Nursing HomeInspections

Holton Manor

Nursing home in Elkhorn, WI

Medicare & Medicaid certified2★ overall (CMS)

Call (262) 723-4963Send a messageMap ↗

Public-record details

Address
645 N Church St, Elkhorn, WI 53121
Phone
(262) 723-4963
Listed under
Nonprofit, No fines in 3 years
Medicare CCN
525541
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
54
Ownership
Nonprofit, corporation
Legal business name
Wisconsin Illinois Senior Housing INC
Chain
Wisconsin Illinois Senior Housing, INC. (7 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 16, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525541. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 6, 2026. CMS lists 17 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 4, 2023 to May 6, 2026): 7 from complaint inspections, 3 at the “actual harm” level or higher.

InspectionCitationSeverity
May 6, 2026Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
May 6, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 6, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 6, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 6, 2026Provide 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		D
Potential for more than minimal harm, isolated
May 6, 2026Ensure 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		D
Potential for more than minimal harm, isolated
May 6, 2026Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
May 6, 2026Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control		F
Potential for more than minimal harm, widespread
May 6, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated
May 6, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		G
Actual harm, isolated
Mar 20, 2025Ensure 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 20, 2025Ensure 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 · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 17. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.31 hours
Registered nurse (RN) time per resident per day
0.63 hours
Nurse aide time per resident per day
2.90 hours
Total nurse staffing on weekends
3.87 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
31%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Elkhorn

Lakeland Health Care Ctr1922 Cty Rd Nn · Elkhorn, WI 53121 · (262) 741-3600 · Government-owned21 health citations in 3 inspection cycles · last standard inspection Jan 26, 2026 · $84,168 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)CMS abuse icon

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