Total health inspections
3
Iowa average 4.9
Last Health inspection on Apr 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Thornton Heights Assisted Living
Nursing Home & Assisted Living · Iowa, IA
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Thornton Heights Assisted Living
Nursing Home & Assisted Living · Iowa, IA
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Thornton Heights Assisted Living accepts Medicare, Medicaid, and private pay.
Make every moment count at Thornton Heights Assisted Living, a distinguished community in Lansing, IA, offering assisted living. Featuring beautifully furnished and secure one- and two-bedroom floor plans, the community ensures residents are comfortable and safe. Residents also receive exceptional care tailored to their daily living activities and personal needs around the clock.
A jam-packed calendar of engaging activities and enriching programs is conducted to keep residents active and socially connected. Delicious and well-balanced meals are also served three times daily to meet residents’ dietary needs and preferences. Emergency pendants are also provided for convenience and safety. The community is ideal for those looking to live comfortably in retirement, especially with its nurturing and welcoming environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 31st out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 31st out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 13m per day
Rank #31 / 241Nurse hours — State benchmarkedThis home is ranked 31st out of 241 homes in Iowa for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
+18%
Standout metric
Weekend Total Nursing is +8% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 37m per day | ▲ 8% State avg: 3h 21m per day · National avg: 3h 25m per day |
Capacity and availability
Avg. Length of Stay
199 days
26-bed community Rank #397 / 407Bed count — State benchmarkedThis home is ranked 397th out of 407 homes in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
22 years in operation Rank #120 / 282Years in operation — State benchmarkedThis home is ranked 120th out of 282 homes in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa SNFs. Longer operating histories may benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 14 / 100 Rank #444 / 528Walk Score — State benchmarkedThis home is ranked 444th out of 528 homes in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Facility TypeAssisted Living Programs
StatusActive
IssuanceNovember 18, 2003
ExpirationNovember 18, 2027
CountyAllamakee
License NumberS0183
Year Opened11/18/2003
Thornton Heights Assisted Living is administrated by Sam Kuhn.
Email
[email protected]
Fax5635384460
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
Since 2011 · 15 years of data
1 deficiency
7 inspections
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2011 vs. Iowa state average
Overall vs. IA average
0 Worse
No metrics in this bucket.
4 Better
Metrics better than Iowa average:
• Total deficiencies (96% below)
• Deficiencies per year (94% below)
• Deficiencies per inspection (94% below)
• Total inspections (53% below)
• Total deficiencies (96% below)
• Deficiencies per year (94% below)
• Deficiencies per inspection (94% below)
• Total inspections (53% below)
Latest Inspection
April 30, 2025
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 1 | 27 | This facility has 96% fewer total deficiencies than a typical Iowa nursing home (1 vs. IA avg 27).↓ 96% better |
|
Deficiencies per year
Average deficiencies per year since 2011.
| 0.1 | 1.8 | This facility has 94% fewer deficiencies per year than a typical Iowa nursing home (0.1 vs. IA avg 1.8).↓ 94% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.1 | 1.8 | This facility has 94% fewer deficiencies per inspection than a typical Iowa nursing home (0.1 vs. IA avg 1.8).↓ 94% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 15 | This facility has 53% fewer total inspections than a typical Iowa nursing home (7 vs. IA avg 15).↓ 53% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
- April 30, 2025 recertification inspection found no regulatory insufficiencies or complaints.
- August 13, 2013 monitoring visit cited one deficiency for an unlicensed kitchen used for food storage and ware-washing.
- Multiple inspections from 2011 to 2020 consistently found no deficiencies and no complaints.
Health Inspection History
Inspections
Total health citations
7
Rank #38 / 241Health citations — State benchmarkedThis home is ranked 38th out of 241 homes in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 241 IA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Iowa average 21.7
Citations per inspection
2.33
Rank #47 / 241Citations per inspection — State benchmarkedThis home is ranked 47th out of 241 homes in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 241 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Iowa averageIowa average: 0.6
Serious health citations
0
100% better than Iowa averageIowa average: 0.9
Citations history (last 3 years)
Nutrition moderate citation
Apr 03, 2025
Corrected
Nutrition moderate citation
Apr 03, 2025
Corrected
Nutrition moderate citation
Apr 03, 2025
Corrected
Pharmacy moderate citation
Apr 03, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
58
Employees
41
Contractors
17
Staff to resident ratio
1.87 : 1
9% fewer staff per resident than Iowa average
Avg staff/day
21
Average shift
6.6 hours
11% worse than Iowa average
Total staff hours (quarter)
12,696
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
All 8 RN Staff are full-time employees. No contractors work on this role.
8
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
7 total: 5 full-time employees and 2 contractors.
7
7 total: 5 full-time employees and 2 contractors.
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
29 total: 21 full-time employees and 8 contractors.
29
29 total: 21 full-time employees and 8 contractors.
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13.3%
1,689 contractor hours this quarter
Certified Nursing Assistant: 8
Licensed Practical Nurse: 2
Physical Therapy Aide: 1
Speech Language Pathologist: 1
Physical Therapy Assistant: 1
Respiratory Therapy Technician: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Qualified Social Worker: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 21 | 8 | 29 | 6,614 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 5 | 2 | 7 | 2,256 | 92 | 100% | 7.2 |
| Registered Nurse | 8 | 0 | 8 | 1,415 | 91 | 99% | 7.7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 678 | 62 | 67% | 6.3 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Administrator | 1 | 0 | 1 | 501 | 65 | 71% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 345 | 51 | 55% | 6.8 |
| Speech Language Pathologist | 0 | 1 | 1 | 106 | 59 | 64% | 1.8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 103 | 50 | 54% | 2.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 99 | 59 | 64% | 1.7 |
| Physical Therapy Assistant | 1 | 1 | 2 | 32 | 25 | 27% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 3 | 3% | 3.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 6 | 14 | 15% | 0.4 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
| Qualified Social Worker | 0 | 1 | 1 | 1 | 1 | 1% | 1.4 |
29 Certified Nursing Assistant
% of Days
100%
7 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
99%
2 Other Dietary Services Staff
% of Days
67%
1 Nurse Practitioner
% of Days
72%
1 Administrator
% of Days
71%
1 Clinical Nurse Specialist
% of Days
55%
1 Speech Language Pathologist
% of Days
64%
1 Occupational Therapy Aide
% of Days
54%
1 Physical Therapy Aide
% of Days
64%
2 Physical Therapy Assistant
% of Days
27%
1 Occupational Therapy Assistant
% of Days
3%
1 Respiratory Therapy Technician
% of Days
15%
1 Medical Director
% of Days
3%
1 Qualified Social Worker
% of Days
1%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
51% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.2
58% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
Percent of long-stay residents whose need for help with daily activities has increased
7.4%
61% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.1%
Percent of long-stay residents whose ability to move independently worsened
4.1%
79% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.9%
39% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
31% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.0%
Percent of long-stay high risk residents with pressure ulcers
7.0%
61% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
33% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.2%
Percent of long-stay residents who lose too much weight
4.2%
17% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.5%
Percent of long-stay residents who have depressive symptoms
3.5%
11% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.8%
Percent of long-stay residents who received an antipsychotic medication
13.8%
27% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
5% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.2%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
25% of new residents, usually for short-term rehab.
Typical stay
18 days
Private pay
57% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31
Medicare
2
6.5% of residents
Medicaid
12
38.7% of residents
Private pay or other
17
54.8% of residents
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Thornton Heights Assisted Living based on CMS SNF Cost Reports.
Occupancy Rate
64.9%
↓ 3.7pp vs 2022
Net Income
-$359.9K
↑ ~$156.9K vs 2022
Total Payroll
$2.6M
↑ ~$61.2K vs 2022
Profit Margin
-10.1%
↑ 6.2pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$3.6M
Operating deficit
-$359.9K
Voluntary non-profit community
Home revenue
$3.6M Rank #221 / 242Revenue — State benchmarkedThis home is ranked 221st out of 242 homes in Iowa for revenue. Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$359.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #181 / 242Payroll — State benchmarkedThis home is ranked 181st out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #181 / 242Payroll — State benchmarkedThis home is ranked 181st out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.7M
What does this home offer?
Room Sizes: 670 / 960 sq. ft
Housing Options: 1 Bed / 2 Bed
Building Type: Single-story
Social and Recreational Activities
Parking Available
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Thornton Heights Assisted Living
1.0 miles from city center
Estimated distance in miles from Lansing's city center to Thornton Heights Assisted Living's address, calculated via Google Maps.
Calculate Travel Distance to Thornton Heights Assisted Living
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Financial Assistance for
Nursing Home in Iowa
Thornton Heights Assisted Living is located in Lansing, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Compare Nursing Home around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Thornton Heights Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lansing (Main Street) | 26
Facility
26
IA AVG
73
Rank
#397 / 407 | - | - | 5.21 | +18% | +21% | $0 | 7 | 2.3 | - | 2 |
14
Facility
14
IA AVG
45
Rank
#444 / 528 | Gerald Imhoff | $3.6M | $2.6M | 72.2% | 165259 | ||||
| Valley View Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
73
Rank
#126 / 407 | 100.0% | +33% | 5.52 | +29% | +29% | $18.9k | 19 | 3.2 | 2 | 79 |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M | $7.0M | 71.8% | 165507 |
Frequently Asked Questions about Thornton Heights Assisted Living
What neighborhood is Thornton Heights Assisted Living in?
Thornton Heights Assisted Living is in the Main Street neighborhood of Lansing.
Is Thornton Heights Assisted Living in a walkable area?
Thornton Heights Assisted Living has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the license number of Thornton Heights Assisted Living?
According to IA state health department records, Thornton Heights Assisted Living's license number is S0183.
When does Thornton Heights Assisted Living's license expire?
According to IA state health department records, Thornton Heights Assisted Living's license expires on November 18, 2027.
What is the best email address for Thornton Heights Assisted Living?
The team at Thornton Heights Assisted Living can be reached at [email protected].
Who is the administrator of Thornton Heights Assisted Living?
Sam Kuhn is the administrator of Thornton Heights Assisted Living.
How many beds does Thornton Heights Assisted Living have?
Thornton Heights Assisted Living has 26 beds.
Guides for Better Senior Living
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