Regency Assisted Living
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Norwalk, IA
CMS overall rating Info 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.

Regency Assisted Living

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Norwalk, IA
CMS overall rating Info 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.
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Regency Assisted Living accepts Medicare, Medicaid, and private pay.

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.

Since 2010 · 16 years of data 15 deficiencies 10 inspections

Inspection Scorecard Info 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 0 Worse No metrics in this bucket. 2 Better Metrics better than Iowa average:
• Total deficiencies (44% below)
• Deficiencies per inspection (17% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1527 This facility has 44% fewer total deficiencies than a typical Iowa nursing home (15 vs. IA avg 27).↓ 44% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.51.8 This facility has 17% fewer deficiencies per inspection than a typical Iowa nursing home (1.5 vs. IA avg 1.8).↓ 17% better

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

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1015 This facility has had 33% fewer total inspections than the Iowa average (10 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer

Inspection Reports Summary Info 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.

Health Inspection History

Inspections since 2023
Total health inspections 8

State average 4.9


Last Health inspection on Aug 2025

Total health citations
39 Rank #198 / 234Health citations — State benchmarkedThis home is ranked 198th out of 234 homes in Iowa for health citations. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 234 IA facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 21.7

Citations per inspection
4.88 Rank #158 / 234Citations per inspection — State benchmarkedThis home is ranked 158th out of 234 homes in Iowa for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 234 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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).

Breakdown of citation severity (last 3 years)
Critical health citations
2
233% worse than State average

State average: 0.6


Serious health citations
0
100% better than State average

State average: 0.9

2 critical citations State average: 0.6

0 serious citations State average: 0.9

37 moderate citations State average: 19.7

0 minor citations State average: 0.5
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 165
Employees 141
Contractors 24
Staff to resident ratio 2.09 : 1
0% compared with Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 36
Average shift 7.6 hours
0% compared with Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 25,323

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 27 LPN Staff are full-time employees. No contractors work on this role. 27
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 71 CNA Staff are full-time employees. No contractors work on this role. 71
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.7%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant7107110,63892100%7.4
Licensed Practical Nurse270275,33592100%9.1
Medication Aide/Technician230233,37792100%8.9
Registered Nurse91101,6478997%10.1
Dietitian3037746571%7.7
RN Director of Nursing3037536470%9.3
Nurse Practitioner2025126470%8
Speech Language Pathologist0114676773%7
Administrator2024645863%8
Physical Therapy Assistant0553876368%3.6
Respiratory Therapy Technician0333846470%5.6
Physical Therapy Aide0773035964%3.4
Mental Health Service Worker1011441820%8
Qualified Social Worker044593134%1.9
Occupational Therapy Aide011422123%2
Occupational Therapy Assistant011361213%3
Medical Director011111%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%

Penalties and fines

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)

Total fines amount $222K Rank #215 / 241Federal fines — State benchmarkedThis home is ranked 215th out of 241 homes in Iowa for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Iowa average among facilities with fines, and where it ranks among 241 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
362% higher than Iowa average

Iowa average: $48K

Number of fines 2
18% more fines than Iowa average

Iowa average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Iowa average

Iowa average: 0.5

Fines amount comparison
Fines amount comparison
This facility $222K
Iowa 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 20, 2025
$135K

Last updated: Jan 2026

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 Info 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 average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.1
30% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 10.1%
46% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.1%
13% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.1%
31% better than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.5%
59% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.8%
36% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
70% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.9%
22% better than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 11.4%
193% worse than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.1%
21% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.3%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 59.3%
30% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
9% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 66.2%
10% worse than Iowa average

Iowa 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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 79
Medicare
9
11.4% of residents
Medicaid
54
68.4% of residents
Private pay or other
16
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.

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$160.2K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$9.7M Rank #46 / 239Revenue — State benchmarkedThis home is ranked 46th out of 239 homes in Iowa for revenue. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$160.2K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$40.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #72 / 239Payroll — State benchmarkedThis home is ranked 72nd out of 239 homes in Iowa for payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.4M 45.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #202 / 239Payroll % — State benchmarkedThis home is ranked 202nd out of 239 homes in Iowa for payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.5M

Who this home usually serves

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.

Admissions
289 total

Coverage residents most often arrive under.

Medicare 25%
Private pay 39%
Medicaid 37%
Discharges
197 total

Coverage residents most often leave under.

Medicare 18%
Private pay 48%
Medicaid 34%

Places of interest near Regency Assisted Living

Address 0.0 miles from city center Info Estimated distance in miles from Norwalk's city center to Regency Assisted Living's address, calculated via Google Maps.

Calculate Travel Distance to Regency Assisted Living

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Address

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Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

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165399

Frequently Asked Questions about Regency Assisted Living

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%.

How long has Regency Assisted Living been in business?

Regency Assisted Living has been operating for approximately 20 years, based on available licensing and registration records.

Are pets allowed at Regency Assisted Living?

No, Regency Assisted Living has a no-pet policy.

What is the best email address for Regency Assisted Living?

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

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