HOLTON MANOR – ELKHORN, WI

CMS Verified | 2026-03-01

Holton Manor

645 N CHURCH ST, Elkhorn, WI 53121
(262) 723-4963
60 beds
All Elkhorn facilities
4.0*
Overall
4.0*
Health Inspection
4.0*
Quality Care
4.0*
Staffing
75.99
Score /100
#5446
National Rank

#5446
of 14703 facilities
National
63.0% position
#104
of 323 in WI
State Rank
#3
of 7 in Walworth
County Rank
#2
of 2 in Elkhorn
City Rank
#2
of 2 in ZIP 53121
ZIP Rank






About Holton ManorHolton Manor is located at 645 N Church St, Elkhorn, WI, reachable at (262) 723-4963. This Non profit – Corporation facility operates 60.0 certified beds and serves an average of 54 residents per day. It is part of the Wisconsin Illinois Senior Housing, Inc. network (7 facilities nationwide). Medicare and Medicaid services have been provided since 1994-03-16. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Holton Manor

Address

645 N Church St, Elkhorn, WI 53121

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 60 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: WISCONSIN ILLINOIS SENIOR HOUSING, INC.

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
✅ Above Average (4★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 4 fine(s) over 5 years
5-Year Trend
Declining over 5 years
75.99
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#5446 of 14703 nationally – #104 of 323 in Wisconsin

Who Is This Facility Best For?

Holton Manor is a strong choice for families in the Elkhorn, WI area seeking a well-inspected, high-quality care environment. It is particularly well-suited for long-term residents based on its Quality Measure scores. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

4 / 5
Staffing Rating

4 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightHolton Manor currently provides 4 hours 20 minutes of total nurse staffing per resident per day, including 52 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover is high at 58.5%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing4 hours 20 minutes
Nurse Aide Hours2 hours 55 minutes
Licensed Practical Nurse (LPN) Hours33 minutes
Registered Nurse (RN) Hours52 minutes
Physical Therapist Hours8 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 50 minutes
Weekend Registered Nurse (RN) Hours36 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 4 fine(s) over the 5-year period, totaling $3,250. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 19.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#5,446
of 14,703
National
Top 37%
#104
of 323
WI State
Top 32% in WI
#3
of 7
️ Walworth County
#3 of 7
#2
of 2
️ Elkhorn
#2 of 2
#2
of 2
ZIP 53121
#2 of 2

Nationally, Holton Manor ranks 5446th out of 14,703 facilities (composite score: 76.0/100), placing it in the above average nationwide. Within WI, it ranks 104th out of 323 nursing homes. In Elkhorn, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #3,036 nationally and RN hours rank #3,063 nationally (#190 in WI).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank WI State Rank Note
2022 3.99 #4,367 / 14,703 #129 / 323 Above average
2023 4.05 #3,833 / 14,703 #103 / 323 Above average
2024 4.41 #2,403 / 14,703 #89 / 323 Top 25%
2025 4.51 #2,257 / 14,703 #79 / 323 Top 25%
2026 4.33 #3,036 / 14,703 #120 / 323 Top 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank WI State Rank Note
2022 0.74 #4,638 / 14,703 #223 / 323 Above average
2023 0.78 #3,490 / 14,703 #192 / 323 Top 25%
2024 0.89 #2,454 / 14,703 #153 / 323 Top 25%
2025 0.83 #3,172 / 14,703 #186 / 323 Top 25%
2026 0.86 #3,063 / 14,703 #190 / 323 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Holton Manor is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-03-16. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (262) 723-4963 or your local Medicaid office to verify current eligibility.

Holton Manor holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 76.0/100, placing it #5446 of 14703 facilities nationally and #104 of 323 in Wisconsin. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Holton Manor receives a reported average of 4 hours 20 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 52 minutes; Licensed Practical Nurse (LPN) — 33 minutes; Nurse Aide — 2 hours 55 minutes. On weekends, total nurse staffing is 3 hours 50 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 58.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 4 fine(s) over the 5-year period, totaling $3,250. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 19.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Holton Manor ranks 5446th out of 14,703 facilities (composite score: 76.0/100), placing it in the above average nationwide. Within WI, it ranks 104th out of 323 nursing homes. In Elkhorn, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #3,036 nationally and RN hours rank #3,063 nationally (#190 in WI). Our composite quality score of 76.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Elkhorn, visit: https://nursinghomesnearme.org/wisconsin/elkhorn/

Contact and Location

ADR
Address

645 N CHURCH ST, Elkhorn, WI 53121
Get directions on Google Maps

TEL
LLC
Legal Name

WISCONSIN ILLINOIS SENIOR HOUSING INC

MAP
Browse by Location

All Wisconsin ·
Walworth County ·
Elkhorn ·
ZIP 53121

Facility Details

Number of Certified Beds 60
Average Residents / Day 54 (91% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Walworth County, WI
City Elkhorn, WI
ZIP Code 53121
Approved Since March 16, 1994
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 525541
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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