Lakeland Health Care CTR

Nursing Home · Elkhorn, WI

CMS overall rating 3/5 Abuse citation Government - County

CMS certification number525625
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1922 Cty RD NN
Elkhorn, WI 53121
Walworth County
Phone
(262) 741-3600
ZIP code
53121 – all care providers

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Facility details

Certified beds
90
Residents per day
80.9 (90% occupied)
Ownership
Government - County
Legal name
County of Walworth
Medicare certified since
August 1, 1997
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.0
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 5/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.0
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.96 (state 4.21 · U.S. 3.86)
Registered nurses (RN)
0.75 (state 0.99 · U.S. 0.69)
Licensed practical nurses
0.66 (state 0.64 · U.S. 0.86)
Nurse aides
2.55 (state 2.58 · U.S. 2.32)
Weekend total
3.07 (state 3.77 · U.S. 3.42)
Nursing staff turnover
31.1 (state 46.9 · U.S. 45.8)%
RN turnover
16.7 (state 39.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
January 26, 2026
Health deficiencies (last cycle)
3.0 (state 9.5 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
21 health · 17 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-13
2025-09-02 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-08-25
2025-09-02 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-09-17
2025-07-07 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-29
2025-07-07 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-29
2024-08-29 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-30
2024-08-29 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-30
2024-08-29 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-30
2024-08-29 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-30
2024-08-29 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-30
2024-08-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-30
2023-11-21 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2023-12-15
2023-11-21 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-12-15
2023-11-21 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-11-21 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-12-15
2023-08-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-18
2023-06-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-06-23
2023-06-07 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-26
2023-06-07 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-26
2023-06-07 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-26
2023-06-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $84,168 in fines.

DateTypeAmount
2023-11-21Fine$84,168

Ownership & management

NameRoleSince
County of Walworth (organization)5%+ Direct Ownership Interest · 100%
County of Walworth (organization)Administrator · NOT APPLICABLE
Johnson, Denise (individual)Administrator · NOT APPLICABLE
Johnson, Denise (individual)Corporate Director · NOT APPLICABLE
Monroe, Kenneth (individual)Corporate Officer · NOT APPLICABLE
Johnson, Denise (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lakeland Health Care CTR?

Lakeland Health Care CTR has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Wisconsin.

How many beds does Lakeland Health Care CTR have?

It has 90 certified beds and cares for about 81 residents per day.

Has Lakeland Health Care CTR been fined?

Yes. CMS lists 1 penalty totaling $84,168 in the last three years.

What is the phone number of Lakeland Health Care CTR?

(262) 741-3600. The facility is located at 1922 Cty RD NN, Elkhorn, WI 53121.

Other nursing homes in Elkhorn

  • Holton Manor Nursing Home · Elkhorn, WI · 60 beds ★★

Compare all nursing homes in Elkhorn, WI →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.