Norwalk Nursing and Rehabilitation Center
921 Sunset Drive, Norwalk, IA 50211


Norwalk Nursing and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 165179. The address is 921 Sunset Drive, Norwalk, IA 50211. The zip code is 50211. The phone number is 5159810604.


Norwalk Nursing and Rehabilitation Center · 921 Sunset Drive, Norwalk, IA 50211

Federal Provider Number 165179
Provider Name NORWALK NURSING AND REHABILITATION CENTER
Address 921 SUNSET DRIVE
NORWALK, IA 50211
Phone Number 5159810604
SSA County Code 900
County Name Warren
Ownership Type For profit - Corporation
Certified Beds 51
Certified Beds Residents 37
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PINNACLE HEALTH FACILITIES XVII LP
Date First Approved to Provide Medicare Medicaid Services 10/01/1992
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.19595
Reported LPN Staffing Hours per Resident per Day 0.83919
Reported RN Staffing Hours per Resident per Day 0.97297
Reported Licensed Staffing Hours per Resident per Day 1.81216
Reported Total Nurse Staffing Hours per Resident per Day 4.00811
Reported Physical Therapist Staffing Hours per Resident Per Day 0.08243
Expected CNA Staffing Hours per Resident per Day 2.46199
Expected LPN Staffing Hours per Resident per Day 0.72206
Expected RN Staffing Hours per Resident per Day 1.20452
Expected Total Nurse Staffing Hours per Resident per Day 4.38858
Adjusted CNA Staffing Hours per Resident per Day 2.18856
Adjusted LPN Staffing Hours per Resident per Day 0.96464
Adjusted RN Staffing Hours per Resident per Day 0.60356
Adjusted Total Nurse Staffing Hours per Resident per Day 3.68144
Cycle 1 Total Number of Health Deficiencies 10
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Number of Complaint Health Deficiencies 7
Cycle 1 Health Deficiency Score 72
Cycle 1 Standard Survey Health Date 12/13/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 72
Cycle 2 Total Number of Health Deficiencies 3
Cycle 2 Number of Standard Health Deficiencies 3
Cycle 2 Health Deficiency Score 12
Cycle 2 Standard Health Survey Date 11/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 12
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 44
Cycle 3 Standard Health Survey Date 10/16/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 44
Total Weighted Health Survey Score 47.333
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 4
Number of Fines 1
Total Amount of Fines in Dollars $40607.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Norwalk Nursing and Rehabilitation Center

Owner Name Role Association Date
BAKER, DEBI (Individual) MANAGING EMPLOYEE since 08/29/2014
COLLIER, JAMIE (Individual) MANAGING EMPLOYEE since 08/29/2014
PINNACLE HEALTH FACILITIES GP II LLC (Organization) PARTNERSHIP INTEREST since 07/26/2006
PREFERRED CARE PARTNERS MANAGEMENT GROUP LP (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/26/2006
SCOTT, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 07/26/2006
SCOTT, THOMAS (Individual) PARTNERSHIP INTEREST since 07/26/2006

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