CCN 525541 · Walworth County, Wisconsin
Holton Manor
645 N Church St, Elkhorn, WI 53121
Holton Manor is a 60-bed nonprofit nursing home in Elkhorn, Wisconsin, first certified for Medicare or Medicaid in 1994. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 54.2 residents a day, about 90% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 60
- Average residents per day
- 54.2 (90.3% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Wisconsin Illinois Senior Housing Inc
- Certified since
- Mar 16, 1994
- Chain or affiliated group
- Wisconsin Illinois Senior Housing, Inc. (7 facilities, chain average 1.7 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Wisconsin median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 70 at 1, 66 at 2, 59 at 3, 52 at 4, 74 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 4.31 | 4.02 | 3.68 |
| RN hours per resident per day | 0.63 | 0.93 | 0.58 |
| Weekend nurse hours per resident per day | 3.87 | ||
| Nursing staff turnover | 51.8% | 46.2% | 44.9% |
| Occupancy (residents / beds) | 90.3% | 75.1% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 10 (May 6, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Holton Manor meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Carriage Healthcare Companies IncOrganization | Operational / Managerial Control | n/a | 02/15/2001 |
| Dupont, LoriIndividual | Operational / Managerial Control | n/a | 01/01/2015 |
| Gehler, MiriamIndividual | Operational / Managerial Control | n/a | 05/01/2016 |
| Gerlach, KeriIndividual | Operational / Managerial Control | n/a | 01/01/2019 |
| Kerwin, AndrewIndividual | Operational / Managerial Control | n/a | 01/01/2016 |
| Kumar, Rajeev ShivaIndividual | Operational / Managerial Control | n/a | 04/24/2012 |
| Lynn, NicholasIndividual | Operational / Managerial Control | n/a | 03/14/2011 |
| Sherman, StephanieIndividual | Operational / Managerial Control | n/a | 08/12/2012 |
| Siebel, RobertIndividual | Operational / Managerial Control | n/a | 10/01/1999 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.