Lakeland Health Care Ctr — nursing home in Elkhorn, WI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 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: 81.7 CMS, MDS-derived
CMS Certification Number: 525625
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 1, 1997
Ownership type: Government - County
Operator (legal business name): County of Walworth
CMS chain: Not part of a CMS-reported chain
Phone: (262) 741-3600
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Jan 26, 2026

Citations

37

20 health · 17 fire

Harm or worse

4

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K1	L·
Actual harm	G1	H·	I·
Potential harm	D15	E6	F8
Minimal	A·	B·	C4

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

1

$84,168

Payment denials

0

Latest

Nov 21, 2023

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 525625
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: Aug 1, 1997
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
Jan 26, 2026	Fire safety	Fire Safety Standard	4	Potential harm	1	Open →
Jan 26, 2026	Health	Health Standard	1	Potential harm	—	Open →
Sep 2, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Jul 7, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Aug 29, 2024	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Aug 29, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Nov 21, 2023	Health	Health Complaint	4	Immediate jeopardy	—	Open →
Jun 7, 2023	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Jun 7, 2023	Health	Health Standard	5	Potential harm	—	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.

Date	Type	Amount	Payment denial	Record
Nov 21, 2023	Civil money penalty (fine)	$84,168	—	525625\|Fine\|61048

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K1	L·
Actual harm	G1	H·	I·
Potential harm	D15	E6	F8
Minimal	A·	B·	C4

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 26, 2026	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 2, 2026
Jan 26, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 28, 2026
Jan 26, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Plan of correction, not yet verified
Jan 26, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 12, 2026
Jan 26, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Feb 13, 2026
Sep 2, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance Aug 25, 2025	Complaint
Sep 2, 2025	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Sep 17, 2025	Complaint
Jul 7, 2025	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 Jul 29, 2025	Complaint
Jul 7, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 29, 2025	Complaint
Aug 29, 2024	E-0035	Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Sep 27, 2024
Aug 29, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 20, 2024
Aug 29, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Waiver granted
Aug 29, 2024	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 20, 2024
Aug 29, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 30, 2024
Aug 29, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 30, 2024	Complaint
Aug 29, 2024	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 Sep 30, 2024	Complaint
Aug 29, 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	D · Potential harm Isolated	Corrected Sep 30, 2024	Complaint
Aug 29, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 30, 2024
Aug 29, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 30, 2024
Aug 29, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 18, 2024
Aug 29, 2024	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 18, 2024
Aug 29, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Sep 19, 2024
Nov 21, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Dec 15, 2023	Complaint
Nov 21, 2023	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Dec 15, 2023	Complaint
Nov 21, 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	E · Potential harm Pattern	Corrected Dec 15, 2023	Complaint
Nov 21, 2023	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 15, 2023	Complaint
Jun 7, 2023	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 23, 2023
Jun 7, 2023	K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 7, 2023
Jun 7, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 20, 2023
Jun 7, 2023	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 Jun 19, 2023
Jun 7, 2023	K-0927	Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 23, 2023
Jun 7, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 26, 2023
Jun 7, 2023	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	D · Potential harm Isolated	Corrected Jun 26, 2023
Jun 7, 2023	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 26, 2023
Jun 7, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 23, 2023
Jun 7, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 26, 2023
Jun 7, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Jun 19, 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 staffing4.00

State avg 4.25US avg 3.90

Registered nurse (RN)0.73

State avg 0.98US avg 0.69

Licensed practical nurse0.65

State avg 0.65US avg 0.86

Nurse aide2.62

State avg 2.61US avg 2.35

Weekend total nurse3.08

State avg 3.75US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.54 (case-mix index 1.23).

Staff turnover

Total nursing staff turnover38.8%

State avg 46.7%US avg 45.3%

Registered nurse turnover18.2%

State avg 40.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 26, 2026
Cycle 1 health score: 4
Total weighted score: 75

Operating entity

County of Walworth

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

6

Organizations

1

Individuals

4

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
County of Walworth	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 19, 2006

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
County of Walworth	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jul 19, 2006
Denise Johnson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 24, 2020
Denise Johnson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 24, 2020
Kenneth Monroe	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2017
County of Walworth	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 31, 1973
Denise Johnson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 24, 2020

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 (geocoding footnote 22).

Address: 1922 Cty Rd Nn, 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
Holton Manor 645 N Church St, Elkhorn, WI 53121 CCN 525541	0.6 km	60	May 6, 2026	343 harm	—
Delavan Health Services 905 E Geneva St, Delavan, WI 53115 CCN 525324	9.8 km	50	Aug 6, 2026	401 open	—
Williams Bay Health Services 146 Clover St, Williams Bay, WI 53191 CCN 525346	11.5 km	50	Jun 3, 2026	561 IJ2 harm	—
Geneva Lake Manor 211 S. Curtis St., Lake Geneva, WI 53147 CCN 525565	14 km	60	Aug 10, 2026	1023 IJ3 harm3 open	$131k
East Troy Manor 3271 North St, East Troy, WI 53120 CCN 525561	15.4 km	50	Jan 8, 2026	583 IJ1 harm	$129k
Golden Years of Lake Geneva 611 Harmony Drive, Lake Geneva, WI 53147 CCN 525727	16.1 km	54	May 7, 2025	25	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	525625	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	525625	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 525625

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