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A
Very Good

HOLTON MANOR

645 N CHURCH ST · ELKHORN, WI 53121

2627234963 · Non profit - Corporation

60 beds54.5 residents202 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

HOLTON MANOR receives an overall staffing grade of A (Very Good). With 4.3423 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.45 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.45% compared to weekdays. The facility uses a moderate level of agency staff (8.92% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.3423hrs/resident/day▲ 0.45
CMS benchmark: 3.48
RN HPRD
0.8591hrs/resident/day▲ 0.18
Recommended: 0.75
Weekend Drop-off
15.45%
4.5406 weekday → 3.839 weekend
Agency Staff
8.92%
2.52% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6163hrs/resident/day
Direct care aides
LPN HPRD
0.5548hrs/resident/day
Licensed practical nurses
Consistency
0.4671std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Walworth County Average-0.29 HPRD
4.63
04.34 HPRD
vs. Wisconsin State Average+0.14 HPRD
4.20
04.34 HPRD
vs. National Average+0.45 HPRD
3.90
04.34 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
HOLTON MANOR ★
ELKHORN · This facility
—
A
4.34230.8591★★★★☆
DELAVAN HEALTH SERVICES
DELAVAN
5.8 mi
C
3.40581.2837★★★★★
WILLIAMS BAY HEALTH SERVICES
WILLIAMS BAY
7.1 mi
C
3.47311.2081★★★☆☆
BURLINGTON HEALTH AND REHABILITATION CENTER
BURLINGTON
14.5 mi
B
3.69690.6918★☆☆☆☆
ALDEN MEADOW PARK HCC
CLINTON
18.3 mi
D
2.94680.5249★★☆☆☆
Rock River Nursing & Rehab
FORT ATKINSON
22.6 mi
A
4.67760.834☆☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
7
Total Deficiencies
$0
Fines Assessed
Mar 20, 2025Health
2 deficiencies cited
▼
Feb 1, 2024Health
1 deficiency cited
▼
Oct 4, 2023Health
4 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.