Wisconsin ›Elkhorn

Holton Manor

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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★)

2/5
Health inspection rating (on-site)
inspected May 6, 2026
3
Serious findings on record
most recent May 6, 2026
$0
Fines, last 3 years
3.89
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

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.

Most serious findings (actual harm or immediate jeopardy)

▲ 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)

Inspection findings in the public record

Showing the latest 3 of 17 inspection findings. Open the full record below to read every finding.

  1. 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

  2. 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

  3. 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

View all 17 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
May 6, 2026▲ G · Actual harm, isolatedThe 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, isolatedThe 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, 2026F · Potential for more than minimal harm, widespreadThe 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, 2026F · Potential for more than minimal harm, widespreadThe facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · F-0882
May 6, 2026D · Potential for more than minimal harm, isolatedThe 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, 2026D · Potential for more than minimal harm, isolatedThe 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, 2026D · Potential for more than minimal harm, isolatedThe 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, 2026D · Potential for more than minimal harm, isolatedThe 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, 2026D · Potential for more than minimal harm, isolatedThe 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, 2026C · Potential for minimal harm, widespreadThe 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, 2025E · Potential for more than minimal harm, patternThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2024E · Potential for more than minimal harm, patternThe 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, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 1
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
2026
All citations: 10
Serious citations (G–L): 2

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202341G ▲
202410E
202520E
2026102G ▲

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.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityWisconsin averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.89
Wisconsin average: 4.29
U.S. average: 3.95
Registered Nurse hours
This facility: 0.57
Wisconsin average: 1.01
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.50
Wisconsin average: 3.84
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityWisconsin avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.894.293.95bottom 42% in Wisconsin; top 44% in the U.S.
Registered Nurse hours0.571.010.69bottom 9% in Wisconsin; bottom 48% in the U.S.
Weekend total nurse staffing3.503.843.50bottom 42% in Wisconsin; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)0.390.680.48bottom 16% in Wisconsin; top 49% in the U.S.
Total nursing staff turnover (%)51.846.945.8bottom 34% in Wisconsin; bottom 32% in the U.S.
RN turnover (%)30.839.742.9top 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.

Quality measures: assessments & claims

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

Costs & payment

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.

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Who owns this facility

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 / managerTypeRoleStakeSince
Carriage Healthcare Companies INCOrganizationOperational/Managerial ControlNOT APPLICABLE02/15/2001
Dupont, LoriIndividualCorporate OfficerNOT APPLICABLE01/25/2016
Dupont, LoriIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2015
Gehler, MiriamIndividualCorporate DirectorNOT APPLICABLE03/14/2011
Gehler, MiriamIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2016
Gerlach, KeriIndividualCorporate DirectorNOT APPLICABLE09/24/2019
Gerlach, KeriIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2019
HBT It LLCOrganizationADP of the SNFNOT APPLICABLE07/01/2024
JT and Associates LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2010
Kerwin, AndrewIndividualCorporate OfficerNOT APPLICABLE06/26/2009
Kerwin, AndrewIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2016
Kerwin, AndrewIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE04/08/2026
Kumar, Rajeev ShivaIndividualCorporate DirectorNOT APPLICABLE04/24/2012
Kumar, Rajeev ShivaIndividualOperational/Managerial ControlNOT APPLICABLE04/24/2012
Lynn, NicholasIndividualCorporate DirectorNOT APPLICABLE03/14/2011
Lynn, NicholasIndividualOperational/Managerial ControlNOT APPLICABLE03/14/2011
Oak Medical SCOrganizationADP of the SNFNOT APPLICABLE01/14/2019
Partners in Wealth Management, INCOrganizationADP of the SNFNOT APPLICABLE01/01/2024
Pinion, LLCOrganizationADP of the SNFNOT APPLICABLE01/01/1995
Rehab Solutions Group, LLCOrganizationADP of the SNFNOT APPLICABLE01/01/2024

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.

Other facilities in the same chain

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Who is your infection preventionist, and what training do they have?"
  • "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
  • "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
  • "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Wisconsin midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 52% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Lakeland Health Care Ctr0.4 miElkhorn, WI★★★☆☆2/5abuse
Delavan Health Services5.8 miDelavan, WI★★★★☆4/5
Williams Bay Health Services7.1 miWilliams Bay, WI★☆☆☆☆1/5
Geneva Lake Manor8.9 miLake Geneva, WI★☆☆☆☆1/5
East Troy Manor9.8 miEast Troy, WI★★☆☆☆2/5
Golden Years of Lake Geneva10.2 miLake Geneva, WI★★★★☆5/5
Lindengrove Mukwonago13.2 miMukwonago, WI★★☆☆☆3/5
Burlington Health and Rehabilitation Center14.5 miBurlington, WI★☆☆☆☆1/5
Alden Meadow Park HCC18.3 miClinton, WI★★★☆☆3/5
Mercy Harvard Hospital Care Center19.5 miHarvard, IL★★★★★5/5

Compare this facility with the 3 closest →

All facilities in Elkhorn →

Facility data as of CMS processing date 2026-08-01. CCN 525541.

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