Nursing homes across Walworth County, Wisconsin, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
Delavan Health Services runs lean on nursing hours, 3.21 per resident day against a national average of 3.86, and weekends drop roughly another 10% below its own weekday coverage. The 12 deficiencies on record include one at the harm level and one tied to abuse, which is the kind of finding families should ask about directly. What offsets that somewhat is stability: turnover sits at 34.2%, well under the 45.8% national figure, and the home's last inspection was recent, in December 2024. It's a for-profit LLC with 50 beds, so ask how the weekend staffing gap gets covered when your family member needs help on a Saturday.
Golden Years of Lake Geneva runs 54 beds under corporate ownership, and its last inspection in May 2025 left 11 deficiencies on the books, none involving actual harm or jeopardy, but two tied to abuse. That's the kind of record that reads worse the longer you sit with it, and it's worth asking staff directly what those two were about. The inspection history is strong, with a five-star health inspection rating. But staffing sits at one star against a national turnover average the home only barely beats at 44.6%, and quality measures land at one star too. Good surveys can't carry a building where the people providing daily care keep leaving.
East Troy Manor runs about 3.76 nurse hours per resident day, a bit under the national average, and weekends drop roughly 18% below its own weekday staffing. That gap matters more than the raw number, because care doesn't pause on Saturdays. Annual turnover sits at 68.5% against a national 45.8%, so the people showing up are often new. The inspection record is the harder read: 29 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $129,433 in fines across four penalties. Its last inspection was January 2026. Quality measures score well, but quality scores are largely self-reported, and staffing and inspection results are not. Nonprofit ownership doesn't change the arithmetic here.
Lakeland Health Care Center is county-owned, and its staffing is the strongest part of the picture: 3.96 nurse hours per resident day, slightly above the national average, with a 5/5 staffing star. Turnover sits at 31.1%, well below the 45.8% national figure, which suggests a more stable workforce than most. But the inspection record is where the trouble is, 21 deficiencies, four at harm or jeopardy level, seven abuse-related, and an $84,168 fine. Weekend staffing drops about 22% below weekday levels, meaning the coverage families see on a Tuesday isn't what shows up on a Sunday. The most recent inspection was January 2026.
Williams Bay Health Services runs about 11% leaner on nurse staffing than the national average, 3.43 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself staffs on weekdays. Turnover sits at 58.8%, well above the 45.8% national figure, so the people caring for residents change often. Its record shows 12 deficiencies, including one at the harm or jeopardy level and three tied to abuse, which is a serious pattern for a 50-bed home. The last inspection was in March 2025, so the picture is current rather than stale. For-profit corporate ownership rounds out the profile.
Geneva Lake Manor runs a nonprofit shop with 60 beds, and the raw nursing hours look decent at 4.32 per resident day, about 12% above the national average. Look closer and the picture changes: weekend staffing drops roughly 13% below its own weekday level, and annual turnover sits at 70.9% against a national 45.8%, which means the people covering those hours are often new. The inspection record is where it gets serious, a 1-out-of-5 health inspection rating, 73 deficiencies on file, five at harm or jeopardy level, six tied to abuse, and two fines totaling $130,720. The last inspection was March 2025. Ask about weekend coverage and turnover before you visit.