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.
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
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
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Contact Information
Email:
[email protected]
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
Citations per inspection
3.67
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
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
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.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Norwalk Nursing and Rehabilitation Center
-6%
+17%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 502111425
45
APPLEGET, KARAH
88.2%
$6,030,976.00
$2,438,246.00
40.4%
41.20
-
-
11
-
-6%
-
+17%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
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:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
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:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Norwalk Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
IA 502111425
Bed Count:
45
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:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
11
RN share vs State Avg:
-6%
-6%
Occupancy vs State Avg:
+17%
+17%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
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:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%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
Source: CMS Payroll-Based Journal (Q2 2025)
64
Total Staff
51
Employees
13
Contractors
15,106
Total Hours (Quarter)
19
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 |
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
