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Holton Manor

645 N Church St, Elkhorn, WI 531212627234963Ownership: Non profit - CorporationCertified beds: 60Avg. daily residents: 54Chain: Wisconsin Illinois Senior Housing, Inc. (7 facilities)County: Walworth

The complete public record on Holton Manor, a Medicare & Medicaid–certified nursing home in Elkhorn, Wisconsin, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. Wisconsin average: 3.0 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Holton Manor holds a 2-star overall rating, in the bottom two tiers CMS assigns. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.31 total nurse staff hours per resident per day
about the state average (4.21)
0.63 RN hours per resident per day
below the state average (0.99)
3.87 weekend nurse staff hours per resident per day
51.8% total nursing staff turnover
above the state average (46.9)
30.8% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 6, 2026 most recent standard health inspection
10 health deficiencies cited in the most recent inspection cycle
above the state average (9.5)
7 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

17 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 6, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G · Actual harm
May 6, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G · Actual harm
May 6, 20260880Provide and implement an infection prevention and control program.F · Potential for more than minimal harm
May 6, 20260882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F · Potential for more than minimal harm
May 6, 20260645PASARR screening for Mental disorders or Intellectual DisabilitiesD · Potential for more than minimal harm
May 6, 20260676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D · Potential for more than minimal harm
May 6, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable.D · Potential for more than minimal harm
May 6, 20260688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline…D · Potential for more than minimal harm
May 6, 20260693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a…D · Potential for more than minimal harm
May 6, 20260732Post nurse staffing information every day.C · Minimal harm potential

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.