Regency Assisted Living

Nursing Home, Assisted Living, Independent Living & Memory Care · Norwalk, IA

CMS overall rating

815 High Road, Norwalk, Ia 502111462 View map

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Regency Assisted Living accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Regency Assisted Living accepts Medicare, Medicaid, and private pay.

Overview of Regency Assisted Living

Regency Assisted Living operates a 60-bed skilled nursing property at 815 High Road in Norwalk, Iowa. Owned by Carla Hall and managed under administrator Victoria Lehman, the facility maintains a quiet baseline census, currently holding an occupancy rate around 42 percent with roughly 25 residents. Financial coordinators process transactions through individual out-of-pocket billing channels alongside state Medicaid options and standard federal Medicare programs. Stays here average about 151 days, which reflects an everyday operational design that merges brief physical therapy rehabilitation cases with extended clinical nursing placements.

State safety logs map out historical compliance patterns over the facility’s 20-year operating history. Regular public health evaluations handled by the Iowa Department of Inspections, Appeals, and Licensing highlighted several repeat administrative themes, pointing out explicit procedural gaps in medication management practices, general resident supervision, and health record documentation. Local supervisors use these periodic regulatory summaries to shape employee skill training modules and adjust daily clinical workflows across the floor shifts to meet public healthcare codes.

For local transit, the surrounding town layout records a walkability score of 70 out of 100, showing a highly accessible neighborhood environment where visiting family members can complete routine errands on foot. On-site shift routines support this setting by providing a daily average of 3 hours and 10 minutes of direct, hands-on care to each individual. Certified nurse aides cover the largest block of this bedside timeline at 2 hours and 17 minutes, working alongside licensed practical nurses who provide 1 hour and registered nurses who add 21 minutes of clinical tracking, respite support, and continuous treatment monitoring.

Prospective residents can call the main office desk to check on current bed layouts, ask about the details of the short-term rehabilitation therapies, or schedule a day to see the grounds.

Facility Direct Line (515) 981-4576

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 6m per day

vs avg

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
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
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
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
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
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

Capacity and availability

151 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

20 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 70 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

42%

Lower than the Iowa average: 75.4%

Occupied beds

25 / 60

Average occupied beds in Iowa homes 51 beds

Facility TypeAssisted Living Programs

StatusActive

IssuanceApril 14, 2006

ExpirationApril 12, 2028

CountyWarren

License NumberS0232

CMS Certification Number165399

Regency Assisted Living is administered by Victoria Lehman.

Rehabilitation Services

Respite Care

24-Hour Staffing

Short-Term Stays

Skilled Nursing And Rehab

Email vlehman@norwalkhc.com

Fax5159815348

Since 2010 · 16 years of data 15 deficiencies 10 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2010 vs. Iowa state average

Overall vs. IA average

Latest Inspection January 9, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	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 assisted living residence (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 assisted living residence (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 assisted living residence (1.5 vs. IA avg 1.8).↓ 17% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	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 assisted living residence (10 vs. IA avg 15).↓ 33% better

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The January 9, 2025 inspection substantiated one deficiency for improper medication disposal involving use of a deceased tenant’s medication for another tenant.
The February 1, 2023 recertification found two deficiencies: incomplete individualized service plans for three tenants and inadequate supervision of a discharged tenant with dementia.
The July 30, 2014 complaint investigation cited eight deficiencies including incomplete tenant evaluations, medication errors, nurse review lapses, food service licensing issues, staffing training gaps, and mold in the kitchen.

Show Inspection Reports

Inspections since 2023

Total health inspections 8

State average N/A

Last Health inspection on Aug 2025

Total health citations

State average N/A

Citations per inspection

4.88

State average N/A

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).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

0 serious citations State average: N/A

37 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 165

Employees 141

Contractors 24

Staff to resident ratio 2.09 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 36

Average shift 7.6 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 25,323

Nursing staff breakdown

10.1 hours

9.1 hours

7.4 hours

Contractor staffing

1,697 contractor hours this quarter

Physical Therapy Aide: 7 Physical Therapy Assistant: 5 Qualified Social Worker: 4 Respiratory Therapy Technician: 3 Registered Nurse: 1 Speech Language Pathologist: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category


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

71 Certified Nursing Assistant

% of Days 100%

27 Licensed Practical Nurse

% of Days 100%

23 Medication Aide/Technician

% of Days 100%

10 Registered Nurse

% of Days 97%

3 Dietitian

% of Days 71%

3 RN Director of Nursing

% of Days 70%

2 Nurse Practitioner

% of Days 70%

1 Speech Language Pathologist

% of Days 73%

2 Administrator

% of Days 63%

5 Physical Therapy Assistant

% of Days 68%

3 Respiratory Therapy Technician

% of Days 70%

7 Physical Therapy Aide

% of Days 64%

1 Mental Health Service Worker

% of Days 20%

4 Qualified Social Worker

% of Days 34%

1 Occupational Therapy Aide

% of Days 23%

1 Occupational Therapy Assistant

% of Days 13%

1 Medical Director

% of Days 1%

View All Staffing Data

Total fines amount $222K

362% higher than State average

State average: $48K

Number of fines 2

18% more fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $222K

State average $48K

Penalty History

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

1 penalty in the past 3 years

Aug 20, 2025 · $135K

Civil Money Penalty Aug 20, 2025

$135K

Last updated: Jan 2026

High-risk clinical events score 7.1

31% better than State average

State average: 10.2

Functional decline score 15.1

30% better than State average

State average: 21.6

Long-stay resident measures

Need for Help with Daily Activities Increased 10.1%

46% better than State average

State average: 18.8%

Walking Ability Worsened 17.1%

13% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 18.1%

31% better than State average

State average: 26.2%

Falls with Major Injury 1.5%

59% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.8%

36% better than State average

State average: 4.4%

Urinary Tract Infection 0.8%

70% better than State average

State average: 2.5%

Lost Too Much Weight 3.9%

22% better than State average

State average: 5.0%

Depressive Symptoms 11.4%

193% worse than State average

State average: 3.9%

Antipsychotic Use 15.1%

21% better than State average

State average: 19.0%

Pneumococcal Vaccine 93.3%

In line with State average

State average: 94.4%

Influenza Vaccine 96.0%

In line with State average

State average: 95.3%

Short-stay resident measures

Pneumococcal Vaccine 59.3%

30% worse than State average

State average: 85.1%

Antipsychotic medication increase 1.7%

9% better than State average

State average: 1.8%

Influenza Vaccine 66.2%

10% worse than State average

State average: 73.3%

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

Total residents 79

Medicare

11.4% of residents

Medicaid

68.4% of residents

Private pay or other

20.3% of residents

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.

Financial Trends

Historical financial and operational data for Regency Assisted Living from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 170.7% ↑ 108.8pp vs 2022

Net Patient Income $160.2K ↑ ~$29.4K vs 2022

Payroll Costs $4.4M ↑ ~$892.9K vs 2022

Operating Margin 1.7% ↑ 0.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	74.1%	75.5%	69.1%	61.3%	61.5%	59.7%	83.3%	44.2%	59.0%	59.2%	59.4%	61.9%	170.7%
Beds	101	101	101	161	161	161	161	161	161	161	161	161	60
Net Income	-$14,627	-$200,589	-$302,811	-$409,758	-$46,590	-$1,764,328	-$604,262	$593,242	$390,986	$686,291	$1,343,360	$165,002	$201,010
Gross Revenue	$2,103,743	$6,745,815	$7,176,505	$8,189,532	$7,663,265	$6,369,251	$7,246,529	$7,109,002	$8,676,893	$8,911,032	$8,921,648	$10,004,427	$11,516,781
Operating Expenses	$1,803,085	$6,094,167	$6,362,785	$6,814,891	$6,507,524	$7,431,383	$7,068,006	$6,942,204	$6,686,548	$7,337,682	$7,857,000	$8,894,019	$9,492,886
Net Patient Income	$12,805	-$138,977	-$257,500	-$414,887	-$47,807	-$1,772,374	-$605,286	-$317,835	$390,137	$376,473	-$100,443	$130,808	$160,200
Net Patient Revenue	$1,815,890	$5,955,190	$6,105,285	$6,400,004	$6,459,717	$5,659,009	$6,462,720	$6,624,369	$7,076,685	$7,714,155	$7,756,557	$9,024,827	$9,653,086
Payroll Costs	$866,259	$2,826,642	$2,782,285	$2,794,463	$2,711,507	$3,259,886	$3,524,582	$3,157,211	$3,131,177	$3,406,102	$3,449,265	$3,505,350	$4,398,211
Operating Margin %	0.7%	-2.3%	-4.2%	-6.5%	-0.7%	-31.3%	-9.4%	-4.8%	5.5%	4.9%	-1.3%	1.5%	1.7%
Medicare %	9.2%	6.5%	9.4%	8.6%	6.9%	4.0%	2.7%	5.4%	6.7%	8.6%	7.2%	11.7%	5.8%
Medicaid %	58.7%	57.5%	57.6%	54.4%	56.2%	45.4%	42.5%	80.8%	55.6%	51.0%	51.0%	43.0%	52.3%
Private %	32.1%	35.9%	33.0%	37.0%	36.9%	50.6%	54.8%	13.8%	37.7%	40.5%	41.8%	45.3%	42.0%
Net Patient Revenue/Day	$227	$213	$240	$178	$179	$161	$132	$255	$204	$221	$222	$248	$258
Cost/Day	$225	$218	$250	$189	$180	$211	$144	$267	$193	$210	$225	$244	$254
Avg Length of Stay	123.2 days	150.1 days	150.7 days	148.3 days	192.1 days	236.3 days	193.1 days	133.2 days	149.9 days	197.5 days	178.2 days	127.9 days	151.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.7M

Net patient income

$160.2K

For-profit Operated by a single business entity.

Net patient revenue

$9.7M

Net patient income

$160.2K

Other income

$40.8K

Payroll costs

$4.4M 45.6% of net patient revenue

Other operating costs

$5.1M

Total costs

$9.5M

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.

New residents most often arrive under private pay (39% of admissions), and a typical private pay stay runs around 4 - 5 months.

Coverage residents most often arrive under.

Medicare 25%

Private pay 39%

Medicaid 37%

Coverage residents most often leave under.

Medicare 18%

Private pay 48%

Medicaid 34%

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.

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


Regency Assisted Living	NH AL IL MC	Norwalk	-	60	-	70	-
Ramsey Village Continuing Care	NH AL IL MC RC	Des Moines (Drake)	-	78	-	38	1 bed / 2 bed
Rotary Senior Living	NH AL IL MC	Eagle Grove	-	40	-	24	Private Rooms
Calvin Community	NH AL IL MC	Des Moines (Beaverdale)	-	59	-	61	1 Bed
The Summit at Bettendorf	NH AL IL MC	Bettendorf	-	40	-	11	Studio / 1 Bed / 2 Bed

Nursing Home Explorer

Is Regency Assisted Living in a walkable area?

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.

What is the license number of Regency Assisted Living?

According to IA state health department records, Regency Assisted Living's license number is S0232.

When does Regency Assisted Living's license expire?

According to IA state health department records, Regency Assisted Living's license expires on April 12, 2028.

What is the occupancy rate at Regency Assisted Living?

Regency Assisted Living's occupancy is 42%.

What is the best email address for Regency Assisted Living?

The team at Regency Assisted Living can be reached at vlehman@norwalkhc.com.

Does Regency Assisted Living operate as a for-profit or non-profit?

Regency Assisted Living is registered as a for-profit in IA.

Who is the administrator of Regency Assisted Living?

Victoria Lehman is the administrator of Regency Assisted Living.

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Regency Assisted Living

Overview of Regency Assisted Living

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Contact Information

Contact Regency Assisted Living

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

71 Certified Nursing Assistant

27 Licensed Practical Nurse

23 Medication Aide/Technician

10 Registered Nurse

3 Dietitian

3 RN Director of Nursing

2 Nurse Practitioner

1 Speech Language Pathologist

2 Administrator

5 Physical Therapy Assistant

3 Respiratory Therapy Technician

7 Physical Therapy Aide

1 Mental Health Service Worker

4 Qualified Social Worker

1 Occupational Therapy Aide

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Regency Assisted Living

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