Regency Assisted Living

Regency Assisted Living is an Assisted Living Home in Iowa

Regency Assisted Living is an Assisted Living Home in Iowa

Regency Assisted Living

Norwalk, IA 502111462 View Map

Regency Assisted Living is an Assisted Living Home in Iowa

Regency Assisted Living is an Assisted Living Home in Iowa

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Overview of Regency Assisted Living
Regency Assisted Living is a senior living community located in Ooltewah, TN. It offers a range of services including Assisted Living, Memory Care, Independent Living, and Short-Term Stays. The community is dedicated to providing compassionate care and a supportive environment for its residents.
(515) 981-4576

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.10/day Iowa avg: 4.30/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Iowa avg: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
1/5
Iowa avg: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Iowa avg: 3.5/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Iowa avg: 3.3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 60

This home is often near full

That suggests steady demand, but availability may be limited.

Higher demand than most homes in Iowa
Occupancy rate 101.4%
Residents per day (avg) 74
Occupancy rate
101.4%
Residents per day (avg)
74

Who this home usually serves

TYPE OF STAY

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.

Breakdown by payment type

Medicare

25% of new residents, usually for short-term rehab.

Typical stay 30 days

Private pay

39% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

37% of new residents, often for long-term daily care.

Typical stay 6 months

Finances and operations

Proprietary home
Other
Home revenue
$11.6M
Profit
$201.0K
Proprietary home Other
Home revenue
$11,557,591.00
Profit
$201,010.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.9M
34.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.4M
Total costs $11.4M
Bed community size
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
19 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy Rate
42%
Occupied Beds
25 of 60
Percentage of available beds currently in use by residents.
License Status
Active
Facility Type
Assisted Living Programs
License Date
April 14, 2006

Additional licensing details

License number: S0232
CMS Certification Number: 165399
County: Warren

Ownership & operating entity

Regency Assisted Living is administrated by Victoria Lehman.

Owner name: No Related Entities Found

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

All Levels of Care

Assisted Living
Independent Living
Memory Care
Short-Term Stays
Skilled Nursing and Rehab

Contact Information

Fax: 5159815348

Amenities & Lifestyle

Programs & Activities

Specific Programs
Assisted Living, Independent Living, Memory Care, Short-Term Stays, Skilled Nursing and Rehab

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.

10 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date:January 9, 2025

15 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Assisted Living around Iowa

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Cornerstone AL
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 504013412
180
No
84
GOOD SHEPHERD GERIATRIC CENTER INC
77.4%
$20,387,781.00
$9,463,841.00
46.4%
157.50
2/5
4.4537
2/5
3/5
3/5
1
32
3
-20%
+4%
+3%
-
Regency Assisted Living
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 502111462
101
No
-
HALL, CARLA
101.4%
$11,516,781.00
$3,943,827.00
34.2%
74.20
1/5
3.0950
1/5
1/5
4/5
2
39
2
-51%
-28%
+34%
-
Crown Pointe Estates AL Memory Care
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IA 51250
99
No
-
SIOUX CENTER HEALTH
90.9%
$9,650,835.00
$5,472,486.00
56.7%
91.80
3/5
5.8182
2/5
5/5
3/5
2
21
1
-47%
+35%
+20%
-
Courtyard Terrace Assisted
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Boone
50
Yes
37
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed
Avoca Lodge Assisted Living
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Avoca
40
No
0
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Semi-Private / 1 Bed

Places of interest near Regency Assisted Living

Address Norwalk, IA 502111462

Address Norwalk, IA 502111462

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

123
Total Staff
101
Employees
22
Contractors
25,367
Total Hours (Quarter)
35
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse79.3 No
Licensed Practical Nurse1210.1 No
Certified Nursing Assistant507.5 No
Staff by Category
Administration
2 staff
7hs shift avg
Nursing Staff
92 staff
8.4hs shift avg
Physicians & Practitioners
6 staff
7.2hs shift avg
Therapy Services
17 staff
3.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
1.9hs shift avg
Dietary Services
1 staff
8hs shift avg
Other Services
2 staff
7.7hs shift avg
Contractor Analysis
3.2%
of total hours from contractors
815 contractor hours this quarter
Physical Therapy Assistant: 2 Speech Language Pathologist: 3 Qualified Social Worker: 3 Physical Therapy Aide: 5 Medical Director: 1 Respiratory Therapy Technician: 5 Other Physician: 2 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant500509,83491100%7.5
Licensed Practical Nurse120124,19791100%10.1
Medication Aide/Technician120124,05791100%9.2
Registered Nurse7071,8259099%9.3
RN Director of Nursing4041,2647178%8.6
Nurse Aide in Training7079386774%7.6
Nurse Practitioner2028566470%8
Mental Health Service Worker2025226167%7.7
Administrator1014645864%8
Dietitian1014145257%8
Physical Therapy Aide0552646066%3.8
Speech Language Pathologist0332003741%4.4
Physical Therapy Assistant0221385459%2.4
Clinical Nurse Specialist2021091516%7.2
Other Physician022882224%3.5
Occupational Therapy Aide10172910%8
Respiratory Therapy Technician055703134%2.2
Occupational Therapy Assistant0112433%8
Qualified Social Worker033201112%1.9
Medical Director011101011%1

Health Inspection History

Total Health inspections 8
63% above State average
State average: 4.9

Last Health inspection on Aug 2025

Total Health citations 39
80% above State average
State average: 21.7

4.88 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 21 citations
Complaint investigations 29 citations
Breakdown of citations
Critical Health citations 2
233% above State average
State average: 0.6
Serious Health citations 0
100% below State average
State average: 0.9
Moderate Health citations 37

Minor Health citations 0
Citations history (last 3 years)
Infection Control moderate citation Aug 20, 2025
Corrected

Nursing Services moderate citation Aug 20, 2025
Corrected

Quality of Care moderate citation Aug 20, 2025
Corrected

Quality of Care critical citation Aug 20, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Part of: DSM Healthcare Management
Resident Census by Payment Source
79 Total Residents
Medicare 9 (11.4%)
Medicaid 54 (68.4%)
Private Pay/Other 16 (20.3%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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 7.1
31% better than Iowa average
Iowa average: 10.2
Functional decline score 15.1
30% better than Iowa average
Iowa average: 21.6
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 10.1%
46% below Iowa average.

Walking Ability Worsened 17.1%
13% below Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 18.1%
31% below Iowa average.
Safety & clinical stability

Falls with Major Injury 1.5%
59% below Iowa average.

High Risk Residents with Pressure Ulcers 2.8%
36% below Iowa average.

Urinary Tract Infection 0.8%
70% below Iowa average.
Emotional & behavioral wellbeing

Depressive Symptoms 11.4%
193% above Iowa average.

Antipsychotic Use 15.1%
21% below Iowa average.
Preventive care

Pneumococcal Vaccine 93.3%
1% below Iowa average.

Influenza Vaccine 96.0%
1% above Iowa average.
Nutrition & physical health

Lost Too Much Weight 3.9%
22% below Iowa average.
Short-stay resident measures
Pneumococcal Vaccine 59.3%

30% worse than Iowa average
Antipsychotic medication increase 1.7%

9% better than Iowa average
Influenza Vaccine 66.2%

10% worse than Iowa average

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 (Data as of Jan 2026)

Total fines amount $222K
This home paid 362% more in fines than the state average.
Iowa average: $48K
Number of Fines 2
This home received 18% more fines than the state average.
Iowa average: 1.7
Payment Denials 0
This home had 100% fewer payment denials than the state average.
Iowa average: 0.5
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Aug 20, 2025
$135K
Civil Money Penalty Apr 17, 2023
$87K

Last updated: Jan 2026

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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