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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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 238th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 2h 42m per day |
Lower than the Iowa average: 75.4%Regency Assisted Living is administrated by Victoria Lehman.
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.
| 15 | 27 | This facility has 44% fewer total deficiencies than a typical Iowa nursing home (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 nursing home (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 nursing home (1.5 vs. IA avg 1.8).↓ 17% better |
Inspections
| 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 nursing home (10 vs. IA avg 15).↓ 33% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 9, 2025, cited a deficiency related to the improper disposal and reuse of medication from a deceased tenant. Earlier inspections showed a mix of findings, including issues with individualized service plans, staffing supervision, and medication practices, as well as some substantiated complaints involving mold and tenant evaluations. The main themes across deficiencies involved medication management and service plan documentation, with occasional concerns about staffing and environmental conditions. Complaint investigations were mostly unsubstantiated except for the medication reuse issue and a past mold complaint. The inspection history shows some recurring issues with medication and service plans, but more recent reports indicate fewer and more isolated deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Aug 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.
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).
233% worse 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.
0% compared with Iowa average
0% compared with 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.
10.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 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.
7.4 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
1,697 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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)
362% higher than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Aug 20, 2025 · $135K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 20, 2025Last updated: Jan 2026
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.
7.1
31% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.1
30% better than Iowa averageIowa average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
10.1%
46% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
17.1%
13% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.1%
31% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
59% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.8%
36% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.8%
70% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
3.9%
22% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
11.4%
193% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
15.1%
21% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.3%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
In line with Iowa averageIowa average: 95.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.3%
30% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
9% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
66.2%
10% worse 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.
25% of new residents, usually for short-term rehab.
39% of new residents, often for short stays.
37% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents 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 Regency Assisted Living 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 #74 / 242Payroll — State benchmarkedThis home is ranked 74th 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 Regency Assisted Living's address, calculated via Google Maps.
Add your location
Regency Assisted Living 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.
| Wesley Acres |
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. | Des Moines (Greenwood) | 80 | 384.1% | +409% | 4.24 | +43% | -1% | $0 | 5 | 1.7 | - | 75 | 72 | Damon Buskohl | $44.7M | $22.6M | 50.6% | 165487 | ||||
| Regency Assisted Living |
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. | Norwalk | 60 | 101.4% | +34% | 3.10 | -48% | -28% | $221.9k | 39 | 4.9 | 2 | 74 | 70 | Carla Hall | $11.6M | $5.0M | 43.1% | 165399 |
The legal owner and operator of Regency Assisted Living is No Related Entities Found.
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.
According to IA state health department records, Regency Assisted Living's license number is S0232.
Regency Assisted Living's occupancy is 42%.
The team at Regency Assisted Living can be reached at [email protected].
Victoria Lehman is the administrator of Regency Assisted Living.
Regency Assisted Living has 60 beds.
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