Senior Home Review
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Nursing homeFAID #13224

Holton Manor

645 N CHURCH ST, ELKHORN, WI, 53121
(262) 723-4963
60 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
60
CMS facility ID
525541
Care type
Nursing home
County
Walworth
Facility name
Holton Manor
Street address
645 N CHURCH ST
City / state / ZIP
Elkhorn, WI 53121
Phone
(262) 723-4963

Holton Manor is a Medicare/Medicaid-certified skilled nursing facility in Elkhorn, Wisconsin. It is licensed for 60 beds — close to the median for skilled nursing facilities in Wisconsin (65 beds).

It is one of 10 senior care facilities in Elkhorn and 323 skilled nursing facilities across Wisconsin. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Holton Manor 34 times across 9 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Wisconsin Illinois Senior Housing, Inc.
Ownership type
Non profit - Corporation

Registered owners & officers

Carriage Healthcare Companies Inc
Operational control — since 2001
Dupont, Lori
Officer · Operational control — since 2015
Gehler, Miriam
Director · Operational control — since 2011
Gerlach, Keri
Director · Operational control — since 2019
Hbt It Llc
Additional disclosable party — since 2024
Jt and Associates Llc
Additional disclosable party — since 2010
Kerwin, Andrew
Officer · Operational control · Owner of a disclosable party — since 2009
Kumar, Rajeev Shiva
Director · Operational control — since 2012
Lynn, Nicholas
Director · Operational control — since 2011
Oak Medical Sc
Additional disclosable party — since 2019
Partners In Wealth Management, Inc
Additional disclosable party — since 2024
Pinion, Llc
Additional disclosable party — since 1995
Rehab Solutions Group, Llc
Additional disclosable party — since 2024
Sarasin, Alyssa
Additional disclosable party — since 2023
Sherman, Stephanie
Operational control · Additional disclosable party — since 2012
Siebel, Robert
Operational control · Additional disclosable party — since 1999
Twomagnets Llc
Additional disclosable party — since 2022

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1994-03-16
CMS overall rating
2 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-06
Nurse staffing
4.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$433 per day (≈ $13,160/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
47% Medicaid · 19% Medicare · 34% private/other
Occupancy
90% (fiscal year 2023)
Vs. state median
6% above the WI median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-06Health inspection10 citations
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-05-30
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-05-30
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-05-30
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-06-25
F-0688
D · No harm found
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.
Corrected 2026-05-30
F-0689
G · Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-30
F-0693
D · No harm found
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.
Corrected 2026-05-30
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2026-05-30
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-25
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2026-05-30
2025-03-20Health inspectionComplaint-triggered2 citations
F-0726
D · No harm foundFrom a 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 2025-04-20
F-0947
E · No harm foundFrom a 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 2025-04-20
5 earlier / fire-safety inspections (22 citations)
2024-02-01Health inspectionComplaint-triggered1 citation
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-23
2023-10-04Health inspectionComplaint-triggered4 citations
F-0585
D · No harm foundFrom a 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 2023-11-02
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-02
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-11-02
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-02
2026-05-06Fire-safety inspection9 citations
K-0222
E · No harm found
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.
Corrected 2026-06-17
K-0271
E · No harm found
Have exits that are accessible at all times.
Corrected 2026-05-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-05-30
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-05-30
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-05-30
K-0753
E · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2026-05-30
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2026-05-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-05-30
K-0925
D · No harm found
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2026-05-30
2024-11-27Fire-safety inspection4 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-02
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-12-03
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-02-03
K-0911
F · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-02-10
2023-08-24Fire-safety inspection4 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-08-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-30
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-08
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-08-28
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 525541.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 34 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered