Norwalk Nursing and Rehabilitation Center — nursing home in Norwalk, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 45 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 40.5 CMS, MDS-derived
CMS Certification Number: 165179
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 1, 1992
Ownership type: For profit - Corporation
Operator (legal business name): Opco Norwalk, Ia, LLC
CMS chain: Campbell Street Services 25 facilities
Phone: (515) 981-0604
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Dec 31, 2025

Citations

18

7 health · 11 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E5	F4
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffingfn 25

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165179
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 45
First approved: Oct 1, 1992
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 31, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 31, 2025	Health	Health Standard	1	Potential harm	—	Open →
Apr 16, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 5, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Dec 5, 2024	Health	Health Complaint, Health Standard	5	Potential harm	—	Open →
Nov 30, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Nov 30, 2023	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E5	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 31, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 5, 2026
Dec 31, 2025	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 9, 2026
Dec 31, 2025	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 9, 2026
Dec 31, 2025	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2026
Apr 16, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 24, 2025	Complaint
Dec 5, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Waiver granted Jan 10, 2025
Dec 5, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 18, 2024
Dec 5, 2024	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 18, 2024
Dec 5, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 27, 2024	Complaint
Dec 5, 2024	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 27, 2024
Dec 5, 2024	F-0606	Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 27, 2024
Dec 5, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 27, 2024
Dec 5, 2024	F-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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 27, 2024
Nov 30, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 21, 2023
Nov 30, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 30, 2023
Nov 30, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 18, 2023
Nov 30, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 21, 2023
Nov 30, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 30, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffingNot reported

State avg 3.86US avg 3.90

Registered nurse (RN)Not reported

State avg 0.74US avg 0.69

Licensed practical nurseNot reported

State avg 0.56US avg 0.86

Nurse aideNot reported

State avg 2.56US avg 2.35

Weekend total nurseNot reported

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).

Staff turnover

Total nursing staff turnover100.0%

State avg 44.1%US avg 45.3%

Registered nurse turnover100.0%

State avg 42.1%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Dec 31, 2025
Cycle 1 health score: 4
Total weighted score: 9

Operating entity

Opco Norwalk, Ia, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Campbell Street Services

25 facilities in 3 states. CMS chain ID 99.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2

Ownership disclosures

Disclosures

14

Organizations

5

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Holdco Goldfinch, LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2020

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Holdco Goldfinch, LLC	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Mar 1, 2020
Campbell Street Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2020
Managerco Goldfinch, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2020
Isaac Dole	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2020
Danielle Hage	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 1, 2020
Michael Oconner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
921 Sunset Drive Propco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2026
Campbell Street Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 25, 2025
Holdco Goldfinch, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2020
Managerco Goldfinch, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 25, 2025
Welltower Nnn Group, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2026
Isaac Dole	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2020
Danielle Hage	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 15, 2024
Michael Oconner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2024

Same chain in Iowa

All 24 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Altoona Nursing and Rehabilitation Center 200 Seventh Avenue SW, Altoona, IA 50009 CCN 165162	106	Jul 16, 2026	791 harm	—
Osage Rehab and Health Care Center 830 South Fifth Street, Osage, IA 50461 CCN 165173	46	Apr 2, 2026	881 IJ1 harm	$14k
Casa De Paz Health Care Center 2121 West 19th Street, Sioux City, IA 51103 CCN 165174	71	Jul 14, 2026	45	—
Cedar Falls Health Care Center 1728 West Eighth Street, Cedar Falls, IA 50613 CCN 165197	70	Jul 30, 2026	721 harm	—
Iowa City Rehab & Health Care 3661 Rochester Avenue, Iowa City, IA 52245 CCN 165198	89	Aug 3, 2026	64	—
Granger Nursing & Rehabilitation Center 2001 Kennedy Street, Granger, IA 50109 CCN 165208	67	Feb 26, 2026	57	—
Oakland Manor 737 North Highway St., Oakland, IA 51560 CCN 165230Abuse icon	61	Aug 11, 2026	1013 harm	—
Regency Park Nursing & Rehab Center of Carroll 500 East Valley Drive, Carroll, IA 51401 CCN 165231	46	Nov 20, 2025	101 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: 921sunset Drive, Norwalk, IA 50211
ZIP: 50211
County: Warren County FIPS 19181
State: Iowa
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Regency Care Center 815 High Road, Norwalk, IA 50211 CCN 165399Abuse icon	2.2 km	101	May 12, 2026	541 IJ2 harm	$110k
Accura Healthcare of South Des Moines 4911 SW 19th Street, Des Moines, IA 50315 CCN 165273	9.1 km	89	Sep 18, 2025	852 IJ2 harm	$53k
Greater Southside Health and Rehabilitation 5608 SW 9th Street, Des Moines, IA 50315 CCN 165175SFF CandidateAbuse icon	9.2 km	80	Jul 22, 2026	925 IJ3 harm13 open	$223k
Harmony West Des Moines 5010 Grand Ridge Drive, West Des Moines, IA 50265 CCN 165601	11.1 km	113	May 20, 2026	591 harm	—
Wesley on Grand 3520 Grand Avenue, Des Moines, IA 50312 CCN 165487	13.5 km	80	Jul 23, 2026	18	—
Scottish Rite Park Inc 2909 Woodland Avenue, Des Moines, IA 50312 CCN 165593	14 km	51	Aug 13, 2026	153 harm1 open	$47k
The Village 1203 North E Street, Indianola, IA 50125 CCN 165167	14.3 km	54	Jan 15, 2026	221 harm	—
Iowa Jewish Senior Life Center 900 Polk Boulevard, Des Moines, IA 50312 CCN 165006	14.4 km	46	Apr 2, 2026	39	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165179	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165179	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165179

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction