Occupancy rate
93%
In line with Iowa averageMix 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.
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Nursing Home in Iowa
CMS overall rating
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.
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.
Norwalk Nursing and Rehabilitation Center
Nursing Home in Iowa
CMS overall rating
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.
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.
Norwalk Nursing and Rehabilitation Center
Norwalk Nursing and Rehabilitation Center is located in Norwalk, Iowa. It offers skilled nursing and rehabilitation services, including personalized therapy programs and compassionate support. The facility is dedicated to enriching the quality of life for each resident.
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.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
45
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
93.3%
Residents per day (avg)
41
Occupancy rate
93.3%
Residents per day (avg)
41
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
42% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
42% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$6.0M
Operating loss
-$218.5K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$6,038,421.00
Operating loss
$-218,467.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.3M
45-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Occupancy
In line with Iowa averageOccupied beds
42 / 45
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Warren
Additional licensing details
License number:
910532
CMS Certification Number:
165179
Certification type:
FALSE
Ownership & operating entity
Norwalk Nursing and Rehabilitation Center is administrated by Danielle Hage.
Safety & Compliance
Care Services
All Levels of Care
Contact Information
Fax:
5159819215
Programs & Activities
Specific Programs
Licensed nurses on-site 24/7, Medication management, Wound care, Physician visits, Dietary and nutritional counseling, Restorative rehabilitation, Vision and dental care, Disease management and early intervention, Hospital readmission reduction program, Individualized resident care plans, Assistance with activities of daily living, Housekeeping and laundry services, Social activities
Operating Hours
24/7
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.
19 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
December 31, 2025
19 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Norwalk Nursing and Rehabilitation Center
The most recent inspection on December 31, 2025, cited a deficiency related to transcription, verification, and administration of insulin orders for diabetes management. Earlier inspections showed a mixed pattern with deficiencies involving resident care, such as safe transfers and infection control, as well as documentation and policy implementation issues. Complaint investigations were mostly unsubstantiated, though some were substantiated, including one involving unsafe wheelchair transfers and another related to staff abuse and disrespectful treatment of residents. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history indicates ongoing challenges with clinical care and policy adherence, with no clear pattern of consistent improvement or worsening over time.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Apr 2025
Total health citations
11
Iowa average 21.7
Citations per inspection
3.67
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 11 citations resulted from standard inspections; 1 of 11 resulted from complaint investigations; and 1 of 11 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
11 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 16, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Apr 16, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 05, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Dec 05, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 05, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Dec 05, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Dec 05, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Dec 05, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Akron Care Center, INC
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.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
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.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Norwalk Nursing and Rehabilitation Center
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.
Norwalk
45
88.2%
+17%
-
-
0
11
3.7
0
41
Appleget, Karah
$6.0M
$2.4M
40.4%
165179
Accura Healthcare of Spirit Lake
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.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near Norwalk Nursing and Rehabilitation Center
Norwalk, IA 502111425
Norwalk, IA 502111425
Calculate Travel Distance to Norwalk Nursing and Rehabilitation Center
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
64
Employees
51
Contractors
13
Staff to resident ratio
1.52:1
24% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
19
Average shift
8.7 hours
18% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
15,106
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
29
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8.2%
1,241 contractor hours this quarter
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 2
Qualified Social Worker: 2
Speech Language Pathologist: 1
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Physical Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 29 | 0 | 29 | 6,970 | 91 | 100% | 9 |
| Licensed Practical Nurse | 6 | 1 | 7 | 1,841 | 91 | 100% | 9.8 |
| Registered Nurse | 7 | 0 | 7 | 1,642 | 90 | 99% | 9.2 |
| Medication Aide/Technician | 4 | 0 | 4 | 863 | 72 | 79% | 9.8 |
| RN Director of Nursing | 1 | 0 | 1 | 667 | 65 | 71% | 10.3 |
| Physical Therapy Assistant | 0 | 3 | 3 | 493 | 64 | 70% | 7.6 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 478 | 62 | 68% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 57 | 63% | 8.3 |
| Speech Language Pathologist | 0 | 1 | 1 | 457 | 58 | 64% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 456 | 59 | 65% | 7.7 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 124 | 20 | 22% | 6.2 |
| Qualified Social Worker | 0 | 2 | 2 | 65 | 24 | 26% | 2.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 62 | 47 | 52% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 22 | 4 | 4% | 5.5 |
| Physical Therapy Aide | 0 | 1 | 1 | 11 | 2 | 2% | 5.5 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
29 Certified Nursing Assistant
% of Days
100%
7 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
99%
4 Medication Aide/Technician
% of Days
79%
1 RN Director of Nursing
% of Days
71%
3 Physical Therapy Assistant
% of Days
70%
1 Administrator
% of Days
66%
1 Dietitian
% of Days
68%
1 Mental Health Service Worker
% of Days
63%
1 Speech Language Pathologist
% of Days
64%
1 Nurse Practitioner
% of Days
65%
2 Respiratory Therapy Technician
% of Days
22%
2 Qualified Social Worker
% of Days
26%
1 Occupational Therapy Aide
% of Days
52%
1 Occupational Therapy Assistant
% of Days
4%
1 Physical Therapy Aide
% of Days
2%
1 Medical Director
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
42 residents
Residents by payment source
Medicare
4 residents (9.5%)
Medicaid
23 residents (54.8%)
Private pay or other
15 residents (35.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
13.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
33% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.1
30% worse 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
23.5%
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
25% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
33.4%
Percent of long-stay residents whose ability to move independently worsened
33.4%
70% worse 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
27.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.4%
5% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
34% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
5.6%
Percent of long-stay residents with a urinary tract infection
5.6%
125% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.0%
Percent of long-stay residents who lose too much weight
4.0%
19% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.1%
Percent of long-stay residents who received an antipsychotic medication
3.1%
84% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with 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
91.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
8% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
89% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
10% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Norwalk Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
88.2%
↑ 1.4pp vs 2022
Net Income
-$218,467
↑ ~$187K vs 2022
Total Payroll
$3,295,086
↑ ~$466K vs 2022
Profit Margin
-3.6%
↑ 3.5pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Iowa Seniors
Get financial aid guidanceContact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Norwalk Nursing and Rehabilitation Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
