What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Check out our photo album Check out our virtual tours Check out our home videos

Resident interviews at our senior living facilities

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Norwalk Nursing and Rehabilitation Center

Norwalk, IA 502111425 View Map

Norwalk Nursing and Rehabilitation Center is a Nursing Home in Iowa

Norwalk Nursing and Rehabilitation… is a Nursing Home in Iowa

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Overview of 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.

(515) 981-0604

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating

2/5

Iowa avg: 3.1/5

Health Inspection

4/5

Iowa avg: 2.9/5

Staffing

1/5

Iowa avg: 3.5/5

Quality Measures

1/5

Iowa avg: 3.3/5

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.

88.2%

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.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

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

Home revenue

$6.0M

Operating loss

-$218.5K

Proprietary home Partnership

Home revenue

$6,038,421.00

Operating loss

$-218,467.00

Payroll costs

$2.4M

40.4% of revenue

Other operating costs

$3.8M

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 Rate

93%

Occupied Beds

42 of 45

Percentage of available beds currently in use by residents.

License Status

Active

Facility Type

Free Standing NF/SNF

Additional licensing details

License number: 910532

CMS Certification Number: 165179

Certification type: FALSE

County: Warren

Ownership & operating entity

Norwalk Nursing and Rehabilitation Center is administrated by Danielle Hage.

Safety & Compliance

Care Services

Doctor on Staff

Nursing Services

Rehabilitation Services

Skilled Nursing

Licensed Nurses/CNAs

24-Hour Staffing

All Levels of Care

Skilled Nursing

Rehabilitation

Contact Information

Email: [email protected]

Fax: 5159819215

Amenities & Lifestyle

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

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.

Compare Nursing Homes around Iowa

Akron Care Center, INC

SNF

IA 510017716

CITY OF AKRON

98.1%

$4,650,730.00

$2,144,112.00

46.1%

42.00

4/5

4.7098

4/5

5/5

1/5

+10%

+30%

Accura HealthCare of Carlisle

SNF

IA 500478733

AMERICAN HEALTHCARE ASSOCIATES INC

80.5%

$4,098,046.00

$2,453,646.00

59.9%

38.90

4/5

5.8515

3/5

5/5

4/5

+36%

+7%

Norwalk Nursing and Rehabilitation Center

SNF

IA 502111425

APPLEGET, KARAH

88.2%

$6,030,976.00

$2,438,246.00

40.4%

41.20

2/5

4/5

1/5

+17%

Accura Healthcare of Spirit Lake

SNF

IA 513601000

66.6%

$7,053,735.00

$3,009,392.00

42.7%

65.20

1/5

4.2922

1/5

4/5

3/5

-12%

Accura Healthcare of Lake City, LLC

SNF

IA 514499701

ACCURA HEALTHCARE OF THE HEARTLAND LLC

70.4%

$2,045,587.00

$969,532.00

47.4%

39.80

1/5

5.1665

1/5

4/5

1/5

+20%

-7%

Akron Care Center, INC

Type of care: SNF AL

Community: IA 510017716

Bed Count: 45

Pets Allowed: No

Operator: CITY OF AKRON

CCN: 165595

Occupancy: 98.1%

Home Revenue: $4,650,730.00

Payroll Costs: $2,144,112.00

Payroll %: 46.1%

Avg Residents/Day: 42.00

Overall Rating: 4/5

Adj Nurse Hours: 4.7098

Health Insp Rating: 4/5

Staffing Rating: 5/5

QM Rating: 1/5

Citations: 4

RN share vs State Avg:

+15%

Staffing vs State Avg:

+10%

Occupancy vs State Avg:

+30%

Accura HealthCare of Carlisle

Type of care: SNF AL

Community: IA 500478733

Bed Count: 46

Pets Allowed: No

Operator: AMERICAN HEALTHCARE ASSOCIATES INC

CCN: 165311

Occupancy: 80.5%

Home Revenue: $4,098,046.00

Payroll Costs: $2,453,646.00

Payroll %: 59.9%

Avg Residents/Day: 38.90

Overall Rating: 4/5

Adj Nurse Hours: 5.8515

Health Insp Rating: 3/5

Staffing Rating: 5/5

QM Rating: 4/5

Citations: 17

Severe Citations: 2

RN share vs State Avg:

-40%

Staffing vs State Avg:

+36%

Occupancy vs State Avg:

+7%

Norwalk Nursing and Rehabilitation Center

Type of care: SNF AL

Community: IA 502111425

Bed Count: 45

Pets Allowed: No

Operator: APPLEGET, KARAH

CCN: 165179

Occupancy: 88.2%

Home Revenue: $6,030,976.00

Payroll Costs: $2,438,246.00

Payroll %: 40.4%

Avg Residents/Day: 41.20

Overall Rating: 2/5

Health Insp Rating: 4/5

Staffing Rating: 1/5

QM Rating: 1/5

Citations: 11

RN share vs State Avg:

-6%

Occupancy vs State Avg:

+17%

Accura Healthcare of Spirit Lake

Type of care: SNF AL

Community: IA 513601000

Bed Count: 85

Pets Allowed: No

CCN: 165528

Occupancy: 66.6%

Home Revenue: $7,053,735.00

Payroll Costs: $3,009,392.00

Payroll %: 42.7%

Avg Residents/Day: 65.20

Overall Rating: 1/5

Adj Nurse Hours: 4.2922

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 3/5

Number of Fines: 1

Citations: 21

Severe Citations: 1

RN share vs State Avg:

-8%

Staffing vs State Avg: 0%

Occupancy vs State Avg:

-12%

Accura Healthcare of Lake City, LLC

Type of care: SNF AL

Community: IA 514499701

Bed Count: 46

Pets Allowed: No

Operator: ACCURA HEALTHCARE OF THE HEARTLAND LLC

CCN: 165082

Occupancy: 70.4%

Home Revenue: $2,045,587.00

Payroll Costs: $969,532.00

Payroll %: 47.4%

Avg Residents/Day: 39.80

Overall Rating: 1/5

Adj Nurse Hours: 5.1665

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 1/5

Number of Fines: 4

Citations: 39

Severe Citations: 4

RN share vs State Avg:

-33%

Staffing vs State Avg:

+20%

Occupancy vs State Avg:

-7%

Norwalk, IA 502111425

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Total Staff

Employees

Contractors

15,106

Total Hours (Quarter)

Avg Staff/Day

8.7

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	7	9.2	No
Licensed Practical Nurse	7	9.8	Yes
Certified Nursing Assistant	29	9	No

Staff by Category

Administration

2 staff

7.8hs shift avg

Nursing Staff

48 staff

9.3hs shift avg

Physicians & Practitioners

1 staff

7.7hs shift avg

Therapy Services

9 staff

6hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

2 staff

2.7hs shift avg

Dietary Services

1 staff

7.7hs shift avg

Other Services

1 staff

8.3hs shift avg

Contractor Analysis

8.2%

of total hours from contractors

1,241 contractor hours this quarter

Speech Language Pathologist: 1 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 3 Licensed Practical Nurse: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Physical Therapy Aide: 1

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
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

View All Staffing Data

Total Health inspections 3

39% below Iowa average

Iowa average: 4.9

Last Health inspection on Apr 2025

Total Health citations 11

49% below Iowa average

Iowa average: 21.7

3.67 citations per inspection (avg)

Citations origin

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

Standard inspections 10 citations

Complaint investigations 2 citations

Breakdown of citations

Critical Health citations 0

100% below Iowa average

Iowa average: 0.6

Serious Health citations 0

100% below Iowa average

Iowa average: 0.9

Moderate Health citations 11

Minor Health citations 0

Citations history (last 3 years)

Quality of Care moderate citation Apr 16, 2025

Corrected

Abuse/Neglect moderate citation Dec 05, 2024

Corrected

Quality of Care moderate citation Dec 05, 2024

Corrected

Care Planning moderate citation Dec 05, 2024

Corrected

Ownership: For-Profit Corporation

Part of: Campbell Street Senior Living

Resident Census by Payment Source

42 Total Residents

Medicare 4 (9.5%)

Medicaid 23 (54.8%)

Private Pay/Other 15 (35.7%)

Programs & Services

Residents' Group

Family Engagement

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

Active Resident Council

High-risk clinical events score 13.6

33% worse than Iowa average

Iowa average: 10.2

Functional decline score 28.1

30% worse than Iowa average

Iowa average: 21.6

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 23.5%

25% above Iowa average.

Walking Ability Worsened 33.4%

70% above Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 27.4%

5% above Iowa average.

Falls with Major Injury 4.8%

34% above Iowa average.

High Risk Residents with Pressure Ulcers 2.4%

45% below Iowa average.

Urinary Tract Infection 5.6%

125% above Iowa average.

Depressive Symptoms 0.0%

100% below Iowa average.

Antipsychotic Use 3.1%

84% below Iowa average.

Pneumococcal Vaccine 98.6%

4% above Iowa average.

Influenza Vaccine 100.0%

5% above Iowa average.

Lost Too Much Weight 4.0%

19% below Iowa average.

Short-stay resident measures

Pneumococcal Vaccine 91.6%

8% better than Iowa average

Antipsychotic medication increase 3.5%

89% worse than Iowa average

Influenza Vaccine 80.7%

10% better than Iowa average

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...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	77.8%	74.9%	75.4%	75.1%	85.2%	78.6%	69.9%	71.9%	74.1%	72.3%	84.6%	86.8%	88.2%
Beds	51	51	51	51	51	51	51	51	51	51	45	45	45
Net Income	$22,828	-$34,414	-$98,433	$190,361	$269,791	$212,004	-$164,821	-$193,139	-$295,132	$96,595	-$368,986	-$405,541	-$218,467
Gross Revenue	$4,704,450	$4,641,831	$4,855,380	$5,498,985	$6,376,028	$5,306,778	$4,546,820	$4,580,345	$4,947,707	$3,770,636	$5,889,619	$5,676,077	$6,030,976
Operating Expenses	$3,231,219	$3,040,244	$3,220,348	$3,174,424	$3,655,316	$3,347,156	$3,240,047	$3,323,830	$3,651,715	$3,207,496	$3,951,202	$4,154,926	$4,508,066
Net Patient Revenue	$3,259,672	$3,032,216	$3,119,707	$3,447,579	$3,907,714	$3,548,650	$3,055,293	$3,111,355	$3,342,218	$2,923,081	$3,564,223	$3,698,396	$4,282,154
Total Payroll	$2,028,837	$1,969,437	$2,076,649	$2,124,545	$2,034,583	$1,942,479	$1,880,975	$1,969,286	$2,201,359	$1,685,238	$2,735,837	$2,829,264	$3,295,086
Profit Margin %	0.5%	-0.7%	-2.0%	3.5%	4.2%	4.0%	-3.6%	-4.2%	-6.0%	2.6%	-6.3%	-7.1%	-3.6%
Medicare %	14.9%	10.2%	13.8%	15.4%	15.4%	12.4%	12.0%	9.2%	4.5%	7.9%	11.6%	7.8%	7.9%
Medicaid %	65.3%	67.1%	67.9%	62.1%	64.3%	67.3%	68.5%	67.5%	72.9%	52.5%	52.5%	63.3%	57.5%
Private %	19.8%	22.6%	18.3%	22.5%	20.4%	20.3%	19.4%	23.3%	22.7%	39.6%	35.9%	28.9%	34.6%
Revenue/Day	$225	$217	$222	$247	$247	$242	$235	$233	$242	$259	$257	$259	$296
Cost/Day	$223	$217	$230	$227	$231	$228	$249	$248	$265	$284	$284	$291	$311
Avg Length of Stay	154.1 days	124.9 days	133.6 days	164.5 days	142.8 days	120.2 days	127.6 days	122.7 days	139.4 days	341.8 days	178.1 days	222.8 days	136.7 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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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

Elderly Waiver

Iowa Medicaid Elderly Waiver

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

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

General: Caregiver of someone 60+, Iowa resident.

Income Limits: No strict limit; prioritizes low-income.

Asset Limits: Not applicable.

IA Specifics: Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

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

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

IA Specifics: Three tiers; no waitlist.

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

Iowa PACE

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

Income Limits (2025): ~$2,829/month (300% FBR, Medicaid-eligible).

Asset Limits: $2,000 (individual), $3,000 (couple).

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

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

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

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

IA Specifics: Priority for veterans, rural residents.

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

Iowa VA Aid and Attendance/Housebound

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

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

IA Specifics: High veteran demand in rural areas.

Able Up Iowa

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

Income Limits (2025): No strict limit; must demonstrate repayment capacity.

Asset Limits: Not specified; credit-based.

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

Norwalk Nursing and Rehabilitation Center

Norwalk Nursing and Rehabilitation Center is a Nursing Home in Iowa

Norwalk Nursing and Rehabilitation… is a Nursing Home in Iowa

Norwalk Nursing and Rehabilitation Center

Norwalk Nursing and Rehabilitation Center is a Nursing Home in Iowa

Norwalk Nursing and Rehabilitation… is a Nursing Home in Iowa

Quality ratings

Capacity and availability

Smaller home

This home usually has limited availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Safety & Compliance

Care Services

All Levels of Care

Contact Information

Amenities & Lifestyle

Programs & Activities

Inspection History

19 visits/inspections

Latest inspection

19 deficiencies

Inspection Reports

Compare Nursing Homes around Iowa

Places of interest near Norwalk Nursing and Rehabilitation Center

Calculate Travel Distance to Norwalk Nursing and Rehabilitation Center

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Iowa Seniors

Elderly Waiver

Iowa Family Caregiver Support

Medicare Savings Program (MSP)

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

Senior Community Service Employment Program (SCSEP)

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

Able Up Iowa

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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