Quick answers
- Where is Regency Care Center?
- 815 High Road, Norwalk, IA 50211, in Warren County, Iowa.
- What is the phone number of Regency Care Center?
- (515) 981-4269, as listed by Medicare (CMS).
- What is the Medicare star rating of Regency Care Center?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Regency Care Center been fined?
- Medicare lists 2 fines totaling $109,892.
- What did inspectors find at Regency Care Center?
- In its last three inspection cycles (October 11, 2023 to May 12, 2026), Medicare lists 39 health citations; the most serious was level J. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (October 11, 2023 to May 12, 2026), Regency Care Center had 39 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $109,892 in total (2 fines, the latest on May 12, 2026). Nurse staffing is 3.59 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 12, 2026 — 15 health citations
Inspections in this cycle: December 30, 2025 (complaint investigation); May 12, 2026 (complaint investigation); May 12, 2026 (standard health inspection).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0745 Level D
“Provide medically-related social services to help each resident achieve the highest possible quality of life.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
Previous cycle: April 16, 2025 — 13 health citations
Inspections in this cycle: December 17, 2024 (complaint investigation); April 16, 2025 (complaint investigation); April 16, 2025 (standard health inspection); August 20, 2025 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 12 less serious citations (levels A to F)
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
Earlier cycle: June 27, 2024 — 11 health citations
Inspections in this cycle: October 11, 2023 (complaint investigation); November 9, 2023 (complaint investigation); June 27, 2024 (complaint investigation); June 27, 2024 (standard health inspection).
Show 11 citations (levels A to F, no actual harm)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (15)
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0753 Level E
“Have restrictions on the use of highly flammable decorations.”
K0161 Level F
“Use approved construction type or materials.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0351 Level F
“Install an approved automatic sprinkler system.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0161 Level D
“Use approved construction type or materials.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0521 Level D
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0922 Level D
“Meet requirements for the use and maintenance of medical gas equipment.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
Fines and payment denials
Total fines over about the last three years: $109,892 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 12, 2026 | Fine | $31,395 |
| August 20, 2025 | Fine | $78,497 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.47 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.79 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.33 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 3.59 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.20 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.44 | 0.51 | 0.48 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 25 nursing homes: Campbell Street Services.
Legal business name: Opco High Road Norwalk IA LLC.
Owners and managers Medicare lists (6)
| Name | Role | Share | Since |
|---|---|---|---|
| Holdco, IA 5, LLC | Direct owner | NOT APPLICABLE | November 3, 2025 |
| Birchwood Healthcare Partners LLC | Indirect owner | NOT APPLICABLE | November 3, 2025 |
| Dole, Isaac | Indirect owner | NOT APPLICABLE | November 3, 2025 |
| Birchwood Healthcare Partners LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 3, 2025 |
| Campbell Street Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 3, 2025 |
| Holdco, IA 5, LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 3, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 101 |
| Average residents per day | 62.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Campbell Street Services |
| Legal business name | Opco High Road Norwalk IA LLC |
| First approved by Medicare/Medicaid | 1998-09-22 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | Yes |
| Address | 815 High Road, Norwalk, IA 50211 |
| County | Warren County |
| State | Iowa |
| Phone | (515) 981‑4269 |
| CMS Certification Number | 165399 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Norwalk Nursing and Rehabilitation Center1.3 mi · Norwalk, IA · 3 of 5 stars
- Accura Healthcare of South Des Moines4.3 mi · Des Moines, IA · 1 of 5 stars
- Greater Southside Health and Rehabilitation4.5 mi · Des Moines, IA · 1 of 5 stars
- Harmony West Des Moines6.2 mi · West Des Moines, IA · 1 of 5 stars
- Wesley on Grand7.1 mi · Des Moines, IA · 4 of 5 stars
Nearest hospital emergency rooms
- UnityPoint Health - Des Moines Iowa Methodist Medi7.8 mi · Des Moines, IA · Acute Care Hospital
- MercyOne Des Moines Medical Center8.4 mi · Des Moines, IA · Acute Care Hospital
- Broadlawns Medical Center9.4 mi · Des Moines, IA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13