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Nursing home report

Regency Care Center

Norwalk, IA · Medicare-certified · 101 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Regency Care Center (Norwalk, IA) has a 1 out of 5 star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It reports nurse staffing below the federal benchmark (3.15 vs 4.1 hours/resident/day), had $78,497 in fines in the last 24 months, and has a recent federal penalty flag.

Facility ratings

Health inspections

Staffing

3.1527 hrs/resident/day

Quality measures

Last inspection: May 12, 2026Penalties, last 24 months: $78,497recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1527.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
0.78
Nurse aides
2.02
Weekend nursing
2.73

Hours per resident per day.

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

19.2%15.6%Improving

Residents with a fall causing major injury

2.8%1.8%Improving

Residents with pressure ulcers (bedsores)

3.1%1.4%Improving

Residents with a urinary tract infection

0%3.6%Worsening

Residents who lost too much weight

5.9%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.9%24.4%Worsening

Residents whose ability to walk got worse

16.6%32%Worsening

Long-stay residents on antianxiety or sleep medication

14.5%20%Worsening

Short-stay residents newly given an antipsychotic

3.4%0%Improving

Residents with a long-term catheter

1.5%0%Improving

Residents with new or worsening incontinence

17.9%31.3%Worsening

Residents with depressive symptoms

6.3%3.8%Improving

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

95.9%

Long-stay residents given the pneumonia vaccine

97.2%100%Improving

Short-stay residents given the seasonal flu vaccine

66.2%

Short-stay residents given the pneumonia vaccine

71.2%96.8%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited May 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $78,497 was recorded.

  6. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $78,497 in total fines.

  • Federal fine

    Aug 20, 2025

    $78,497

Operator & ownership

Recent ownership change · Nov 3, 2025

Now operated by Opco High Road Norwalk Ia LLC, previously Dsm Healthcare Management.

Ownership
For profit - Limited Liability company
Chain
Part of CAMPBELL STREET SERVICES · 20 homes · 2.2 stars avg
Occupancy
67.2 residents on an average day (67% of 101 beds)
Resident voice
Resident council
Medicare history
Certified for 27 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.