Home›Iowa›Warren County›Norwalk Nursing and Rehabilitation Center
C
Below Standard

Norwalk Nursing and Rehabilitation Center

921Sunset Drive · Norwalk, IA 50211

5159810604 · For profit - Corporation

45 beds40.8 residents61 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Norwalk Nursing and Rehabilitation Center receives an overall staffing grade of C (Below Standard). With 3.5047 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5188 HPRD, below the recommended 0.75. It is 0.39 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.04% compared to weekdays. The facility has low agency staff usage (0.34% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5188 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.34%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5047hrs/resident/day▼ 0.39
CMS benchmark: 3.48
RN HPRD
0.5188hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
15.04%
3.6603 weekday → 3.1096 weekend
Agency Staff
0.34%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.976hrs/resident/day
Direct care aides
LPN HPRD
0.7109hrs/resident/day
Licensed practical nurses
Consistency
0.4504std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Warren County Average-0.10 HPRD
3.61
03.50 HPRD
vs. Iowa State Average-0.31 HPRD
3.82
03.50 HPRD
vs. National Average-0.39 HPRD
3.90
03.50 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Norwalk Nursing and Rehabilitation Center ★
Norwalk · This facility
—
C
3.50470.5188★★☆☆☆
Accura Healthcare of South Des Moines
DES MOINES
5.6 mi
B
3.95250.5752★☆☆☆☆
Greater Southside Health and Rehabilitation
Des Moines
5.7 mi
D
3.30620.2626★☆☆☆☆
The Village
INDIANOLA
8.9 mi
A
4.16830.7786★★★★☆
Iowa Jewish Senior Life Center
Des Moines
8.9 mi
B
3.83030.8902★★★★☆
Pine Acres Rehabilitation and Care Center
WEST DES MOINES
9 mi
D
2.86040.4554☆☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
11
Total Deficiencies
$0
Fines Assessed
Apr 16, 2025Health
1 deficiency cited
▼
Dec 5, 2024Health
5 deficiencies cited
▼
Oct 11, 2022Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.