NORWALK NURSING AND REHABILITATION CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Norwalk Nursing and Rehabilitation Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

NORWALK NURSING AND REHABILITATION CENTER
921 SUNSET DRIVE
NORWALK, IA 50211
(515) 981-0604

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

82%

Number of Residents and Certified Beds

  • Residents: 42
  • Certified Beds: 51

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Norwalk Nursing and Rehabilitation Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-169.8%
Total Percent:9.8%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.1%
Total Percent:1.1%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1627.4%
ADL Index Range: 6-104.1%
Total Percent:31.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.6%
ADL Index Range: 6-100.3%
Total Percent:17.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.9%
ADL Index Range: 6-108.1%
ADL Index Range: 0-510.0%
Total Percent:23.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.3%
ADL Index Range: 6-103.5%
Total Percent:6.8%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.8%
Total Percent:0.8%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Less restorative nursing
5.4%
ADL Index Range: 11-14
- Less restorative nursing
3.8%
Total Percent:9.2%
 

Rating Details For Norwalk Nursing and Rehabilitation Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours29 Minutes1 Hour and 8 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours54 Minutes46 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 57 Minutes2 Hours and 36 Minutes
Total Licensed Nurse Hours1 Hour and 23 Minutes1 Hour and 54 Minutes
Total Nurse Hours3 Hours and 20 Minutes4 Hours and 29 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Iowa are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIowa Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder60%44%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%2%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%8%
Percent of Long-Stay Residents Who Lose Too Much Weight5%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-4%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%6%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%16%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%10%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%9%
Percent of Long-Stay Residents Who Were Physically Restrained3%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season86%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain1%23%
Percent of Short-Stay Residents Who Have Delirium2%5%
Percent of Short-Stay Residents Who Have Pressure Sores8%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 06/08/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 06/08/2011
  • Correction Date: 07/08/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/11/2009
  • Correction Date: 08/19/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Keep All Essential Equipment Working Safely.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/08/2011
  • Correction Date: 07/08/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/11/2009
  • Correction Date: 08/07/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 08/12/2010
  • Correction Date: 11/02/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 08/12/2010
  • Correction Date: 11/02/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 08/12/2010
  • Correction Date: 09/11/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 06/11/2009
  • Correction Date: 07/11/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/12/2010
  • Correction Date: 11/02/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)05/18/2010$260
Civil Money Penalty (CMP)05/18/2010$585
Civil Money Penalty (CMP)05/18/2010$9,100
Denial of Payment for New Admission (DPNA)05/18/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Norwalk Nursing and Rehabilitation Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Complaint Filed: 07/31/2009
  • Correction Date: 08/24/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/31/2009
  • Correction Date: 08/19/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/22/2009
  • Correction Date: 11/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/18/2010
  • Correction Date: 09/11/2010
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 05/18/2010
  • Correction Date: 09/11/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Complaint Filed: 05/18/2010
  • Correction Date: 08/12/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 05/19/2011
  • Correction Date: 06/01/2011

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 05/18/2010
  • Correction Date: 08/12/2010
1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Complaint Filed: 05/18/2010
  • Correction Date: 08/12/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 05/18/2010
  • Correction Date: 08/12/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 06/23/2010
  • Correction Date: 09/11/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/22/2008
  • Correction Date: 06/03/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 02/16/2009
  • Correction Date: 03/03/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 07/01/2009
  • Correction Date: 08/07/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 07/01/2009
  • Correction Date: 08/07/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Complaint Filed: 05/18/2010
  • Correction Date: 08/12/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 06/23/2010
  • Correction Date: 09/11/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required.
  • Complaint Filed: 04/23/2008
  • Correction Date: 05/28/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 05/18/2010
  • Correction Date: 09/11/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 08/12/2010
  • Correction Date: 09/11/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 05/18/2010
  • Correction Date: 10/12/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 05/18/2010
  • Correction Date: 08/12/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 08/12/2010
  • Correction Date: 11/02/2010
Protect the Resident from a Transfer or Discharge That is Not Wanted or Needed.
  • Complaint Filed: 10/25/2010
  • Correction Date: 11/02/2010
Provide Written Records when a Resident is Transferred or Discharged.
  • Complaint Filed: 10/25/2010
  • Correction Date: 11/02/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Norwalk Nursing and Rehabilitation Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/21/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 06/18/2009
  • Correction Date: 07/02/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/01/2011
Portable Fire Extinguishers.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/08/2011
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/23/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/18/2009
  • Correction Date: 06/23/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/24/2011

Electrical

A Separate and Independent Backup Electrical Power Source.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/28/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010
Exits That Are Accessible at All Times.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/23/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 06/18/2009
  • Correction Date: 06/22/2009
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/08/2011
An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/23/2011

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 06/18/2009
  • Correction Date: 06/30/2009
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/18/2009
  • Correction Date: 06/23/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/28/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 06/18/2009
  • Correction Date: 06/19/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/01/2011
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/05/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/01/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/23/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 08/12/2010
  • Correction Date: 08/26/2010
Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/21/2011
  • Correction Date: 07/01/2011

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 06/21/2011
  • Correction Date: 06/24/2011
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011