B

HOLTON MANOR

645 N CHURCH ST, ELKHORN, WI 53121
Score: 80 / 100

With a score of 80/100 and a B grade, Holton Manor is a well-regarded option in Elkhorn, Wisconsin. The facility performs above average in most CMS categories, placing it in the 77th percentile statewide.

Staffing levels at Holton Manor exceed national averages, with 4.33 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.86 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 7 deficiencies at Holton Manor. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.33 3.8 Above Average
Registered Nurses (RN) 0.86 0.7 Above Average
Licensed Practical Nurses (LPN) 0.55 0.7 Below Average
Certified Nursing Assistants (CNA) 2.92 2.4 Above Average
Weekend Total Nursing 3.83 3.8 Average
Weekend RN Hours 0.60 0.7 Below Average

🔍 Inspection & Deficiency History

7
Total Deficiencies
Mar 19, 2025
Most Recent Inspection
🟠 7 Moderate
View recent deficiencies (5 shown)
  • Tag 0947 Severity E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    Mar 19, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0726 Severity D
    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.
    Mar 19, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 31, 2024 · Quality of Life and Care Deficiencies
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Oct 3, 2023 · Quality of Life and Care Deficiencies
  • Tag 0585 Severity D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt e
    Oct 3, 2023 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.3% 4.5% Better
Falls with major injury 1.4% 3.0% Better
On antipsychotic medication 18.6% 14.5% Worse
Urinary tract infections 1.4% 2.5% Better
ADL decline (daily activities) 10.4% 14.0% Better
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 22.4% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 26, 2024
Deficiencies (Cycle 1)
2