The nursing home failed to provide services that met professional standards of quality. Cited December 2025 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Nursing home report
Norwalk Nursing & Rehab Center
Registered name: Norwalk Nursing and Rehabilitation Center
Norwalk, IA · Medicare-certified · 45 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Norwalk Nursing & Rehab Center in Norwalk, IA has an overall rating of 3 out of 5 stars. Its health inspection rating is 4 stars, but staffing is very low at 1 star and quality measures are 2 stars; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: December 31, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 95%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.1%3.8%Improving
Residents with a fall causing major injury
5.3%5.1%No change
Residents with pressure ulcers (bedsores)
2.4%6.1%Worsening
Residents with a urinary tract infection
5.4%5.4%No change
Residents who lost too much weight
3.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
28.1%16.7%Improving
Residents whose ability to walk got worse
—31.8%—
Long-stay residents on antianxiety or sleep medication
33.3%37.5%Worsening
Short-stay residents newly given an antipsychotic
—5.1%—
Residents with a long-term catheter
3%0%Improving
Residents with new or worsening incontinence
22.3%22.4%No change
Residents with depressive symptoms
0%5.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—80.6%—
Short-stay residents given the pneumonia vaccine
96%96.2%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited December 2024 — isolated incident, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited December 2024 — isolated incident, potential for harm.
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F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to make sure it did not hire anyone with a record of abuse, neglect, exploitation, or theft. Cited December 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 606 — 42 CFR §483.12 — S/S: D
Recent history
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Mar 1, 2020
Now operated by Opco Norwalk, Ia, LLC, previously Pinnacle Health Facilities Xvii LP.
- Ownership
- For profit - Corporation
- Chain
- Part of CAMPBELL STREET SERVICES · 20 homes · 2.2 stars avg
- Occupancy
- 40.1 residents on an average day (89% of 45 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.