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Nursing HomeMedicaid Top Rated

Holton Manor

Strong Medicare quality ratings; families often praise exceptional physical and aquatic therapy programs. Still worth an in-person visit.

645 N Church St, Elkhorn, WI 5312160 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 52 Google reviews

5
4
3
2
1
Holton Manor Nursing Home in Elkhorn, WI — Street View
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What this means for your family

Holton Manor is highly regarded for its specialized aquatic and physical therapy programs, making it an excellent choice for post-surgical recovery. However, families should be aware of potential inconsistencies in meal quality and nighttime staffing levels; we recommend asking the administration directly about their current staffing ratios for overnight shifts.

Google Reviews

Google Reviews

52 reviews on Google
Holton Manor is widely praised for its exceptional rehabilitation and aquatic therapy programs, with many families highlighting the compassionate and professional staff. While the vast majority of reviews are highly positive, a small number of families have raised concerns regarding food quality and occasional delays in response times, particularly during nighttime hours.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean9.0Activities8.0MedsN/AMemory8.0Comms9.0ValueN/A

Strengths

  • Exceptional physical and aquatic therapy programs
  • Warm, attentive, and professional nursing staff
  • Clean and well-maintained facility
  • Strong communication with families

Concerns

  • Poor food quality and meal service issues (mentioned by 4 reviewers)
  • Understaffing leading to slow response times and neglect (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(4)'21(8)'23(12)'25(28)'26(7)

Distribution · 82 analyzed

5
69
4
6
3
0
2
2
1
5

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard wonderful things about your aquatic therapy program; could you show us the pool area and explain how residents get started with those sessions?
  • 2It's great to see how much you engage with families online; how does the nursing team typically keep us updated on our loved one's daily progress?
  • 3How does the kitchen team ensure that meal service is both timely and nutritious for everyone during breakfast and dinner?
  • 4With a smaller community of 60 residents, how do you ensure that staff are always available to respond quickly when a resident presses their call button?
  • 5What kind of daily social activities or group outings do you have planned to keep residents engaged and active?
  • 6In the event of a medical emergency during the night, what is the specific protocol for getting immediate care for a resident?

Personalized based on this facility's data


Key Review Excerpts

The team at Holton Manor certainly passed my test and I would recommend them to anyone who needs a high level of care for their loved one.

Long-term resident's family · 2024★★★★★

The entire staff is incredible. They are extremely friendly, very compassionate and thorough. But most of all they care!!

Rehab patient · 2025★★★★★

Mostly everyone was very kind, nighttime was a little challenging. We know staffing is an issue everywhere. Bathroom was a challenge, having to wait to long, and then some accidents.

Rehab patient · 2026★★★★
Source: 52 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
4.23hrs
OK
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.6%
Mixed vs Avgs
Here
3.6%
US
12.1%
WI
5.2%
Walworth
1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility18.1%
Better than Avg
Here
18.1%
US
19.4%
WI
25.0%
Walworth
24.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
WI
5.1%
Walworth
6.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
WI
95.6%
Walworth
96.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.9%
Mixed vs Avgs
Here
20.9%
US
15.3%
WI
19.9%
Walworth
22.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.3%
Worse than Avg
Here
19.3%
US
15.5%
WI
15.9%
Walworth
14.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
79.8%
WI
82.2%
Walworth
85.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
WI
86.6%
Walworth
89.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
WI
1.3%
Walworth
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (9.8)
7 complaint-triggered
Clean record — no deficiencies

Holton Manor has concerning patterns with families filing seven complaints that led to federal deficiencies, including serious issues with patient safety, staff training, and abuse reporting procedures. The facility shows recurring problems with fire safety systems, electrical equipment, and emergency exits across multiple surveys, though all violations have been corrected. While the facility addresses deficiencies when cited, the pattern of complaint-driven investigations suggests ongoing care quality concerns that warrant careful evaluation during any visit.

Mar 20, 2025Complaint
2
0947Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

Nov 27, 2024Routine
4
0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Feb 1, 2024Complaint
1
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Oct 4, 2023Complaint
4
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Aug 24, 2023Routine
4
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

May 5, 2022Routine
9
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0919Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Holton Manor

Organization Type

nonprofit

Chain Affiliation

Chain Name

Wisconsin Illinois Senior Housing, INC.

Chain Size

7 facilities nationwide

Chain avg rating: 2.0/5 · Rank 2 of 7 (Best)

Ownership & Management

Owners

Kerwin, Andrew

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Gehler, MiriamOfficer / DirectorGerlach, KeriOfficer / DirectorKumar, Rajeev ShivaOfficer / DirectorLynn, NicholasOfficer / DirectorDupont, LoriOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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