Thornton Manor Nursing and Care Center

1329 Main Street, Lansing, IA 52151 (opens Google Maps) · Allamakee County · (563) 538-4236· 40 certified beds · avg 31 residents/day · certified since Aug 1, 1995 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

3/5

Health inspection rating (on-site)

inspected Apr 3, 2025

Serious findings on record

Fines, last 3 years

4.78

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.

Apr 3, 2025E · Potential for more than minimal harm, pattern
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. F-0803
Apr 3, 2025E · Potential for more than minimal harm, pattern
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. F-0812
Apr 3, 2025D · Potential for more than minimal harm, isolated
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. F-0657

View all 7 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Apr 3, 2025	E · Potential for more than minimal harm, pattern	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. · F-0803
Apr 3, 2025	E · Potential for more than minimal harm, pattern	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. · F-0812
Apr 3, 2025	D · Potential for more than minimal harm, isolated	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. · F-0657
Apr 3, 2025	D · Potential for more than minimal harm, isolated	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. · F-0757
Apr 3, 2025	D · Potential for more than minimal harm, isolated	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. · F-0811
May 30, 2024	E · Potential for more than minimal harm, pattern	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. · F-0812
Feb 15, 2023	E · Potential for more than minimal harm, pattern	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. · F-0758

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Worst severity that year
2023	1	E
2024	1	E
2025	5	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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

4.78

4.37

3.95

Registered Nurse hours

0.98

0.85

0.69

Weekend total nurse staffing

4.34

3.86

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.88 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Thornton Manor Nursing and Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

Showing 20 of 30 parties CMS has on file for this facility; 10 are not displayed. The full list is in the CMS Ownership dataset.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 30 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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 →

All facilities in Lansing →

Facility data as of CMS processing date 2026-08-01. CCN 165259.

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Thornton Manor Nursing and Care Center

1329 Main Street, Lansing, IA 52151 · (563) 538-4236

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 30 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165259 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)