Thornton Manor Nursing and Care Center
1329 Main Street, Lansing, IA 52151 · Allamakee County · (563) 538-4236
40 certified beds, about 31 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165259 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 8 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.88 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
38.5% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
May 7, 2026Standard inspection · 2 citations
- E Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to ensure the Infection Preventionist (IP) had sufficient time to perform the duties of the infection control program, when the IP worked 1 to 2 hours a week on average in the IP role while working full time as a floor nurse. During April 2026, the facility's infection logs showed that 7 of 28 residents were diagnosed with a Urinary Tract Infection (UTI) (Resident #11, #13, #35, #18, #20, #23, and #26), and the IP had not yet completed staff training or audits to address the UTI rate. The facility reported a census of 29 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews, and policy review the facility failed to follow standard precautions and safe handling/disposal of sharps during blood glucose testing by placing used lancets into personal scrub pocket instead of a designated sharps container and failed to disinfect the blood glucose meter and its storage container between uses for 1 of 1 resident reviewed for blood glucose checks (Resident #23). The facility reported a census of 29 residents.
April 3, 2025Standard inspection · 5 citations
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, policy review, document review, consulting dietician and staff interviews, the facility failed to serve approved menu substitutions of similar nutritional content. The facility identified a census of 31 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to prevent bare hands from contacting serving utensils and failed to recognize proper cold food temperatures and served 6 of 19 residents a seven-layer salad that had temperatures from 45.3 to 47.9 degrees Fahrenheit prior to serving. The facility identified a census of 31 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, clinical record review, and staff interview the facility failed to revise the Care Plan to reflect the use of Paid Nutritional Assistants (PNAs) for 1 of 1 resident reviewed for meal assistance (Resident #24). The facility reported a census of 31 residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, record review, staff interview, and policy review the facility failed to track prophylactic antibiotics (ATB) for 1 of 1 residents reviewed (Resident #12). The facility reported a census of 31 residents.
- D Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Inspectors wroteBased on observation, clinical record review, document review, and staff interview the facility failed to safely utilize Paid Nutritional Assistants (PNA's used interchangeably with Paid Feeding Assistant (PFA) based on resident assessment and Care Plan for 1 of 1 residents sampled (Resident #24). The facility identified a census of 31 residents.
May 30, 2024Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to keep bare hands off the drinking surface of glasses to prevent possible contamination. The facility reported a census of 31 residents.
Fire safety inspections
8 fire safety citations on file: 1 on May 7, 2026, 3 on April 3, 2025, 4 on May 30, 2024.
Every fire safety citation8 citations
- F Conduct testing and exercise requirements.
- F Develop a communication plan.
- F Provide properly protected cooking facilities.
- F Ensure that testing and maintenance of electrical equipment is performed.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have restrictions on the use of highly flammable decorations.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.88 | 3.82 | 3.86 |
| Registered nurses | 0.80 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.52 | 3.37 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.70 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 44.0% | 45.8% |
| Registered nurse turnover | 0.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.11 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.02 on weekdays and 3.52 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.12 in April to June 2025 to 3.88 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.88 | 0.80 | 4.02 | 3.52 | 16.6% | 0 of 90 | 31 |
| Oct to Dec 2025 | 4.33 | 0.89 | 4.47 | 3.97 | 12.9% | 0 of 92 | 28 |
| Jul to Sep 2025 | 4.29 | 0.90 | 4.46 | 3.87 | 11.2% | 0 of 92 | 28 |
| Apr to Jun 2025 | 4.12 | 0.95 | 4.32 | 3.61 | 14.6% | 0 of 91 | 29 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.1 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Thornton Manor Nursing and Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: LANSING HOUSING CORPORATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Imhoff, Gerald | 5% or greater indirect ownership interest | Individual | 100% | 07/01/2010 |
| Brennan, Karen | Corporate director | Individual | 07/01/2010 | |
| Berns, Margaret | Corporate officer | Individual | 11/01/2019 | |
| Brown, Connie | Corporate officer | Individual | 07/01/2010 | |
| Heim, Rita | Corporate officer | Individual | 07/01/2010 | |
| Imhoff, Gerald | Corporate officer | Individual | 07/01/2010 | |
| Peters, Darrell | Corporate officer | Individual | 07/01/2010 | |
| Seitz, Rebecca | Corporate officer | Individual | 07/01/2025 | |
| Hartley, Brent | Operational/managerial control | Individual | 11/07/2022 | |
| Hoffman, Christine | Operational/managerial control | Individual | 12/16/2024 | |
| Kuhn, Samuel | Operational/managerial control | Individual | 06/01/2008 | |
| Mulholland, Catherine | Operational/managerial control | Individual | 08/10/1992 | |
| Perkins, Steven | Operational/managerial control | Individual | 01/01/2014 | |
| Severson, Chloe | Operational/managerial control | Individual | 10/03/2023 | |
| Ulrich, Karen | Operational/managerial control | Individual | 08/16/2018 | |
| Weymiller, Bonita | Operational/managerial control | Individual | 05/19/1980 | |
| Bcg Holdings Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Bcg LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Cattail Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Ecsi Inc | Adp of the SNF | Organization | 10/01/2024 | |
| Hartig Drug Co Corp | Adp of the SNF | Organization | 02/07/2020 | |
| Iowa Health Care Association | Adp of the SNF | Organization | 10/01/2024 | |
| National Therapeutic Associates, Inc | Adp of the SNF | Organization | 06/01/2015 | |
| Tdt Cpa's and Advisors PC | Adp of the SNF | Organization | 08/01/2012 | |
| Hartig, Charles | Adp of the SNF | Individual | 02/07/2020 | |
| Hartig, Wesley | Adp of the SNF | Individual | 02/07/2020 | |
| Kuhn, Samuel | Adp of the SNF | Individual | 11/10/2025 | |
| Mannewitz, William | Adp of the SNF | Individual | 06/01/2015 | |
| Perkins, Steven | Adp of the SNF | Individual | 11/10/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on April 3, 2025: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 3, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 3, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
Other nursing homes nearby
- Northgate Care Center Waukon, 13.6 mi · 1 of 5 stars · 20 citations
- Good Samaritan - Waukon Waukon, 13.6 mi · 2 of 5 stars · 16 citations
- Prairie Maison Prairie Du Chien, 22.4 mi · 2 of 5 stars · 16 citations
- Vernon Manor Viroqua, 22.7 mi · 4 of 5 stars · 17 citations
- Soldiers Grove Health Services Soldiers Grove, 23.5 mi · 2 of 5 stars · 21 citations
- Great River Care Center Mc Gregor, 23.7 mi · 4 of 5 stars · 5 citations
- Tweeten Lutheran Health Care Center Spring Grove, 24.1 mi · 1 of 5 stars · 37 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Thornton Manor Nursing and Care Center's Medicare star rating?
- CMS rates Thornton Manor Nursing and Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Thornton Manor Nursing and Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on May 7, 2026. The Iowa average is 6.5.
- Has Thornton Manor Nursing and Care Center been fined?
- CMS lists no fines in the last three years.
- Does Thornton Manor Nursing and Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Thornton Manor Nursing and Care Center?
- CMS lists 30 owners and managers. Legal business name: LANSING HOUSING CORPORATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.