Holton Manor
Holton Manor Information
| Facility Name | Holton Manor |
| Location | 645 N Church St, Elkhorn, WI 53121 |
| County (SSA Code) | Walworth (630) |
| Phone Number | 262-723-4963 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 60 |
| Average Number of Residents | 46.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | WISCONSIN ILLINOIS SENIOR HOUSING INC |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1994-03-16 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.40326 |
| Reported LPN Staffing Hours per Resident per Day | 0.79088 |
| Reported RN Staffing - Hours per Resident per Day | 0.91961 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.71049 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.11374 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.16534 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.24582 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.74637 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.41213 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.40432 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.78908 |
| Total Weighted Health Survey Score for three cycles | 22 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-07 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-12-06 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-12-01 |
| Rating cycle 3 - Health Deficiency Score | 40 |
| Rating cycle 3 - Total Health Inspection Score | 40 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |