Plymouth Health Services
Plymouth Health Services Information
| Facility Name | Plymouth Health Services |
| Location | 916 E Clifford St, Plymouth, WI 53073 |
| County (SSA Code) | Sheboygan (580) |
| Phone Number | 920-893-4777 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 60 |
| Average Number of Residents | 25.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | NSH PLYMOUTH LLC |
| Ownership Type | For profit - Individual |
| Date First Approved | 2006-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.84691 |
| Reported LPN Staffing Hours per Resident per Day | 0.6625 |
| Reported RN Staffing - Hours per Resident per Day | 0.65982 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.32232 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.16923 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06104 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.06235 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.67522 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32933 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.0669 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.29457 |
| Total Weighted Health Survey Score for three cycles | 108.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-31 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 143 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-25 |
| Rating cycle 2 - Health Deficiency Score | 143 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-10 |
| Rating cycle 3 - Health Deficiency Score | 52 |
| Rating cycle 3 - Total Health Inspection Score | 52 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 5 |
| Number of Substantiated Complaints | 5 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 97042 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |