All states › Wisconsin › Elkhorn › Holton Manor
645 N Church St Elkhorn, WI 53121 · Walworth County
All 2 nursing homes in Elkhorn, WI (2 take Medicaid)
CMS certification number 525541 · See this home on Medicare Care Compare
Is Holton Manor a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Holton Manor as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Wisconsin average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.42 hours per resident per day at Holton Manor, above the Wisconsin median of 4.04 (US median: 3.72). About 0.71 of those hours are from registered nurses. On weekends it falls to 3.90 hours, 12% below its all-week average. 48.1% of nursing staff left within a year (Wisconsin median 45.7%).
About this nursing home
Paying for care at Holton Manor: Medicare and Medicaid
Holton Manor is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Wisconsin's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 6, 2026 and found 10 deficiencies. In total, inspectors issued 17 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 17 citations at Holton Manor across 4 inspection dates, 7 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on May 6, 2026. The most common areas cited were quality of life and care (8) and nursing and physician services (3). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, May 6, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 6, 2026 · 10 citations
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide and implement an infection prevention and control program.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DPASARR screening for Mental disorders or Intellectual Disabilities
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
DEnsure 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.
CPost nurse staffing information every day.
March 20, 2025 · 2 citations · includes complaint inspection
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
February 1, 2024 · 1 citation · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 4, 2023 · 4 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
Questions to ask on a tour of Holton Manor
- Inspectors cited the home at the actual-harm level on May 6, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 4, 2023. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
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Location
Hospitals near Holton Manor
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.4 mi
Lakeland Medical Center ElkhornEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 25m for patients treated and sent home
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5.8 mi
Mercy Walworth Hospital & Medical Center GenevaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 6m for patients treated and sent home
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13.5 mi
Aurora Memorial Hsptl Burlington BurlingtonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 2m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Holton Manor › All nursing homes in Elkhorn ›
Compare Holton Manor with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Delavan Health Services · Delavan · 5 stars · 5.8 mi
- Lakeland Health Care Center · Elkhorn · 4 stars · 0.4 mi
Other Wisconsin Illinois Senior Housing, INC. nursing homes in Wisconsin
- East Troy Manor · East Troy · 2 stars
- Edgerton Care Center · Edgerton · 1 stars
- Geneva Lake Manor · Lake Geneva · 1 stars
- Montello Care Center · Montello · 1 stars
- Ingleside Manor · Mount Horeb · not rated
Affiliation comes from CMS's affiliated-entity data, October 2026. All 7 Wisconsin Illinois Senior Housing, INC. nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.