Holton Manor
Elkhorn, Walworth County, Wisconsin · CCN 525541 · Non-profit (Corporation) · part of Wisconsin Illinois Senior Housing, Inc. (7 facilities, chain average 1.7 stars)
CMS rates Holton Manor 2 of 5 overall as of August 2026. 60 certified beds, 54 residents a day on average. 17 citations on record from the current inspection cycles, 3 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 4.31112 hours per resident per day |
|---|---|
| Registered nurses | 0.6305 hours per resident per day |
| Weekend total | 3.87483 hours per resident per day |
| Nursing staff turnover | 51.8% (registered nurses 30.8%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-06 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-06-25 |
| 2026-05-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-05-30 |
| 2026-05-06 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-06-25 |
| 2026-05-06 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · tag F0882 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-05-30 |
| 2026-05-06 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-30 |
| 2026-05-06 | 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 · tag F0676 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-30 |
| 2026-05-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-30 |
| 2026-05-06 | 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 · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-30 |
| 2026-05-06 | 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 · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-30 |
| 2026-05-06 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-05-30 |
| 2025-03-20 complaint survey |
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 · tag F0947 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-20 |
| 2025-03-20 complaint survey |
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 · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-20 |
| 2024-02-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-23 |
| 2023-10-04 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-11-02 |
| 2023-10-04 complaint survey |
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 · tag F0585 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-02 |
| 2023-10-04 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-02 |
| 2023-10-04 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-02 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Hbt It LLC Organization | adp of the snf | — | 2024-07-01 |
| Jt And Associates LLC Organization | adp of the snf | — | 2010-01-01 |
| Oak Medical Sc Organization | adp of the snf | — | 2019-01-14 |
| Partners In Wealth Management, Inc. Organization | adp of the snf | — | 2024-01-01 |
| Pinion, LLC Organization | adp of the snf | — | 1995-01-01 |
| Rehab Solutions Group, LLC Organization | adp of the snf | — | 2024-01-01 |
| Twomagnets LLC Organization | adp of the snf | — | 2022-01-01 |
| Carriage Healthcare Companies Inc. Organization | operational/managerial control | — | 2001-02-15 |
| Sarasin, Alyssa Individual | adp of the snf | — | 2023-10-01 |
| Sherman, Stephanie Individual | adp of the snf | — | 2012-08-12 |
| Siebel, Robert Individual | adp of the snf | — | 1999-10-01 |
| Gehler, Miriam Individual | corporate director | — | 2011-03-14 |
| Gerlach, Keri Individual | corporate director | — | 2019-09-24 |
| Kumar, Rajeev Shiva Individual | corporate director | — | 2012-04-24 |
| Lynn, Nicholas Individual | corporate director | — | 2011-03-14 |
| Dupont, Lori Individual | corporate officer | — | 2016-01-25 |
| Kerwin, Andrew Individual | corporate officer | — | 2009-06-26 |
| Kerwin, Andrew Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-04-08 |
| Dupont, Lori Individual | operational/managerial control | — | 2015-01-01 |
| Gehler, Miriam Individual | operational/managerial control | — | 2016-05-01 |
| Gerlach, Keri Individual | operational/managerial control | — | 2019-01-01 |
| Kerwin, Andrew Individual | operational/managerial control | — | 2016-01-01 |
| Kumar, Rajeev Shiva Individual | operational/managerial control | — | 2012-04-24 |
| Lynn, Nicholas Individual | operational/managerial control | — | 2011-03-14 |
| Sherman, Stephanie Individual | operational/managerial control | — | 2012-08-12 |
| Siebel, Robert Individual | operational/managerial control | — | 1999-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Holton Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Walworth County.