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    Nursing home · ELKHORN, WI

    Holton Manor

    645 N CHURCH ST, ELKHORN, WI 53121

    CMS certification number: 525541 · Updated October 1, 2026

    Request care assistance2627234963Directions

    At a glance

    Official CMS profile

    CMS overall rating

    2 / 5

    Certified beds

    60

    Residents / day

    53.3

    Ownership

    Non profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Non profit - Corporation
    County
    Walworth
    Certified beds
    60
    Average residents per day
    53.3
    First certified
    March 16, 1994

    CMS quality ratings

    Overall
    2 / 5
    Health inspections
    2 / 5
    Staffing
    4 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Walworth, Wisconsin. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    2.00
    County peers
    3.00
    n=6
    State peers
    3.07

    Nurse hours / resident / day

    This home
    4.42
    County peers
    4.20
    n=6
    State peers
    4.25
    n=312

    Weekend nurse hours / resident / day

    This home
    3.90
    County peers
    3.60
    n=6
    State peers
    3.75
    n=312

    Nursing staff turnover (%)

    This home
    48.10
    County peers
    49.15
    n=6
    State peers
    46.65
    n=314

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 11.7% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 48.1% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    17
    Health citations
    17
    Resident measures
    17
    Ownership records
    26
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    4.42066
    Reported RN Staffing Hours per Resident per Day
    0.70578
    Reported LPN Staffing Hours per Resident per Day
    0.74994
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.96494
    Total number of nurse staff hours per resident per day on the weekend
    3.90135
    Registered Nurse hours per resident per day on the weekend
    0.46886
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.10039
    Total nursing staff turnover
    48.1
    Registered Nurse turnover
    33.3
    Number of administrators who have left the nursing home
    0
    Chain Name
    WISCONSIN ILLINOIS SENIOR HOUSING, INC.
    Number of Facilities in Chain
    7
    Chain Average Overall 5-star Rating
    1.8
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    WI
    Urban
    N
    Chain ID
    569
    Latitude
    42.6821
    Location
    645 N CHURCH ST,ELKHORN,WI,53121
    ZIP Code
    53121
    City/Town
    ELKHORN
    Longitude
    -88.546
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    WISCONSIN ILLINOIS SENIOR HOUSING, INC.
    County/Parish
    Walworth
    Provider Name
    Holton Manor
    Provider Type
    Medicare and Medicaid
    Overall Rating
    2
    Ownership Type
    Non profit - Corporation
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    4
    Provider Address
    645 N CHURCH ST
    Telephone Number
    2627234963
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    WISCONSIN ILLINOIS SENIOR HOUSING INC
    Long-Stay QM Rating
    3
    High Performing Icon
    N
    Short-Stay QM Rating
    4
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.33420
    Chain Average QM Rating
    3.2
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    60
    Provider SSA County Code
    630
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    33.3
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.94607
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    48.1
    Chain Average Staffing Rating
    3.5
    Number of Facilities in Chain
    7
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    525541
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    138
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    116.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    53.3
    Chain Average Overall 5-star Rating
    1.8
    Rating Cycle 1 Health Revisit Score
    46
    Rating Cycle 2/3 Total Health Score
    52
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    1.7
    Rating Cycle 1 Health Deficiency Score
    92
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    2
    Rating Cycle 2/3 Health Deficiency Score
    52
    Rating Cycle 1 Standard Survey Health Date
    2026-05-06
    Rating Cycle 2 Standard Health Survey Date
    2024-11-27
    Rating Cycle 2/3 Number of Health Revisits
    0
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.74016
    Case-Mix RN Staffing Hours per Resident per Day
    0.65434
    Reported RN Staffing Hours per Resident per Day
    0.70578
    Adjusted LPN Staffing Hours per Resident per Day
    0.78647
    Case-Mix LPN Staffing Hours per Resident per Day
    0.81538
    Reported LPN Staffing Hours per Resident per Day
    0.74994
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    10
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    7
    Rating Cycle 1 Number of Standard Health Deficiencies
    10
    Rating Cycle 2 Number of Standard Health Deficiencies
    0
    Reported Licensed Staffing Hours per Resident per Day
    1.45572
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    3.10935
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.22077
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.96494
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.63598
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.69049
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    7
    Reported Total Nurse Staffing Hours per Resident per Day
    4.42066
    Registered Nurse hours per resident per day on the weekend
    0.46886
    Date First Approved to Provide Medicare and Medicaid Services
    1994-03-16
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.10039
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    4.09137
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.24790
    Total number of nurse staff hours per resident per day on the weekend
    3.90135

    COMMUNITY EXPERIENCE

    Reviews of Holton Manor

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026