81/100
Above average
Holton Manor
645 N Church St, Elkhorn, WI 53121
- Certified beds
- 60
- Occupancy
- 90%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
Our read on Holton Manor
Holton Manor runs on a nonprofit model with 60 beds, and its staffing sits about 12% above the national average, 4.31 nurse hours per resident day against 3.86. That extra coverage is real, though weekends dip roughly 10% below the home's own weekday level and turnover runs 51.8%, higher than the 45.8% national figure. The inspection record is strong on its face: a 5-star health inspection rating and a recent survey from November 2024. But seven deficiencies sit on the current record, including one at the harm or jeopardy level and two tied to abuse. High marks and serious citations are both true here, which is worth asking about directly.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.89 total nurse hours per resident per day (national median 3.77)
- →0.63 RN hours per resident per day
- →Weekend staffing drops 10% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →52% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 6, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of WISCONSIN ILLINOIS SENIOR HOUSING, INC., which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Holton Manor
What is the ElderGrade for Holton Manor? +
Holton Manor holds an ElderGrade of B (81 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Holton Manor? +
Residents receive an average of 4.31 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Holton Manor been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Holton Manor accept Medicaid? +
Yes, Holton Manor is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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