ElderGrade
D

54.5/100

Below average

Lakeland Health Care Ctr

1922 Cty Rd Nn, Elkhorn, WI 53121

CMS 3/5 stars #5 of 7 in Walworth County (262) 741-3600
Certified beds
90
Occupancy
90%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $84,168 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

22.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.46 total nurse hours per resident per day (national median 3.77)
  • 0.75 RN hours per resident per day
  • Weekend staffing drops 22% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 31% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $84,168 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.96 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.75 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.07 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 31.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 21 citations

Last standard health inspection: January 26, 2026 (6 months ago).

D Jan 26, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

J Sep 2, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy to resident health or safety

G Sep 2, 2025 F0744 From a complaint

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Actual harm to a resident

D Jul 7, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

D Jul 7, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

D Aug 29, 2024 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Aug 29, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Aug 29, 2024 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
JOHNSON, DENISE Individual CORPORATE DIRECTOR
MONROE, KENNETH Individual CORPORATE OFFICER
JOHNSON, DENISE Individual OPERATIONAL/MANAGERIAL CONTROL
COUNTY OF WALWORTH Organization ADP OF THE SNF
JOHNSON, DENISE Individual ADP OF THE SNF
COUNTY OF WALWORTH Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Lakeland Health Care Ctr

What is the ElderGrade for Lakeland Health Care Ctr? +

Lakeland Health Care Ctr holds an ElderGrade of D (54.5 out of 100), which we describe as "below 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 Lakeland Health Care Ctr? +

Residents receive an average of 3.96 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Lakeland Health Care Ctr been cited for harming residents? +

Yes. 4 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Lakeland Health Care Ctr accept Medicaid? +

Yes, Lakeland Health Care Ctr 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.