Norwalk Nursing and Rehabilitation Center
921sunset Drive, Norwalk, IA 50211 · Warren County · (515) 981-0604
45 certified beds, about 40 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: The accuracy of the staffing data for this measure could not be validated by CMS.
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165179 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 31, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
None of its 7 health citations since November 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
95.3% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Campbell Street Services, an affiliated group of 24 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
011/23
512/24
104/25
112/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
0E
0F
Potential for minimal harm
0A
0B
0C
December 31, 2025Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, staff interview, Nurse Practitioner (NP) interview and facility policy the facility failed to ensure insulin orders transcribed for staff awareness, failed to verify the order accuracy before signing, failed to administer insulin for diabetes management, Resident #5 (R#5). The facility reported a census of 42. The Minimum Data Set (MDS) quarterly assessment for R#5 dated 10/10/26 for R#5 revealed diagnosis of diabetes was coded as receiving insulin during last 7 days. The Brief Interview for Mental Status (BIMS) score of 15 out of 15 indicated intact cognitive impairment. The Care Plan initiated 12/20/23 documented R#5 has diagnosis of diabetes, is at risk for frequent infections, alteration of skin, visual impairment, hyper/hypoglycemia, renal failure andcognitive/ physical impairments. [...]
April 16, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, and staff interview, the facility failed to ensure staff appropriately and safely transferred a resident for 2 of 5 residents observed during transfers (Resident #5 & #6). The facility reported a census of 40 residents.
December 5, 2024Standard inspection, Complaint inspection · 5 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, clinical record review, facility policy review and staff interviews the facility failed to provide a dependent resident a dignified eating experience during a noon meal service for 1 of 3 residents reviewed (Resident #3). The facility reported a census of 42 residents.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review, facility policy review and staff interviews the facility failed to ensure accurate code status for 1 of 16 resident reviewed for advanced directives (Resident #28). The facility reported a census of 42 residents.
- D Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on personnel file reviews, staff interviews and facility policy review, the facility failed to assure all employees had a child abuse background check completed prior to working in the facility as a Certified Nursing Assistant (CNA) for 1 of 5 current employees sampled. The facility reported a census of 42 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, facility policy review and staff interview the facility failed to update the care plan to reflect a residents change in their choice of advance directives for 1 of 16 residents reviewed for advanced directives (Resident #28). The facility reported a census of 42 residents.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observations, clinical record review, facility policy review and staff interview the facility failed to utilize infection control techniques during incontinence cares for a resident with a history of multiple urinary tract infections in an attempt to minimize the potential for reoccurrence of an infection for 1 of 2 residents reviewed (Resident #3). The facility reported a census of 42 residents.
November 30, 2023Standard inspection · 0 citations
Fire safety inspections
11 fire safety citations on file: 3 on December 31, 2025, 3 on December 5, 2024, 5 on November 30, 2023.
Every fire safety citation11 citations
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Inspect, test, and maintain automatic sprinkler systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Install corridor and hallway doors that block smoke.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 3.82 | 3.86 |
| Registered nurses | not reported | 0.74 | 0.69 |
| All nursing staff on weekends | not reported | 3.37 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 95.3% | 44.0% | 45.8% |
| Registered nurse turnover | 66.7% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.45 on weekdays and 2.98 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.32 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.32 | 0.43 | 3.45 | 2.98 | 0.1% | 1 of 90 | 40 |
| Oct to Dec 2025 | 3.50 | 0.40 | 3.62 | 3.21 | 0.3% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.50 | 0.52 | 3.65 | 3.11 | 0.3% | 0 of 92 | 41 |
| Apr to Jun 2025 | 3.32 | 0.56 | 3.49 | 2.87 | 0.0% | 0 of 91 | 41 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 18.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.4 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.1 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.3 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.4 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: OPCO NORWALK, IA, LLC. CMS links this home to Campbell Street Services, a group of 24 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Holdco Goldfinch, LLC | Direct ownership interest | Organization | 03/01/2020 | |
| Chitai Investment, LLC | Indirect ownership interest | Organization | 03/01/2020 | |
| Holdco Tabletop, LLC | Indirect ownership interest | Organization | 03/01/2020 | |
| Investco Tabletop, LLC | Indirect ownership interest | Organization | 03/01/2020 | |
| Techcare Corp | Indirect ownership interest | Organization | 03/01/2020 | |
| Curcio, Dominic | Indirect ownership interest | Individual | 03/01/2020 | |
| Realco Norwalk, Ia, LLC | 5% or greater mortgage interest | Organization | 03/01/2020 | |
| Campbell Street Services LLC | Operational/managerial control | Organization | 03/01/2020 | |
| Managerco Goldfinch, LLC | Operational/managerial control | Organization | 03/01/2020 | |
| Dole, Isaac | Operational/managerial control | Individual | 03/01/2020 | |
| Hage, Danielle | Operational/managerial control | Individual | 03/01/2020 | |
| Oconner, Michael | Operational/managerial control | Individual | 04/01/2024 | |
| Campbell Street Services LLC | Adp of the SNF | Organization | 03/25/2025 | |
| Chitai Investment, LLC | Adp of the SNF | Organization | 03/01/2020 | |
| Holdco Goldfinch, LLC | Adp of the SNF | Organization | 03/01/2020 | |
| Holdco Tabletop, LLC | Adp of the SNF | Organization | 03/01/2020 | |
| Investco Tabletop, LLC | Adp of the SNF | Organization | 03/01/2020 | |
| Managerco Goldfinch, LLC | Adp of the SNF | Organization | 03/25/2025 | |
| Realco Norwalk, Ia, LLC | Adp of the SNF | Organization | 11/01/2015 | |
| Techcare Corp | Adp of the SNF | Organization | 03/01/2020 | |
| Becht, Kristen | Adp of the SNF | Individual | 12/06/2025 | |
| Curcio, Dominic | Adp of the SNF | Individual | 03/01/2020 | |
| Dole, Isaac | Adp of the SNF | Individual | 03/01/2020 | |
| Hage, Danielle | Adp of the SNF | Individual | 01/15/2024 | |
| Oconner, Michael | Adp of the SNF | Individual | 04/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on December 31, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 16, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on December 5, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on December 5, 2024: "Not hire anyone with a finding of abuse, neglect, exploitation, or theft."
Other nursing homes nearby
- Regency Care Center Norwalk, 1.3 mi · 1 of 5 stars · 39 citations
- Accura Healthcare of South Des Moines Des Moines, 5.6 mi · 1 of 5 stars · 67 citations
- Greater Southside Health and Rehabilitation Des Moines, 5.7 mi · 1 of 5 stars · 66 citations
- Harmony West Des Moines West Des Moines, 6.9 mi · 1 of 5 stars · 46 citations
- Wesley on Grand Des Moines, 8.4 mi · 4 of 5 stars · 5 citations
- Scottish Rite Park Inc Des Moines, 8.7 mi · 5 of 5 stars · 9 citations
- The Village Indianola, 8.9 mi · 5 of 5 stars · 7 citations
- Iowa Jewish Senior Life Center Des Moines, 8.9 mi · 3 of 5 stars · 13 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Norwalk Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Norwalk Nursing and Rehabilitation Center 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Norwalk Nursing and Rehabilitation Center get at its last inspection?
- 1 health deficiency at the standard inspection on December 31, 2025. The Iowa average is 6.5.
- Has Norwalk Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Norwalk Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Norwalk Nursing and Rehabilitation Center?
- CMS lists 25 owners and managers, and links the home to Campbell Street Services. Legal business name: OPCO NORWALK, IA, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.