Nursing homeActive
Holton Manor
645 N Church St, Elkhorn, WI 53121262723496360 certified beds · 54 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
17
● 1● 13● 3
Penalties · 3 yrs
—
none on file
Last survey
2026-05-06
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wisconsin Division of Quality Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-06 | Standard | 172 | CMS-2567 (Care Compare) | — |
| 2025-03-20 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-11-27 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-02-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-04 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2023-08-24 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wisconsin Division of Quality Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-25Record 525541-20260506-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-30Record 525541-20260506-F689
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-30Record 525541-20260506-F645
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-30Record 525541-20260506-F676
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-30Record 525541-20260506-F677
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-30Record 525541-20260506-F688
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-30Record 525541-20260506-F693
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 525541-20260506-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-30Record 525541-20260506-F882
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-05-30Record 525541-20260506-F732
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 525541-20250320-F726
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-20Record 525541-20250320-F947
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 525541-20240201-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-02Record 525541-20231004-F684
F585Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-02Record 525541-20231004-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-02Record 525541-20231004-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-02Record 525541-20231004-F610
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.63
Facility
Wisconsin
National
Wisconsin 0.99 · National 0.69
Total nurse hours per resident day4.31
Facility
Wisconsin
National
Wisconsin 4.21 · National 3.86
Weekend total nurse hours3.87
Facility
Wisconsin
National
Wisconsin 3.77 · National 3.42
Total nursing staff turnover52%
Facility
Wisconsin
National
Wisconsin 47% · National 46%
Registered nurse turnover31%
Facility
Wisconsin
National
Wisconsin 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wisconsin | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.8% | 5.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.1% | 15.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 2.7% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.5% | 16.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.0% | 16.9% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Carriage Healthcare Companies Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dupont, Lori Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gehler, Miriam Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gerlach, Keri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kerwin, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kumar, Rajeev Shiva Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lynn, Nicholas Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sherman, Stephanie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Siebel, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dupont, Lori Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gehler, Miriam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gerlach, Keri Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hbt It LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jt And Associates LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kerwin, Andrew Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kerwin, Andrew Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kumar, Rajeev Shiva Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lynn, Nicholas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Oak Medical Sc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Partners In Wealth Management, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pinion, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rehab Solutions Group, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sarasin, Alyssa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sherman, Stephanie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Siebel, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Twomagnets LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Wisconsin Illinois Senior Housing, Inc. — 7 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wisconsin.
No county cost figures on file for Walworth.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Lakeland Health Care Ctr Elkhorn | 0.4 mi | 2026-01-26 | 0114 |
| Delavan Health Services Delavan | 5.8 mi | 2024-12-19 | 050 |
| Williams Bay Health Services Williams Bay | 7.1 mi | 2026-06-03 | 1313 |
| Geneva Lake Manor Lake Geneva | 8.9 mi | 2025-12-10 | 1525 |
| East Troy Manor East Troy | 9.8 mi | 2026-01-08 | 1183 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |