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Skilled nursing facility · CMS certified · CCN 165179

Norwalk Nursing and Rehabilitation Center

921sunset Drive, Norwalk, IA 50211 · Warren County · one of 387 skilled nursing facilities in Iowa
Its Medicare cost report, line by line ↓
45
certified beds
3 / 5
overall CMS rating
For-profit
ownership type
89.1%
occupancy, Oct 2026: 40 residents a day · Iowa 81.4%
Not reported
case mix
What if · this building’s own numbers
Medicare cost report, FY2025, and the state rate file

Every slider starts where this building’s FY2025 Medicare cost report left it. Drag occupancy, the Medicaid rate or the costs, and see what the change does to revenue, cost and operating income.

00.0%
00%
$000
$000
$000
0.00
From this change, a year
+$000,000
profit from patient care, before rent, loan interest and depreciation
Where that leaves the building, a year
Patient revenue
$00,000,000
Cost to run it
$00,000,000
Profit from patient care (EBITDAR)
$0,000,000 to $0,000,000

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How Norwalk Nursing and Rehabilitation Center compares

Better than most of Warren County on 4 of 6 lines.

Occupancy, Oct 202689.1%Better than mostHigher than 3 of the 5 other buildings in Warren County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 86.1%. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Better than mostHigher than 3 of the 5 other buildings in Warren County

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 1 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than 3 of the 5 other buildings in Warren County, level with 1

CMS's star rating for the building's recent health inspections. The middle of the set: 1 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 1 of the 5 other buildings in Warren County; the other 4 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostLevel with 1 of the 5 other buildings in Warren County; the other 4 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited5Better than mostFewer than 4 of the 5 other buildings in Warren County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 16. Source: CMS Provider Information, Oct 2026 file.

Better than most of Iowa on 3 of 6 lines.

Occupancy, Oct 202689.1%Better than mostHigher than 266 of the 383 other buildings in Iowa, level with 2

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 83.5%. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 145 of the 384 other buildings in Iowa, level with 69

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than 252 of the 384 other buildings in Iowa, level with 100

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating1 / 5Behind mostLevel with 13 of the 380 other buildings in Iowa; the other 367 are ahead

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 16 of the 382 other buildings in Iowa, level with 74

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited5Better than mostFewer than 251 of the 386 other buildings in Iowa, the same as 26

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Iowa
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Norwalk Nursing and Rehabilitation Center
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Street View
921sunset Drive, Norwalk, IA
Map around Norwalk Nursing and Rehabilitation Center
Map · Warren County
Warren County, Iowa
6 skilled nursing facilities; average overall rating 2.7, Iowa 3.1.
See how Warren County compares ›
Cost report, against Iowa
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Iowa. The rank counts from the top: 1st is the highest figure among Iowa's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-12-31), against the middle Iowa building.

Line
This building
Rank in state
Iowa median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
81.2%
369
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
5.2%
370
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
54.1%
368
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$332
372
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$334
372
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$7
372
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
2.0%
370

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating3 / 5 · state 3.1
Health inspection4 / 5 · state 2.8
Staffing1 / 5 · state 3.8
Overall rating, last 8 quarters
053Q3’243Q4’243Q1’254Q2’253Q3’252Q4’252Q1’263Q2’26latest
back to 3 / 5 over the 8 quarters shown, having been as low as 2 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingIowanationrecent quarters
Needed more help with daily activities13.1%better than state16.6%13.5%2025Q2: 28.1%2025Q3: 9.4%2025Q4: 19.4%2026Q1: 16.7%2026Q2: 6.9%
28.1% → 6.9%
Q2’25 to Q2’26
Catheter inserted and left in0.0%better than state1.4%0.7%2025Q2: 3.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
3.0% → 0.0%
Q2’25 to Q2’26
Urinary tract infection5.4%worse than state2.4%1.5%2025Q2: 5.4%2025Q3: 8.3%2025Q4: 2.6%2026Q1: 5.4%2026Q2: 5.4%
5.4% → 5.4%
Q2’25 to Q2’26
Fall with major injury3.9%level with state3.9%3.2%2025Q2: 5.3%2025Q3: 5.4%2025Q4: 0.0%2026Q1: 5.1%2026Q2: 5.4%
5.3% → 5.4%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)4.0%worse than state2.1%1.5%too few quarters to chart
Ability to walk independently worsened30.2%worse than state15.2%12.7%too few quarters to chart
Pressure ulcers4.1%level with state4.1%4.5%2025Q2: 2.4%2025Q3: 2.1%2025Q4: 4.1%2026Q1: 6.1%2026Q2: 4.0%
2.4% → 4.0%
Q2’25 to Q2’26
Given an antipsychotic6.2%better than state19.8%15.4%2025Q2: 9.1%2025Q3: 4.8%2025Q4: 3.7%2026Q1: 3.8%2026Q2: 13.0%
9.1% → 13.0%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Dec 2025
last standard survey
5
deficiencies cited · Iowa avg 9.3
$0
fines, last 3 years
2020
last change of ownership on the federal file
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Iowa
state rate files
$303
median daily rate across the Iowa buildings in our rate book, Jul 2026 file
Iowa rates and what changed ›
Warren County
buildingbedsoverallThe Village545 / 5Westview of Indianola Care Center715 / 5Norwalk Nursing and Rehabilitation Center453 / 5Accura Healthcare of Carlisle801 / 5Good Samaritan - Indianola1051 / 5Regency Care Center1011 / 5
All Iowa buildings in Warren County ›
Also in Norwalk, IA
1 other certified skilled nursing facility in Norwalk
buildingbedsoverallRegency Care Center1011 / 5
Iowa at a glance
387
buildings
25,131
licensed beds
80%
occupancy
53%
for-profit
Iowa market intelligence report ›
What changed in Iowa
Top Ten States That Lead the Nation in Nursing Home Short-Staffing Violations
Iowa nursing homes lead the nation in short-staffing violations
Live legislation, Iowa ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyRegency Care CenterNorwalk · 1.3 mi1011 / 5under 70%Accura Healthcare of South Des MoinesDes Moines · 5.6 mi891 / 5over 85%Greater Southside Health and RehabilitationDes Moines · 5.7 mi801 / 5over 85%Harmony West Des MoinesWest Des Moines · 6.9 mi1131 / 5over 85%Wesley on GrandDes Moines · 8.4 mi804 / 5over 85%Scottish Rite Park IncDes Moines · 8.7 mi515 / 5under 70%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Norwalk Nursing and Rehabilitation Center?
Norwalk Nursing and Rehabilitation Center in Norwalk, IA carries an overall CMS rating of 3 out of 5 stars in the Oct 2026 CMS file.
How many beds does Norwalk Nursing and Rehabilitation Center have?
Norwalk Nursing and Rehabilitation Center is certified for 45 beds in the Oct 2026 CMS file.
How full is Norwalk Nursing and Rehabilitation Center?
CMS's reported average residents put Norwalk Nursing and Rehabilitation Center's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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