Wisconsin › Walworth County › Elkhorn
Holton Manor
645 N Church St, Elkhorn, WI 53121
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Holton Manor is a Non-profit, corporation nursing home in Elkhorn, Wisconsin, certified for 60 beds and caring for about 54 residents a day.
CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 17 health deficiencies across the three most recent survey cycles (10, 2, 5 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 28.3 per 100 beds, about the same as the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.3 hours per resident per day (0.6 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 51.8%.
Compared with county, state and nation
| Measure | This facility | Walworth Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 17 | 21 | 21 | 28.7 |
| Citations per 100 beds | 28.3 | 28.3 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.0 | 4.0 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 51.8% | 51.8% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 May 2026, 27 Nov 2024.
Severity mix: G ×3 D ×9 E ×2 F ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 6 May 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 25 Jun 2026 |
| 6 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 30 May 2026 |
| 6 May 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Jun 2026 |
| 6 May 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 30 May 2026 |
| 6 May 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 30 May 2026 |
| 6 May 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 30 May 2026 |
| 6 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 May 2026 |
| 6 May 2026 | F0688 | 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. | D | Standard survey | 30 May 2026 |
| 6 May 2026 | F0693 | 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. | D | Standard survey | 30 May 2026 |
| 6 May 2026 | F0732 | Post nurse staffing information every day. | C | Standard survey | 30 May 2026 |
| 20 Mar 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Complaint investigation | 20 Apr 2025 |
| 20 Mar 2025 | F0726 | 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. | D | Complaint investigation | 20 Apr 2025 |
| 1 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 23 Feb 2024 |
| 4 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 2 Nov 2023 |
| 4 Oct 2023 | F0585 | 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 investigation | 2 Nov 2023 |
| 4 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 2 Nov 2023 |
| 4 Oct 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 2 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 51.8%, RNs 30.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.5% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.4% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.8% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.1% | 14.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Wisconsin Illinois Senior Housing Inc. Chain: Wisconsin Illinois Senior Housing, Inc. (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Carriage Healthcare Companies Inc | Operational/managerial control | NOT APPLICABLE | 02/15/2001 |
| Hbt It LLC | Adp of the snf | NOT APPLICABLE | 07/01/2024 |
| Jt and Associates LLC | Adp of the snf | NOT APPLICABLE | 01/01/2010 |
| Oak Medical Sc | Adp of the snf | NOT APPLICABLE | 01/14/2019 |
| Partners In Wealth Management, Inc | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Pinion, LLC | Adp of the snf | NOT APPLICABLE | 01/01/1995 |
| Rehab Solutions Group, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2024 |
| Twomagnets LLC | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Walworth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Delavan Health Services | Delavan | 50 | 4 | 4 | 4 | 12 | 24.0 | — | 19 Dec 2024 |
| Golden Years of Lake Geneva | Lake Geneva | 54 | 4 | 5 | 5 | 11 | 20.4 | — | 9 Jan 2025 |
| Lakeland Health Care Ctrabuse icon | Elkhorn | 90 | 3 | 2 | 5 | 21 | 23.3 | $84K | 26 Jan 2026 |
| East Troy Manor | East Troy | 50 | 2 | 2 | 3 | 29 | 58.0 | $129K | 24 Jul 2025 |
| Geneva Lake Manor | Lake Geneva | 60 | 1 | 1 | 2 | 73 | 121.7 | $131K | 10 Dec 2025 |
| Williams Bay Health Services | Williams Bay | 50 | 1 | 1 | 3 | 35 | 70.0 | — | 3 Jun 2026 |
All 7 facilities in Walworth County
Questions and answers
How many deficiencies has Holton Manor been cited for?
17 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.
Has Holton Manor been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Holton Manor compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Holton Manor?
It is part of the Wisconsin Illinois Senior Housing, Inc. chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Carriage Healthcare Companies Inc. Individual owners and managers are not listed on this site.
When was Holton Manor last inspected?
The most recent survey or investigation in the CMS record is dated 6 May 2026; the most recent standard health survey was 6 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.