Regency Care Center

815 High Road · Norwalk, IA · 50211 · 5159814269

101 certified beds For profit - Limited Liability company Chain: Campbell Street Services

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$78,497 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 64
Staffing 20% 55
Federal penalties 15% 61
Trend 10% 40
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.633.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.06≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)1 · $78,497

Inspection citations (41 in the current record)

  • Potential for harm · D December 30, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected January 7, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 30, 2025 · found via complaint

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

    Corrected January 7, 2026 · Resident Assessment and Care Planning

  • Immediate jeopardy · J August 20, 2025 · found via complaint

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

    Corrected August 28, 2025 · Quality of Life and Care

  • Potential for harm · E August 20, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected August 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 20, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 20, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 29, 2025 · Quality of Life and Care

  • Potential for harm · E August 20, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected August 29, 2025 · Nursing and Physician Services

  • Potential for harm · D August 20, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 29, 2025 · Infection Control

  • Potential for harm · D April 16, 2025

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

    Corrected April 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 16, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 29, 2025 · Quality of Life and Care

  • Potential for harm · D April 16, 2025 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 29, 2025 · Pharmacy Service

  • Potential for harm · E April 16, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 29, 2025 · Nutrition and Dietary

  • Potential for harm · D December 17, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 24, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 17, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 7, 2025 · Quality of Life and Care

  • Potential for harm · D December 17, 2024 · found via complaint

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

    Corrected January 7, 2025 · Quality of Life and Care

  • Potential for harm · D June 27, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 9, 2024 · Pharmacy Service

  • Potential for harm · E June 27, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 9, 2024 · Nutrition and Dietary

  • Potential for harm · D June 27, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 9, 2024 · Quality of Life and Care

  • Potential for harm · D November 9, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 28, 2023 · Quality of Life and Care

  • Potential for harm · D November 9, 2023 · found via complaint

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

    Corrected November 28, 2023 · Quality of Life and Care

  • Potential for harm · E November 9, 2023 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected November 28, 2023 · Nursing and Physician Services

  • Potential for harm · D November 9, 2023 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 28, 2023 · Pharmacy Service

  • Potential for harm · E November 9, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 28, 2023 · Infection Control

  • Potential for harm · D October 11, 2023 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected October 20, 2023 · Resident Rights

  • Potential for harm · D October 11, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 20, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 20, 2025Fine$78,497

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165399 · certified since September 22, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.