Holton Manor

645 N Church St · Elkhorn, WI · 53121 · 2627234963

60 certified beds Non profit - Corporation Chain: Wisconsin Illinois Senior Housing, Inc.

  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 80
Serious harm & abuse 20% 94
Staffing 20% 79
Federal penalties 15% 100
Trend 10% 92
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.233.48 min · 4.1 strong
RN hours / resident-day0.770.55–0.75
Weekend hours / resident-day3.71≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)none

Inspection citations (7 in the current record)

  • Potential for harm · D March 20, 2025 · found via complaint

    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.

    Corrected April 20, 2025 · Nursing and Physician Services

  • Potential for harm · E March 20, 2025 · found via complaint

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected April 20, 2025 · Nursing and Physician Services

  • Potential for harm · E February 1, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 23, 2024 · Quality of Life and Care

  • Actual harm · G October 4, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 2, 2023 · Quality of Life and Care

  • Potential for harm · D October 4, 2023 · found via complaint

    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.

    Corrected November 2, 2023 · Resident Rights

  • Potential for harm · D October 4, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 2, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 4, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 2, 2023 · Freedom from Abuse, Neglect, and Exploitation

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525541 · certified since March 16, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.