Nursing home
Holton Manor
645 N Church St, Elkhorn, WI 53121 · Map
Non profit - Corporation · Part of Wisconsin Illinois Senior Housing, Inc. (7 facilities) · 60 certified beds
Holton Manor is a Medicare-certified nursing home in Elkhorn, Wisconsin. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.33 hours per resident per day, above the Wisconsin average of 4.20. Its most recent inspection on Nov 27, 2024 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Holton Manor compares
This facility vs. the Wisconsin and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Wisconsin avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.33 | 4.20 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.86 | 0.97 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.92 | 2.59 | 2.34 | above avg |
| Nursing staff turnover | 58.5% | 47.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 9.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Holton Manor
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure 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 Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Mar 20, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 1, 2024 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 4, 2023 - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 4, 2023
Show all 7 deficiencies
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 4, 2023 - Potential for harm
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.
Resident Rights Deficiencies · Oct 4, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 645 N Church St
Elkhorn, WI 53121 - CMS certification #
- 525541
- Ownership
- Non profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 54.5
- Provider type
- Medicare and Medicaid
- First certified
- 1994-03-16
- Chain
- Wisconsin Illinois Senior Housing, Inc. (7 facilities)
- Setting
- Rural
Part of Wisconsin Illinois Senior Housing, Inc.
Wisconsin Illinois Senior Housing, Inc. operates 7 nursing facilities across the United States. View all Wisconsin Illinois Senior Housing, Inc. facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Holton Manor using Google Maps.
Other public records
- Website says Respite stays, nurse on call 24 hours a day, works with hospice, transportation, 3 meals a day
Full public records, with dates and sources
Care and services
From the community’s website
What Holton Manor says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: on call 24 hours a day.
Yes, we have nurses either in our building or on-call 24-hours a day.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
WISH is a network of 20+ senior care facilities and home care agencies providing rehabilitation therapies, skilled nursing, hospice & respite care, assisted living, independent living and home health.
(page, checked Oct 12, 2026) - Provides transportation.
We take care of the everyday chores such as laundry and housekeeping, and provide transportation to scheduled appointments.
(page, checked Oct 15, 2026) - 3 meals a day.
In addition to the unique entrees featured at each of our 3 daily meals, we also offer an “always available” menu for residents.
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Private & semi-private suites
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Aurora Lakeland Medical Center, Elkhorn. 2.8 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Lakeland Health Care CTR, Elkhorn. 0.4 miles away, straight line.
- Nearest home health agency office
- Transitions Home Health, Elkhorn. 2.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 53121 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Lake Geneva Dialysis, Lake Geneva, 9.8 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 15 Medicare hospices tell CMS they serve ZIP code 53121.
Mercyhealth At Home, office in Janesville, 24.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Mercy Health System Corporation, Janesville. 24.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Holton Manor a good nursing home?
CMS gives Holton Manor an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Holton Manor staffed?
Holton Manor reports 4.33 total nurse hours per resident per day, compared with the Wisconsin average of 4.20.
Has Holton Manor had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Holton Manor have?
Holton Manor is certified for 60 beds.