State assisted-living licensing record · Wisconsin DQA · record as pulled October 1, 2026· Not the federal nursing home survey

Waterford at Plymouth I (THE)

2581 Valley Rd, Plymouth, WI 53073 · Sheboygan County · 22 licensed beds

DQA licence number 0015201 · licensed, regular licence · first licensed August 2014

The licence

Licensed by DQA · Community-based residential facility · For profit · managed by CSL Plymouth LLC

Licence details, as listed by DQA
Licensed as
Community-based residential facility
Class
Class CNA (non-ambulatory)
Probationary licence issued
August 19, 2014
Regular licence issued
September 1, 2015
Client groups served
Advanced aged, Irreversible dementia/Alzheimer's
Ownership
Limited Liability Company
10
Citations on file
Since October 2023
3
DQA visits
1 routine inspection
3
Building-related
Physical plant · emergency

Position within Wisconsin

10 citations — more than 86% of the 1,894 licensed assisted living facilities in Wisconsin. Compared only within Wisconsin: a citation from DQA means what it means in Wisconsin, and there is no national assisted living record to compare to. Counted over 3 years, which holds two or three routine inspections. How this is calculated

Not in this record

Fire and building code inspection, severity, the surveyor's narrative, and enforcement. The fire and building code inspection of a Wisconsin facility is the local fire department's and the state building authority's, and is not part of DQA's record; what DQA itself cites about the building — its physical environment, building maintenance, building support systems and fire safety rules — is here. DQA assigns no severity on these statements, and the plan of correction is the facility's own text and is not republished. Forfeitures and orders are issued in separate enforcement letters and are not republished, and an owner that is a sole proprietor is not named. Adult family homes, three or four beds, are also assisted living in Wisconsin and are not included.

Get an email about Waterford at Plymouth I (THE)

One email when it happens, from the DQA record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Building-related citations

The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

  • N393 Initial evaluation of evacuation limitationsSeptember 30, 2024
  • N525 Fire drillsSeptember 30, 2024
  • N631 Class AS, ANA, CS, CNA 2 grade level exitsSeptember 30, 2024

How that compares

Citations on file over 3 years

Compared with the median licensed assisted living facility in Wisconsin. Within-state only.

This facility10Wisconsin median1
Citations on file over 3 years, compared
MeasureCitations
This facility10
Median facility in Wisconsin1

Visit history

Citations at each DQA visit
92024-0912025-0402025-08
Citations at each DQA visit
VisitTypeCitations
September 30, 2024survey, complaint investigation9
April 3, 2025verification visit1
August 21, 2025verification visit0

What the citations cover

Citations by category (TagProof's grouping)
  • Life safety 3
  • Resident care 3
  • Staffing and training 3
  • Medication 1
Citations by category
CategoryCitations
Life safety3
Resident care3
Staffing and training3
Medication1

Every visit on file since October 2023

As published by DQA, newest first, including visits that cited nothing. The wording is DQA’s own.

August 21, 2025 — verification visit, nothing cited

April 3, 2025 — verification visit, 1 citation

Citations from the verification visit on April 3, 2025
TagWhat DQA checks
Y3235Privacy

September 30, 2024 — survey, complaint investigation, 9 citations

Citations from the survey, complaint investigation on September 30, 2024
TagWhat DQA checks
N220Employees screened for communicable disease
N230Orientation
N243All employee training
N389Service plans updated annually or on changes
N393Initial evaluation of evacuation limitations
N406Disposition of medications
N525Fire drills
N631Class AS, ANA, CS, CNA 2 grade level exits
Y3235Privacy

Reflects the DQA record as pulled October 1, 2026. A recent visit may not appear yet. This is the Wisconsin state licensing record; it is not the federal nursing home survey and the two are never combined.