Thornton Manor Nursing and Care Center
1329 Main Street, Lansing, IA 52151 · Allamakee County · 40 certified beds · avg 31 residents/day · certified since Aug 1, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 3, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 3, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not properly run its feeding assistant program — assessing which residents are appropriate for it, following each resident's care plan, and making sure feeding assistants are trained and supervised. Feeding assistants are trained helpers who assist residents at mealtimes. |
| May 30, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 15, 2023 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 1 | 0 | E |
| 2025 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.78 | 4.37 | 3.95 | top 27% in Iowa; top 17% in the U.S. |
| Registered Nurse hours | 0.98 | 0.85 | 0.69 | top 28% in Iowa; top 16% in the U.S. |
| Weekend total nurse staffing | 4.34 | 3.86 | 3.50 | top 23% in Iowa; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.51 | 0.48 | top 36% in Iowa; top 31% in the U.S. |
| Total nursing staff turnover (%) | 38.5 | 44.0 | 45.8 | top 39% in Iowa; top 32% in the U.S. |
| RN turnover (%) | 0.0 | 42.1 | 42.9 | top 1% in Iowa; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.88, RN 0.80, weekend 3.52. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Imhoff, Gerald | Individual | 5% or Greater Indirect Ownership Interest | 100% | 07/01/2010 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Berns, Margaret | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Brennan, Karen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2010 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brown, Connie | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Hartig Drug Co Corp | Organization | ADP of the SNF | NOT APPLICABLE | 02/07/2020 |
| Hartig, Charles | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2020 |
| Hartig, Wesley | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2020 |
| Hartley, Brent | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/07/2022 |
| Heim, Rita | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Hoffman, Christine | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/16/2024 |
| Imhoff, Gerald | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Kuhn, Samuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2008 |
| Kuhn, Samuel | Individual | ADP of the SNF | NOT APPLICABLE | 11/10/2025 |
| Mannewitz, William | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2015 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Who helps residents who need assistance eating, and what training and supervision do those helpers get?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Northgate Care Center | 13.6 mi | Waukon, IA | ★☆☆☆☆ | 1/5 | SFF |
| Good Samaritan - Waukon | 13.6 mi | Waukon, IA | ★★☆☆☆ | 2/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165259.