HomeIowaAllamakee CountyThornton Manor Nursing and Care Center
A
Very Good

Thornton Manor Nursing and Care Center

1329 MAIN STREET · LANSING, IA 52151

5635384236 · Non profit - Corporation

40 beds27.5 residents51 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Thornton Manor Nursing and Care Center receives an overall staffing grade of A (Very Good). With 4.2966 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.40 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.23% compared to weekdays. The facility uses a moderate level of agency staff (11.21% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

Strengths (3)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.2966hrs/resident/day 0.40
CMS benchmark: 3.48
RN HPRD
0.902hrs/resident/day 0.22
Recommended: 0.75
Weekend Drop-off
13.23%
4.4634 weekday → 3.873 weekend
Agency Staff
11.21%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.7029hrs/resident/day
Direct care aides
LPN HPRD
0.6916hrs/resident/day
Licensed practical nurses
Consistency
0.3682std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Allamakee County Average+0.83 HPRD
3.47
04.30 HPRD
vs. Iowa State Average+0.48 HPRD
3.82
04.30 HPRD
vs. National Average+0.40 HPRD
3.90
04.30 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Thornton Manor Nursing and Care Center
LANSING · This facility
A
4.29660.902★★★★
Northgate Care Center
Waukon
13.5 mi
D
2.80550.3671★★★☆☆
Good Samaritan Society - Waukon
Waukon
13.6 mi
C
3.30750.9476★★★☆☆
Great River Care Center
Mc Gregor
23.6 mi
C
3.06650.5323★★★★
The Highlands
Decorah
28 mi
C
3.310.536☆☆☆☆
Elkader Care Center
Elkader
36.5 mi
B
3.52411.0005★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
7
Total Deficiencies
$0
Fines Assessed
Apr 3, 2025Health
5 deficiencies cited
May 30, 2024Health
1 deficiency cited
Feb 15, 2023Health
1 deficiency cited
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.