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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Higher than the Iowa average: 75.4%Norwalk Nursing and Rehabilitation Center is administrated by Danielle Hage.
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.
| 27 | 27 | This facility has total deficiencies in line with the Iowa average (27 vs. IA avg 27).— At avg |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 4.5 | 4.5 | This facility has deficiencies per year in line with the Iowa average (4.5 vs. IA avg 4.5).— At avg |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.4 | 1.8 | This facility has 22% fewer deficiencies per inspection than a typical Iowa nursing home (1.4 vs. IA avg 1.8).↓ 22% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 19 | 15 | This facility has 27% more total inspections than a typical Iowa nursing home (19 vs. IA avg 15).↑ 27% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Apr 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.
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).
100% better 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.
11% better than Iowa average
19% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,297 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 40 | 0 | 40 | 7,507 | 92 | 100% | 9.5 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,367 | 92 | 100% | 9.5 |
| Medication Aide/Technician | 9 | 0 | 9 | 1,410 | 81 | 88% | 9.4 |
| Registered Nurse | 9 | 0 | 9 | 1,162 | 87 | 95% | 9.2 |
| RN Director of Nursing | 2 | 1 | 3 | 611 | 62 | 67% | 9.1 |
| Dietitian | 3 | 0 | 3 | 543 | 69 | 75% | 7.6 |
| Administrator | 2 | 0 | 2 | 536 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 522 | 62 | 67% | 8.4 |
| Physical Therapy Assistant | 0 | 3 | 3 | 482 | 62 | 67% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 476 | 59 | 64% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 368 | 46 | 50% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 126 | 25 | 27% | 5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 55 | 40 | 43% | 1.4 |
| Physical Therapy Aide | 0 | 2 | 2 | 30 | 6 | 7% | 5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 21 | 3 | 3% | 6.8 |
| Qualified Social Worker | 0 | 1 | 1 | 18 | 12 | 13% | 1.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
13.6
33% worse than Iowa averageIowa average: 10.2
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
25% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
33.4%
70% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
34% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
5.6%
125% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
4.0%
19% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
3.1%
84% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
3.44
132% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.27
56% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.6%
8% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
3.5%
89% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.7%
10% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.2%
In line with Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.8%
28% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
25.8%
52% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.1%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
42% of new residents, usually for short-term rehab.
42% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
42Residents 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 Norwalk Nursing and Rehabilitation Center 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 #146 / 242Payroll — State benchmarkedThis home is ranked 146th 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 Norwalk Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Norwalk Nursing and Rehabilitation Center 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.
| Sunrise Retirement Community |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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| Terrace Glen 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Marion (Flynn) | 40 | 94.7% | +26% | 4.48 | +20% | +4% | $12.2k | 14 | 4.7 | 4 | 39 | A | 14 | Abernathy Family Farms LLC | $9.5M | $4.5M | 47.9% | 165625 | ||||
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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.
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| 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).
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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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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Norwalk Nursing and Rehabilitation Center 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, Norwalk Nursing and Rehabilitation Center's license number is 910532.
Norwalk Nursing and Rehabilitation Center's occupancy is 93%.
The team at Norwalk Nursing and Rehabilitation Center can be reached at [email protected].
Danielle Hage is the administrator of Norwalk Nursing and Rehabilitation Center.
Norwalk Nursing and Rehabilitation Center has 45 beds.
Yes — there are 5 photos of Norwalk Nursing and Rehabilitation Center in the photo gallery on this page.
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