PlainNursing
CMS Nursing Home Compare · August 2026

Regency Care Center

815 High Road, Norwalk, IA 50211

Regency Care Center, a 101-bed for profit - corporation nursing facility in Norwalk, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #377 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5159814269

Build a private shortlist as you compare, saved on this device, no account needed.

Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.

1 / 5
Much below average · CMS overall · nat'l 3.0
#377 of 385
In-state rank among rated IA homes
3.15
Well below average · nurse hrs/day · nat'l 3.86
40
Inspection findings · 3 serious

The verdict

Regency Care Center, a 101-bed for profit - corporation nursing facility in Norwalk, IA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #377 of 385 rated homes in IA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#377 of 385
In-state rank among rated IA homes
3.15
Nurse hrs/resident-day · national 3.86
40
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 387 IA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165399
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
101
Residents
67
In Hospital
No
County
Warren
Last Inspection
May 12, 2026
Abuse citation on record

Staffing Data

How the 3.15 total nursing hours per resident-day are staffed:

RN Hours
0.35 (nat'l avg: 0.69)
LPN Hours
0.78
CNA Hours
2.02
Total Nursing Hours
3.15 (nat'l avg: 3.86)
PT Hours
0.06

What the CMS Record Reveals About Regency Care Center

According to CMS Nursing Home Compare, Regency Care Center ranks #377 of 385 rated nursing homes in IA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Regency Care Center operates 101 certified beds in Norwalk, IA with approximately 67 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 3★).

The inspection file contains 40 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $78K against this provider. Staffing is reported at 3.15 total nursing hours per resident day (national average 3.86), with RN coverage at 0.35 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Regency Care Center falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (40 most recent)

D - Isolated - Minimal harm May 12, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm May 12, 2026 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jun 4, 2026

E - Pattern - Minimal harm May 12, 2026 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 4, 2026

G - Isolated - Actual harm May 12, 2026 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 4, 2026

G - Isolated - Actual harm May 12, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 4, 2026

D - Isolated - Minimal harm Dec 30, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 7, 2026

D - Isolated - Minimal harm Dec 30, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 7, 2026

D - Isolated - Minimal harm Aug 20, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 29, 2025

D - Isolated - Minimal harm Aug 20, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 29, 2025

D - Isolated - Minimal harm Aug 20, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2025

E - Pattern - Minimal harm Aug 20, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 29, 2025

E - Pattern - Minimal harm Aug 20, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2025

J - Isolated - Jeopardy Aug 20, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 28, 2025

D - Isolated - Minimal harm Apr 16, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2025

D - Isolated - Minimal harm Apr 16, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 29, 2025

D - Isolated - Minimal harm Apr 16, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2025

E - Pattern - Minimal harm Apr 16, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2025

D - Isolated - Minimal harm Dec 17, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 7, 2025

D - Isolated - Minimal harm Dec 17, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 24, 2024

E - Pattern - Minimal harm Dec 17, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 7, 2025

D - Isolated - Minimal harm Jun 27, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 9, 2024

D - Isolated - Minimal harm Jun 27, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 9, 2024

E - Pattern - Minimal harm Jun 27, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 9, 2024

D - Isolated - Minimal harm Nov 9, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 28, 2023

D - Isolated - Minimal harm Nov 9, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 28, 2023

D - Isolated - Minimal harm Nov 9, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 28, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 28, 2023

E - Pattern - Minimal harm Nov 9, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 28, 2023

D - Isolated - Minimal harm Oct 11, 2023 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 20, 2023

D - Isolated - Minimal harm Oct 11, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 20, 2023

D - Isolated - Minimal harm Oct 11, 2023 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Oct 20, 2023

D - Isolated - Minimal harm Aug 8, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 24, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 18.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.5% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 82.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 66.2% No

Penalty History 1 penalties totaling $78K

Date Type Amount
Aug 20, 2025 Fine $78K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Regency Care Center, both outside IA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Regency Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IA registry aggregates state averages and the highest-rated homes in this cohort. View IA registry
  • Peer homes near 101 beds show how CMS stars vary at a similar scale in IA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Regency Care Center?
Regency Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
Where does Regency Care Center rank among nursing homes in IA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Regency Care Center ranks 377th among 385 rated nursing homes in IA (#377 of 385). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Regency Care Center?
Regency Care Center reports 3.15 total nursing hours per resident day (national average: 3.86). RN hours are 0.35 per resident day (national average: 0.69).
How many beds does Regency Care Center have?
Regency Care Center has 101 certified beds with approximately 67 residents. The facility is located at 815 High Road, Norwalk, IA 50211.
Does Regency Care Center have any deficiencies on record?
Yes, Regency Care Center has 40 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Regency Care Center received any fines or penalties?
Yes, Regency Care Center has received 1 penalties totaling $78K.
Who owns Regency Care Center?
Regency Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Regency Care Center last inspected?
The most recent health inspection for Regency Care Center was on May 12, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Regency Care Center?
Regency Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Regency Care Center's record.