Nursing HomeMedicaid

Norwalk Nursing and Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

921sunset Drive, Norwalk, IA 50211|45 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 31 Google reviews

(515) 981-0604 Directions Website

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What this means for your family

This facility is frequently praised for its compassionate nursing and effective rehab teams, making it a strong contender for clinical care. However, families should be vigilant regarding administrative matters; we strongly recommend getting all billing agreements in writing and checking in regularly on personal property to mitigate the concerns raised by other families.

Google Reviews

31 reviews on Google

“Norwalk Nursing and Rehabilitation Center receives highly polarized feedback, with many reviewers praising the staff's compassion and dedication, while others report serious concerns regarding administrative transparency and resident care. Families should be aware of recurring complaints about billing inaccuracies and occasional lapses in basic hygiene or personal property security. While the facility is frequently lauded for its nursing and therapy teams, the administrative and billing departments appear to be a significant pain point for families.”

Quality Themes

Tap a score for details

Strengths

Compassionate and dedicated nursing staff
Effective rehab therapy programs
Strong communication during difficult periods like COVID-19
Engaging activities for residents

Concerns

Inaccurate and difficult-to-resolve billing issues (mentioned by 3 reviewers)
Inadequate resident care or neglect (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 37 analyzed

How They Respond to Reviews

0%response rate

Questions for Your Tour

1Given that the facility has a smaller capacity of 45 residents, how does the team ensure consistent, personalized attention for each individual throughout the day?
2I noticed some feedback regarding billing processes; could you walk me through how your administrative team handles statements and resolves any potential discrepancies for families?
3With the current staffing levels, what specific systems are in place to ensure that residents receive timely assistance with daily needs and hygiene?
4I’ve read great things about your rehab therapy programs; could you share how these are integrated into the daily routine for residents who are working on regaining their strength?
5Since communication is such a high priority for our family, what is the best way for us to stay updated on our loved one’s health status and daily experiences?
6How does your team handle medical emergencies or sudden changes in a resident's condition, especially during overnight hours?

Personalized based on this facility's data

Key Review Excerpts

“The nurse crew went above and beyond when we needed anything or had questions. Rehab worked so hard with her and tried to push her to become stronger.”

Family member of a resident · 2023★★★★★

“My Dad was a patient there and went days without being dressed. While minimal, the clothes we brought for him were never used and billing issues we have raised continue to be an issue that has neither been resolved nor replied to after repeated attempts.”

Long-term resident's family · 2021★☆☆☆☆

“The administrator and billing person however, are the soul reason for this negative review. I feel my blood pressure rise every time I deal with them. The billing statements you receive in the mail are NEVER accurate.”

Family member of a resident · 2019★☆☆☆☆

Source: 31 Google reviews

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

2/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility3.5%

Better than Avg

Here

3.5%

12.1%

4.1%

Warren

23.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility26.4%

Worse than Avg

Here

26.4%

15.3%

17.5%

Warren

12.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility6.6%

Better than Avg

Here

6.6%

15.4%

19.4%

Warren

14.7%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility31.8%

Worse than Avg

Here

31.8%

19.5%

20.7%

Warren

26.5%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility19.4%

Worse than Avg

Here

19.4%

14.4%

17.6%

Warren

11.2%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

93.9%

Warren

92.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility96.4%

Better than Avg

Here

96.4%

81.8%

84.0%

Warren

83.1%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility80.6%

Mixed vs Avgs

Here

80.6%

79.7%

73.3%

Warren

83.4%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility4.3%

Worse than Avg

Here

4.3%

1.6%

2.0%

Warren

1.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies

Well below state avg (6.2)

2 complaint-triggered

Norwalk Nursing and Rehabilitation Center has recurring fire safety issues, with smoke barrier and sprinkler system deficiencies appearing across multiple surveys from 2023-2025, suggesting persistent maintenance problems. Families have filed complaints leading to citations for accident prevention and resident dignity violations. While the facility reports corrections for all deficiencies, the repeated fire safety violations indicate ongoing operational challenges that warrant careful consideration.

Dec 31, 2025Routine4 findings

0374Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Apr 16, 2025Complaint1 finding

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 5, 2024Routine7 findings

0353Potential for harm · Pattern

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0606Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Dec 5, 2024Complaint1 finding

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Nov 30, 2023Routine5 findings

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

7deficiencies

Jan 2, 2026InspectionNo deficiencies

Clean