Quick answers
- Where is Holton Manor?
- 645 N Church St, Elkhorn, WI 53121, in Walworth County, Wisconsin.
- What is the phone number of Holton Manor?
- (262) 723-4963, as listed by Medicare (CMS).
- What is the Medicare star rating of Holton Manor?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Holton Manor been fined?
- Medicare lists no fines for Holton Manor.
- What did inspectors find at Holton Manor?
- In its last three inspection cycles (August 24, 2023 to May 6, 2026), Medicare lists 17 health citations; the most serious was level G. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 24, 2023 to May 6, 2026), Holton Manor had 17 health citations; the most serious was level G (actual harm to residents). 3 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.42 hours per resident per day; the Wisconsin average is 4.25 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 6, 2026 — 10 health citations
Inspections in this cycle: May 6, 2026 (standard health inspection).
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 8 less serious citations (levels A to F)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0882 Level F
“Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level D
“Provide 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.”
F0693 Level D
“Ensure 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.”
F0732 Level C
“Post nurse staffing information every day.”
Previous cycle: November 27, 2024 — 2 health citations
Inspections in this cycle: November 27, 2024 (standard health inspection); March 20, 2025 (complaint investigation).
Show 2 citations (levels A to F, no actual harm)
F0947 Level E
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0726 Level D
“Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”
Earlier cycle: August 24, 2023 — 5 health citations
Inspections in this cycle: August 24, 2023 (standard health inspection); October 4, 2023 (complaint investigation); February 1, 2024 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 4 less serious citations (levels A to F)
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0585 Level D
“Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (17)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0271 Level E
“Have exits that are accessible at all times.”
K0753 Level E
“Have restrictions on the use of highly flammable decorations.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0781 Level D
“Have restrictions on the use of portable space heaters.”
K0925 Level D
“Ensure that sources of ignition are removed from patients receiving respiratory therapy.”
K0521 Level F
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0911 Level F
“Meet requirements for the installation and maintenance of electrical systems.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0521 Level E
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Wisconsin | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.71 | 0.98 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.75 | 0.65 | 0.86 |
| Nurse aide hours per resident per day | 2.96 | 2.61 | 2.35 |
| Total nurse staff hours per resident per day | 4.42 | 4.25 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.90 | 3.75 | 3.43 |
| RN hours per resident per day on the weekend | 0.47 | 0.66 | 0.48 |
| Nursing staff turnover (per year) | 48.1% | 46.7% | 45.3% |
| RN turnover (per year) | 33.3% | 40.1% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 7 nursing homes: Wisconsin Illinois Senior Housing, Inc..
Legal business name: Wisconsin Illinois Senior Housing Inc.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Carriage Healthcare Companies Inc | Management company (operational or managerial control) | NOT APPLICABLE | February 15, 2001 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 60 |
| Average residents per day | 53.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Group or chain (affiliated entity) | Wisconsin Illinois Senior Housing, Inc. |
| Legal business name | Wisconsin Illinois Senior Housing Inc |
| First approved by Medicare/Medicaid | 1994-03-16 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 645 N Church St, Elkhorn, WI 53121 |
| County | Walworth County |
| State | Wisconsin |
| Phone | (262) 723‑4963 |
| CMS Certification Number | 525541 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Lakeland Health Care Center0.4 mi · Elkhorn, WI · 4 of 5 stars
- Delavan Health Services5.8 mi · Delavan, WI · 5 of 5 stars
- Williams Bay Health Services7.1 mi · Williams Bay, WI · 1 of 5 stars
- Geneva Lake Manor8.9 mi · Lake Geneva, WI · 1 of 5 stars
- East Troy Manor9.8 mi · East Troy, WI · 2 of 5 stars
Nearest hospital emergency rooms
- Aurora Lakeland Medical Center2.8 mi · Elkhorn, WI · Acute Care Hospital
- Mercy Walworth Hospital & Medical Center9.8 mi · Lake Geneva, WI · Critical Access Hospital
- Aurora Memorial Hospital Burlington13 mi · Burlington, WI · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13