Holton Manor — nursing home in Elkhorn, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 53.3 CMS, MDS-derived
CMS Certification Number: 525541
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 16, 1994
Ownership type: Non profit - Corporation
Operator (legal business name): Wisconsin Illinois Senior Housing Inc
CMS chain: Wisconsin Illinois Senior Housing, Inc. 7 facilities
Phone: (262) 723-4963
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest May 6, 2026

Citations

34

17 health · 17 fire

Harm or worse

3

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D13	E10	F7
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525541
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Mar 16, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Wisconsin.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 6, 2026	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
May 6, 2026	Health	Health Standard	10	Actual harm	—	Open →
Mar 20, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Nov 27, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Nov 27, 2024	Health	Health Standard	0	No citations	—	Open →
Feb 1, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Oct 4, 2023	Health	Health Complaint	4	Actual harm	—	Open →
Aug 24, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 24, 2023	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D13	E10	F7
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 6, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jun 25, 2026
May 6, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 30, 2026
May 6, 2026	K-0222	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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 17, 2026
May 6, 2026	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 30, 2026
May 6, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 30, 2026
May 6, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	K-0753	Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 30, 2026
May 6, 2026	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 30, 2026
May 6, 2026	K-0925	Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 30, 2026
May 6, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jun 25, 2026
May 6, 2026	F-0882	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected May 30, 2026
May 6, 2026	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected May 30, 2026
Mar 20, 2025	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Apr 20, 2025	Complaint
Mar 20, 2025	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Apr 20, 2025	Complaint
Nov 27, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 2, 2024
Nov 27, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 3, 2024
Nov 27, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 3, 2025
Nov 27, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 10, 2025
Feb 1, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 23, 2024	Complaint
Oct 4, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Nov 2, 2023	Complaint
Oct 4, 2023	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 2, 2023	Complaint
Oct 4, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 2, 2023	Complaint
Oct 4, 2023	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 2, 2023	Complaint
Aug 24, 2023	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 30, 2023
Aug 24, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 30, 2023
Aug 24, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 8, 2023
Aug 24, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 28, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.2

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.42

State avg 4.25US avg 3.90

Registered nurse (RN)0.71

State avg 0.98US avg 0.69

Licensed practical nurse0.75

State avg 0.65US avg 0.86

Nurse aide2.96

State avg 2.61US avg 2.35

Weekend total nurse3.90

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.64 (case-mix index 1.33).

Staff turnover

Total nursing staff turnover48.1%

State avg 46.7%US avg 45.3%

Registered nurse turnover33.3%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 6, 2026
Cycle 1 health score: 138
Total weighted score: 116.5

Operating entity

Wisconsin Illinois Senior Housing Inc

CMS legal business name of the certified provider. Operates 7 facilities.

VerifiedLinked by exact legal name

CMS chain

Wisconsin Illinois Senior Housing, Inc.

7 facilities in 2 states. CMS chain ID 569.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 1.8

Ownership disclosures

Disclosures

26

Organizations

8

Individuals

18

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Andrew Kerwin	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 8, 2026
Carriage Healthcare Companies Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 15, 2001
Lori Dupont	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2015
Miriam Gehler	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2016
Keri Gerlach	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2019
Andrew Kerwin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2016
Rajeev Shiva Kumar	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 24, 2012
Nicholas Lynn	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 14, 2011
Stephanie Sherman	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 12, 2012
Robert Siebel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 1999
Miriam Gehler	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 14, 2011
Keri Gerlach	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 24, 2019
Rajeev Shiva Kumar	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 24, 2012
Nicholas Lynn	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 14, 2011
Lori Dupont	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 25, 2016
Andrew Kerwin	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 26, 2009
Hbt It LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2024
Jt and Associates LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2010
Oak Medical Sc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 14, 2019
Partners in Wealth Management, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024
Pinion, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 1995
Rehab Solutions Group, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2024
Twomagnets LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2022
Alyssa Sarasin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2023
Stephanie Sherman	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 12, 2012
Robert Siebel	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 1999

Other facilities operated by Wisconsin Illinois Senior Housing Inc

All 6 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Fair Oaks Health Care Center 471 Terra Cotta Avenue, Crystal Lake, IL 60014 CCN 145917	51		Feb 2, 2026	602 harm	$20k
Edgerton Care Center, Inc 313 Stoughton Rd., Edgerton, WI 53534 CCN 525241Abuse icon	61		Jun 18, 2026	801 IJ3 harm	$219k
Ingleside Manor 407 N. Eighth St., Mount Horeb, WI 53572 CCN 525331SFF	80	Not rated	Oct 13, 2025	1143 IJ3 harm	$231k
East Troy Manor 3271 North St, East Troy, WI 53120 CCN 525561	50		Jan 8, 2026	583 IJ1 harm	$129k
Geneva Lake Manor 211 S. Curtis St., Lake Geneva, WI 53147 CCN 525565	60		Aug 10, 2026	1023 IJ3 harm3 open	$131k
Montello Care Center 251 Forest Lane, Montello, WI 53949 CCN 525657	50		Aug 5, 2026	1042 IJ2 harm1 open	$143k

Same chain in Wisconsin

All 6 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Edgerton Care Center, Inc 313 Stoughton Rd., Edgerton, WI 53534 CCN 525241Abuse icon	61		Jun 18, 2026	801 IJ3 harm	$219k
Ingleside Manor 407 N. Eighth St., Mount Horeb, WI 53572 CCN 525331SFF	80	Not rated	Oct 13, 2025	1143 IJ3 harm	$231k
East Troy Manor 3271 North St, East Troy, WI 53120 CCN 525561	50		Jan 8, 2026	583 IJ1 harm	$129k
Geneva Lake Manor 211 S. Curtis St., Lake Geneva, WI 53147 CCN 525565	60		Aug 10, 2026	1023 IJ3 harm3 open	$131k
Montello Care Center 251 Forest Lane, Montello, WI 53949 CCN 525657	50		Aug 5, 2026	1042 IJ2 harm1 open	$143k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 645 N Church St, Elkhorn, WI 53121
ZIP: 53121
County: Walworth County FIPS 55127
State: Wisconsin
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Lakeland Health Care Ctr 1922 Cty Rd Nn, Elkhorn, WI 53121 CCN 525625	0.6 km	90	Jan 26, 2026	373 IJ1 harm1 open	$84k
Delavan Health Services 905 E Geneva St, Delavan, WI 53115 CCN 525324	9.4 km	50	Aug 6, 2026	401 open	—
Williams Bay Health Services 146 Clover St, Williams Bay, WI 53191 CCN 525346	11.4 km	50	Jun 3, 2026	561 IJ2 harm	—
Geneva Lake Manor 211 S. Curtis St., Lake Geneva, WI 53147 CCN 525565	14.4 km	60	Aug 10, 2026	1023 IJ3 harm3 open	$131k
East Troy Manor 3271 North St, East Troy, WI 53120 CCN 525561	15.8 km	50	Jan 8, 2026	583 IJ1 harm	$129k
Golden Years of Lake Geneva 611 Harmony Drive, Lake Geneva, WI 53147 CCN 525727	16.5 km	54	May 7, 2025	25	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525541	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525541	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 525541

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction