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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.
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.
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.
This home is ranked 238th 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 21m per day | ▼ 52% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 0m per day | ▲ 77% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 17m per day | ▼ 9% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
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 4m per day | ▼ 9% State avg: 3h 23m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 70% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 19m per day | ▼ 37% State avg: 30m per day · National avg: 29m per day |
Lower than the Iowa average: 75.4%Regency Assisted Living is administrated by Victoria Lehman.
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.
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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 15 | 27 | This facility has 44% fewer total deficiencies than a typical Iowa nursing home (15 vs. IA avg 27).↓ 44% better |
|
Deficiencies per year
Average deficiencies per year since 2010.
| 0.9 | 1.7 | This facility has 47% fewer deficiencies per year than a typical Iowa nursing home (0.9 vs. IA avg 1.7).↓ 47% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.5 | 1.8 | This facility has 17% fewer deficiencies per inspection than a typical Iowa nursing home (1.5 vs. IA avg 1.8).↓ 17% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 15 | This facility has 33% fewer total inspections than a typical Iowa nursing home (10 vs. IA avg 15).↓ 33% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Aug 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 39 citations resulted from standard inspections; 18 of 39 resulted from complaint investigations; and 11 of 39 came from combined inspections (standard and complaint).
233% worse than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
10 total: 9 full-time employees and 1 contractor.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursAssists with medical care and medications.
All 27 LPN Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
All 71 CNA Staff are full-time employees. No contractors work on this role.
71
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,697 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 71 | 0 | 71 | 10,638 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 27 | 0 | 27 | 5,335 | 92 | 100% | 9.1 |
| Medication Aide/Technician | 23 | 0 | 23 | 3,377 | 92 | 100% | 8.9 |
| Registered Nurse | 9 | 1 | 10 | 1,647 | 89 | 97% | 10.1 |
| Dietitian | 3 | 0 | 3 | 774 | 65 | 71% | 7.7 |
| RN Director of Nursing | 3 | 0 | 3 | 753 | 64 | 70% | 9.3 |
| Nurse Practitioner | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 467 | 67 | 73% | 7 |
| Administrator | 2 | 0 | 2 | 464 | 58 | 63% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 387 | 63 | 68% | 3.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 384 | 64 | 70% | 5.6 |
| Physical Therapy Aide | 0 | 7 | 7 | 303 | 59 | 64% | 3.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 144 | 18 | 20% | 8 |
| Qualified Social Worker | 0 | 4 | 4 | 59 | 31 | 34% | 1.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 42 | 21 | 23% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 36 | 12 | 13% | 3 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Includes penalties issued in 2025
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)
362% higher than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 20, 2025 · $135K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 20, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
31% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.1
30% better than Iowa averageIowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
10.1%
46% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
17.1%
13% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.1%
31% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
59% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.8%
36% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.8%
70% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.9%
22% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
11.4%
193% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
15.1%
21% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.3%
30% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
9% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.2%
10% worse 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.
25% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
37% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Regency Assisted Living based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #74 / 242Payroll — State benchmarkedThis home is ranked 74th out of 242 homes in Iowa. 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Norwalk's city center to Regency Assisted Living's address, calculated via Google Maps.
Add your location
Regency Assisted Living is located in Norwalk, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| 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
71
Rank
#117 / 407 |
100.0%
Facility
100.0%
IA AVG
75.4%
Rank
#1 / 401 | +33% | 5.52
Facility
5.52
IA AVG
4.30
Rank
#22 / 241 | +29% | +29% | $9.1k
Facility
$9.1k
IA AVG
$53.4k
Rank
#170 / 246 | 19
Facility
19
IA AVG
21.7
Rank
#139 / 241 | 3.2
Facility
3.2
IA AVG
4.1
Rank
#94 / 241 | 2 | 75 |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M
Facility
$9.7M
IA AVG
$7.0M
Rank
#70 / 242 | $7.0M
Facility
$7.0M
IA AVG
$3.1M
Rank
#32 / 242 | 71.8%
Facility
71.8%
IA AVG
46.3%
Rank
#13 / 242 | 165507 | ||||
| Regency 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. | Norwalk | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
41.7%
Facility
41.7%
IA AVG
75.4%
Rank
#337 / 401 | -45% | 3.10
Facility
3.10
IA AVG
4.30
Rank
#238 / 241 | -48% | -28% | $78.5k
Facility
$78.5k
IA AVG
$53.4k
Rank
#242 / 246 | 39
Facility
39
IA AVG
21.7
Rank
#208 / 241 | 4.9
Facility
4.9
IA AVG
4.1
Rank
#170 / 241 | 2 | 25 |
70
Facility
70
IA AVG
45
Rank
#98 / 528 | Carla Hall | $11.6M
Facility
$11.6M
IA AVG
$7.0M
Rank
#48 / 242 | $5.0M
Facility
$5.0M
IA AVG
$3.1M
Rank
#74 / 242 | 43.1%
Facility
43.1%
IA AVG
46.3%
Rank
#203 / 242 | 165399 |
The legal owner and operator of Regency Assisted Living is No Related Entities Found.
Regency Assisted Living has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Regency Assisted Living's license number is S0232.
According to IA state health department records, Regency Assisted Living's license expires on April 12, 2028.
Regency Assisted Living's occupancy is 42%.
The team at Regency Assisted Living can be reached at [email protected].
Victoria Lehman is the administrator of Regency Assisted Living.
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