Federal inspection record · CMS data as of October 1, 2026
Thornton Manor Nursing and Care Center
1329 Main Street, Lansing, IA · (563) 538-4236
- CMS high-performer trophy
- Certified beds
- 40
- Residents per day
- 30
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1995
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Thornton Manor Nursing and Care Center carries 16 inspection points. That is fewer than 74% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
8 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary4E
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection history
2026-05-07
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2025-04-03
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-05-30
1 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 4 min of nursing staff time a day, 49 min of it from a registered nurse.
This home
4 h 4 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 29% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 4.6% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 2.8% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 2.9% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better | 16.7% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts worse | 21.5% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts better | 12.7% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts worse | 17.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.7% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.3 pts worse | 5.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.1 pts better | 13.9% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.1 pts better | 94.1% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
30 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Imhoff, Gerald | 5% Or Greater Indirect Ownership Interest · Individual | 100% | 1 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Berns, Margaret | Corporate Officer · Individual | 0% | 1 facilities |
| Brennan, Karen | Corporate Director · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Brown, Connie | Corporate Officer · Individual | 0% | 1 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Hartig Drug Co Corp | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hartig, Charles | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hartig, Wesley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hartley, Brent | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Heim, Rita | Corporate Officer · Individual | 0% | 1 facilities |
| Hoffman, Christine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Imhoff, Gerald | Corporate Officer · Individual | 0% | 1 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Kuhn, Samuel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kuhn, Samuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mannewitz, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mulholland, Catherine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| National Therapeutic Associates, Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Perkins, Steven | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Perkins, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
| Peters, Darrell | Corporate Officer · Individual | 0% | 1 facilities |
| Seitz, Rebecca | Corporate Officer · Individual | 0% | 1 facilities |
| Severson, Chloe | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tdt Cpa's And Advisors Pc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Ulrich, Karen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Weymiller, Bonita | Operational/Managerial Control · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness3F
- F
Conduct testing and exercise requirements.
- F
Develop a communication plan.
- F
Conduct testing and exercise requirements.
Smoke3F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems1F
- F
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous1D
- D
Have restrictions on the use of highly flammable decorations.
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-
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