Thornton Manor Nursing and Care Center

1329 Main Street · Lansing, IA · 52151 · 5635384236

40 certified beds Non profit - Corporation

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 71
Serious harm & abuse 20% 100
Staffing 20% 85
Federal penalties 15% 100
Trend 10% 21
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.333.48 min · 4.1 strong
RN hours / resident-day0.890.55–0.75
Weekend hours / resident-day3.97≈ weekday level
Nursing turnover / year37%median 45%
Fines (3-yr window)none

Inspection citations (7 in the current record)

  • Potential for harm · D 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.

    Corrected April 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 3, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected April 25, 2025 · Pharmacy Service

  • Potential for harm · E 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.

    Corrected April 23, 2025 · Nutrition and Dietary

  • Potential for harm · D April 3, 2025

    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.

    Corrected April 23, 2025 · Nutrition and Dietary

  • Potential for harm · E April 3, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 23, 2025 · Nutrition and Dietary

  • Potential for harm · E May 30, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 30, 2024 · Nutrition and Dietary

  • Potential for harm · E February 15, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected March 10, 2023 · Pharmacy Service

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165259 · certified since August 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.