Nursing homes › Wisconsin › Plymouth Health Services
916 E Clifford St, Plymouth, WI 53073 · 9208934777 · 50 certified beds
Per CMS filings, this facility is affiliated with North Shore Healthcare, a group operating 59 facilities in 4 states. Group record: average rating 2.7/5, 2 abuse citation icons, 1 facilities on the Special Focus list, $1,572,870 in federal fines. This facility rates below its group average (2.7/5).
All-time on record: 35 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-08-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-09-19 |
| 2025-08-20 | Dispose of garbage and refuse properly. | F | Health | corrected 2025-09-19 |
| 2025-08-20 | Provide and implement an infection prevention and control program. | F | Health | corrected 2025-09-19 |
| 2025-08-20 | 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 | Health | corrected 2025-09-19 |
| 2025-08-20 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2025-09-19 |
| 2025-08-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-09-19 |
| 2025-08-20 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-09-19 |
| 2025-07-10 | 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 | corrected 2025-08-01 |
| 2024-10-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-11-01 |
| 2024-08-26 | 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 | corrected 2024-09-23 |
| 2024-08-26 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2024-09-23 |
| 2024-08-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-09-23 |
| 2024-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-08-31 |
| 2024-06-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-07-29 |
| 2024-06-26 | Give the resident's representative the ability to exercise the resident's rights. | D | Health | corrected 2024-07-29 |
| 2024-06-26 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-07-29 |
| 2024-06-26 | 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 | Health | corrected 2024-07-29 |
| 2024-06-26 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2024-07-29 |
| 2024-06-26 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-07-29 |
| 2024-06-26 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2024-07-29 |
| 2024-06-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-07-29 |
| 2024-06-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-07-01 |
| 2024-03-19 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-04-19 |
| 2024-03-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-04-19 |
| 2024-03-19 | 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 | corrected 2024-04-19 |
| 2024-03-19 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2024-04-19 |
| 2024-03-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-04-19 |
| 2024-03-19 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-04-19 |
| 2024-03-19 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-04-19 |
| 2023-05-10 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-06-02 |
| 2023-05-10 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2023-06-02 |
| 2023-05-10 | 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 | Health | corrected 2023-06-02 |
| 2023-05-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2023-06-02 |
| 2023-05-10 | Respond appropriately to all alleged violations. | D | Health | corrected 2023-06-02 |
| 2023-05-10 | Provide appropriate foot care. | D | Health | corrected 2023-06-02 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NSHR OPERATIONS LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 10/01/2019 |
| ARROWHEAD 123 LLC | 5% Or Greater Indirect Ownership Interest | Organization | 10% | since 10/01/2019 |
| THE LANE MORRELL BOWEN TRUST | 5% Or Greater Indirect Ownership Interest | Organization | 10% | since 10/01/2019 |
| MILLS, DAVID | 5% Or Greater Indirect Ownership Interest | Individual | 18% | since 10/01/2019 |
| BAUMANN, TROY | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2019 |
| HOEHN, JEFFREY | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2019 |
| CIBC BANK USA | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/31/2024 |
| CLIFTONLARSONALLEN LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2019 |
| CONTINUUM THERAPY PARTNERS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2025 |
| NORTH SHORE HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 12/01/2019 |
| NSH REHAB LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2025 |
| WIPFLI LLP | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2025 |
| BAUMANN, TROY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2019 |
| BELONGIA, CHRISTINA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2019 |
| GEE, DARREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/30/2021 |
| GREER, LAUREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/29/2023 |
| HOEHN, JEFFREY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2019 |
| PATZER, COLLEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/14/2023 |
| PURTELL, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2019 |
| QUEDNOW, DAWN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/11/2025 |
| RAMNANAN, KESHNI | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 525685. Corrections: data@carerecords.org.