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No fines or payment denials in the published 3-year window.
645 N Church St, Elkhorn, WI 53121 (opens Google Maps) · Walworth County · (262) 723-4963· 60 certified beds · avg 54 residents/day · certified since Mar 16, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: WISCONSIN ILLINOIS SENIOR HOUSING, INC. (7 facilities, chain avg rating 1.7★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Actual harm, isolated · May 6, 2026 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 25, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · May 6, 2026 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 30, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 4, 2023 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 2, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. F-0686
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 6, 2026 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| May 6, 2026 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| May 6, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| May 6, 2026 | F · Potential for more than minimal harm, widespread | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882 |
| May 6, 2026 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| May 6, 2026 | D · Potential for more than minimal harm, isolated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · F-0676 |
| May 6, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| May 6, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| May 6, 2026 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| May 6, 2026 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Mar 20, 2025 | E · Potential for more than minimal harm, pattern | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint · F-0947 |
| Mar 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726 |
| Feb 1, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Oct 4, 2023 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Oct 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585 |
| Oct 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609 |
| Oct 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 1 | G ▲ |
| 2024 | 1 | 0 | E |
| 2025 | 2 | 0 | E |
| 2026 | 10 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.89 | 4.29 | 3.95 | bottom 42% in Wisconsin; top 44% in the U.S. |
| Registered Nurse hours | 0.57 | 1.01 | 0.69 | bottom 9% in Wisconsin; bottom 48% in the U.S. |
| Weekend total nurse staffing | 3.50 | 3.84 | 3.50 | bottom 42% in Wisconsin; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.68 | 0.48 | bottom 16% in Wisconsin; top 49% in the U.S. |
| Total nursing staff turnover (%) | 51.8 | 46.9 | 45.8 | bottom 34% in Wisconsin; bottom 32% in the U.S. |
| RN turnover (%) | 30.8 | 39.7 | 42.9 | top 38% in Wisconsin; top 30% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.31, RN 0.63, weekend 3.87.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Holton Manor. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carriage Healthcare Companies INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/15/2001 |
| Dupont, Lori | Individual | Corporate Officer | NOT APPLICABLE | 01/25/2016 |
| Dupont, Lori | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Gehler, Miriam | Individual | Corporate Director | NOT APPLICABLE | 03/14/2011 |
| Gehler, Miriam | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2016 |
| Gerlach, Keri | Individual | Corporate Director | NOT APPLICABLE | 09/24/2019 |
| Gerlach, Keri | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| 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 |
| Kerwin, Andrew | Individual | Corporate Officer | NOT APPLICABLE | 06/26/2009 |
| Kerwin, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2016 |
| Kerwin, Andrew | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/08/2026 |
| Kumar, Rajeev Shiva | Individual | Corporate Director | NOT APPLICABLE | 04/24/2012 |
| Kumar, Rajeev Shiva | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/24/2012 |
| Lynn, Nicholas | Individual | Corporate Director | NOT APPLICABLE | 03/14/2011 |
| Lynn, Nicholas | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/14/2011 |
| 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 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Wisconsin Illinois Senior Housing, INC. — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lakeland Health Care Ctr | 0.4 mi | Elkhorn, WI | ★★★☆☆ | 2/5 | abuse |
| Delavan Health Services | 5.8 mi | Delavan, WI | ★★★★☆ | 4/5 | |
| Williams Bay Health Services | 7.1 mi | Williams Bay, WI | ★☆☆☆☆ | 1/5 | |
| Geneva Lake Manor | 8.9 mi | Lake Geneva, WI | ★☆☆☆☆ | 1/5 | |
| East Troy Manor | 9.8 mi | East Troy, WI | ★★☆☆☆ | 2/5 | |
| Golden Years of Lake Geneva | 10.2 mi | Lake Geneva, WI | ★★★★☆ | 5/5 | |
| Lindengrove Mukwonago | 13.2 mi | Mukwonago, WI | ★★☆☆☆ | 3/5 | |
| Burlington Health and Rehabilitation Center | 14.5 mi | Burlington, WI | ★☆☆☆☆ | 1/5 | |
| Alden Meadow Park HCC | 18.3 mi | Clinton, WI | ★★★☆☆ | 3/5 | |
| Mercy Harvard Hospital Care Center | 19.5 mi | Harvard, IL | ★★★★★ | 5/5 |
Facility data as of CMS processing date 2026-08-01. CCN 525541.
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