean2.0Activities8.0Meds1.0MemoryN/AComms3.0Value2.0

Strengths

  • Friendly and caring staff
  • Engaging activities coordinator
  • Strong therapy services

Concerns

  • Facility is outdated, grungy, and poorly maintained (mentioned by 3 reviewers)
  • Reports of neglect and poor quality of care (mentioned by 3 reviewers)
  • Unprofessional or rude management/nursing staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(11)'22(1)'24(1)'26(1)

Distribution · 29 analyzed

5
10
4
5
3
2
2
1
1
11

How They Respond to Reviews

33%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed your activities coordinator is highly praised; what are some of the most popular daily programs or social events currently offered for residents?
  • 2Given that the facility has been undergoing some updates, could you walk me through your current maintenance schedule and how you ensure a clean, comfortable living environment for residents?
  • 3With your current staffing rating, how does your nursing team coordinate communication with families to ensure we are kept fully informed about our loved one's daily health and well-being?
  • 4What specific protocols and oversight measures are in place regarding medication management to ensure accuracy and resident safety?
  • 5I saw that management has been engaging with feedback online; what is your process for addressing family concerns or suggestions to ensure a collaborative relationship?
  • 6How does your therapy team work alongside the nursing staff to support residents who are recovering from an illness or injury?

Personalized based on this facility's data


Key Review Excerpts

If you can look past the old and outdated building, you will see the true family atmosphere and individuals that are just doing their best with what they have to work with.

Visitor/Family member · 2025★★★★★

The place is outdated by decades, it’s grungy and depressing.

Short-term rehab family member · 2025☆☆☆☆

Plymouth, WI center is a dump ran by egotistical, overbearing, judgemental, opinionated, gossiping nurses... mixed up her meds one time too.

Family member · 2019☆☆☆☆
Source: 27 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.34hrs
OK
Registered nurses for medical care
Total Nursing
3.96hrs
97%
All nurses + aides combined
Staff Turnover
74%
Lower is better (< 30% = good)
RN Turnover
71%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

3

measures

Worse Than Avg

8

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility38.6%
Worse than Avg
Here
38.6%
US
15.5%
WI
15.9%
Sheboygan
24.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
19.5%
WI
16.8%
Sheboygan
15.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility9.4%
Worse than Avg
Here
9.4%
US
5.3%
WI
5.1%
Sheboygan
3.0%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility8.3%
Worse than Avg
Here
8.3%
US
3.2%
WI
3.2%
Sheboygan
2.5%
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility5.8%
Worse than Avg
Here
5.8%
US
0.9%
WI
2.2%
Sheboygan
2.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
4.9%
WI
5.3%
Sheboygan
5.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility59.3%
Worse than Avg
Here
59.3%
US
81.8%
WI
86.6%
Sheboygan
88.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility63.6%
Worse than Avg
Here
63.6%
US
79.8%
WI
82.2%
Sheboygan
83.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
WI
1.3%
Sheboygan
1.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (9.8)
14 complaint-triggered

Plymouth Health Services shows concerning patterns with multiple complaint-triggered deficiencies from families reporting issues, particularly around medication management, resident care quality, and nutrition services. The facility has persistent problems with food safety and medication errors that recur across surveys from 2023-2025, though all deficiencies show correction dates, suggesting the facility addresses issues when cited.

Aug 20, 2025Routine
16
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0222Potential for harm · PatternCorrected

Egress Deficiencies

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.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0300Potential for harm · IsolatedCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Jul 10, 2025Complaint
1
0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

Oct 9, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 26, 2024Complaint
3
0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Jul 31, 2024Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 26, 2024Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0551Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0531Potential for harm · IsolatedCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Plymouth Health Services

Organization Type

for profit

Chain Affiliation

Chain Name

North Shore Healthcare

Chain Size

59 facilities nationwide

Chain avg rating: 2.8/5 · Rank 55 of 58 (Worst)

Ownership & Management

Owners

Nshr Operations LLC

Owner · Organization

100%

Arrowhead 123 LLC

Owner (parent company) · Organization

10%

The Lane Morrell Bowen Trust

Owner (parent company) · Organization

10%

Mills, David

Owner (parent company)

18%

Key personnel

Cibc Bank USA5% or Greater Mortgage InterestCibc Bank USA5% or Greater Security InterestBaumann, TroyOfficer / DirectorHoehn, JeffreyOfficer / DirectorCibc Bank USAManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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