nursing home in Elkhorn, WI
Holton Manor
645 N Church St, Elkhorn, WI 53121 · (262) 723-4963
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Holton Manor at a glance
Holton Manor is a 60-bed non-profit nursing home in Elkhorn, Wisconsin (Walworth County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wisconsin average of 3.
Residents receive about 4.3 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 4.2 hours.
Its most recent standard health inspection (May 6, 2026) found 10 health citations. The Wisconsin average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 51.8% per year (state average 46.9%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Wisconsin Illinois Senior Housing, INC.
- Medicare-certified since
- March 16, 1994
- Resident/family council
- Resident
- County
- Walworth County
- CMS Certification Number
- 525541
Ratings
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.6 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.31 hrs | 4.21 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.63 hrs | 0.99 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.90 hrs | 2.58 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.87 hrs | 3.77 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 51.8% | 46.9% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 30.8% | 39.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 116.5 | 100.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $48,150 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 77 | 107 | |
| Average residents per day | 54 | 55 | 86 | |
| Occupancy | 90.3% | 74% | 80.9% |
Long-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 5% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 19.1% | 15.8% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 2.7% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.5% | 16.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24.4% | 18.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20% | 16.9% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 21.7% | 24.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.7% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Wisconsin avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 99.3% | 82.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 86.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 6, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 30, 2026 |
| May 6, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 30, 2026 |
| May 6, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | E Potential harm, pattern | Corrected May 30, 2026 |
| May 6, 2026 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected May 30, 2026 |
| May 6, 2026 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected June 17, 2026 |
| May 6, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Fire safety | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0925 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 25, 2026 |
| May 6, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected May 30, 2026 |
| May 6, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected June 25, 2026 |
| May 6, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected May 30, 2026 |
| May 6, 2026 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected May 30, 2026 |
| March 20, 2025 Complaint | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected April 20, 2025 |
| March 20, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected April 20, 2025 |
| November 27, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected February 10, 2025 |
| November 27, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected February 3, 2025 |
| November 27, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected December 2, 2024 |
| November 27, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected December 3, 2024 |
| February 1, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected February 23, 2024 |
| October 4, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected November 2, 2023 |
| October 4, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected November 2, 2023 |
| October 4, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 2, 2023 |
| October 4, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected November 2, 2023 |
| August 24, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 30, 2023 |
| August 24, 2023 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected August 30, 2023 |
| August 24, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected August 28, 2023 |
| August 24, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected September 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HBT IT LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2024 |
| JT AND ASSOCIATES LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2010 |
| OAK MEDICAL SC Organization | adp of the snf | NOT APPLICABLE | 01/14/2019 |
| PARTNERS IN WEALTH MANAGEMENT, INC Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| PINION, LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/1995 |
| REHAB SOLUTIONS GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SARASIN, ALYSSA Individual | adp of the snf | NOT APPLICABLE | 10/01/2023 |
| SHERMAN, STEPHANIE Individual | adp of the snf | NOT APPLICABLE | 08/12/2012 |
| SIEBEL, ROBERT Individual | adp of the snf | NOT APPLICABLE | 10/01/1999 |
| TWOMAGNETS LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| GEHLER, MIRIAM Individual | corporate director | NOT APPLICABLE | 03/14/2011 |
| GERLACH, KERI Individual | corporate director | NOT APPLICABLE | 09/24/2019 |
| KUMAR, RAJEEV SHIVA Individual | corporate director | NOT APPLICABLE | 04/24/2012 |
| LYNN, NICHOLAS Individual | corporate director | NOT APPLICABLE | 03/14/2011 |
| DUPONT, LORI Individual | corporate officer | NOT APPLICABLE | 01/25/2016 |
| KERWIN, ANDREW Individual | corporate officer | NOT APPLICABLE | 06/26/2009 |
| KERWIN, ANDREW Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/08/2026 |
| CARRIAGE HEALTHCARE COMPANIES INC Organization | operational/managerial control | NOT APPLICABLE | 02/15/2001 |
| DUPONT, LORI Individual | operational/managerial control | NOT APPLICABLE | 01/01/2015 |
| GEHLER, MIRIAM Individual | operational/managerial control | NOT APPLICABLE | 05/01/2016 |
| GERLACH, KERI Individual | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| KERWIN, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 01/01/2016 |
| KUMAR, RAJEEV SHIVA Individual | operational/managerial control | NOT APPLICABLE | 04/24/2012 |
| LYNN, NICHOLAS Individual | operational/managerial control | NOT APPLICABLE | 03/14/2011 |
| SHERMAN, STEPHANIE Individual | operational/managerial control | NOT APPLICABLE | 08/12/2012 |
| SIEBEL, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 10/01/1999 |
Other nursing homes near Holton Manor
Lakeland Health Care Ctr
1922 Cty Rd Nn, Elkhorn, WI 53121 · under 1 mi
Government · 90 beds
- Abuse citation
★★★★★3AverageDelavan Health Services
905 E Geneva St, Delavan, WI 53115 · 5.8 mi
For-profit · 50 beds · Part of North Shore Healthcare
★★★★★4Above averageWilliams Bay Health Services
146 Clover St, Williams Bay, WI 53191 · 7.1 mi
For-profit · 50 beds · Part of North Shore Healthcare
★★★★★1Much below averageGeneva Lake Manor
211 S. Curtis St., Lake Geneva, WI 53147 · 8.9 mi
Non-profit · 60 beds · Part of Wisconsin Illinois Senior Housing, INC.
★★★★★1Much below averageEast Troy Manor
3271 North St, East Troy, WI 53120 · 9.8 mi
Non-profit · 50 beds · Part of Wisconsin Illinois Senior Housing, INC.
★★★★★2Below average- ★★★★★4Above average
Frequently asked questions
What is Holton Manor's rating?
Holton Manor has 2 out of 5 stars on the CMS overall star rating. The average for Wisconsin nursing homes is 3 stars.
How many inspection citations did Holton Manor receive?
Its most recent standard health inspection found 10 citations, compared with a Wisconsin average of 9.5. Every citation is listed on this page with its severity.
Does Holton Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Holton Manor?
It is non profit - corporation and part of Wisconsin Illinois Senior Housing, INC.. The ownership section on this page lists the owners and managers reported to CMS.
Where is Holton Manor and how do I contact it?
Holton Manor is at 645 N Church St, Elkhorn, WI 53121. Phone: (262) 723-4963.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.