Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $23,118 per patient, against a typical $13,261 for the same kind of provider in IA. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Owners and managing parties of record
ISAAC S DOLE
INDIRECT OWNERSHIP INTEREST · I · 100% ownership · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BIRCHWOOD HEALTHCARE PARTNERS LLC
INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
HOLDCO, IA 5, LLC
DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BRENDA S SATTERFIELD
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ISAAC S DOLE
OPERATIONAL/MANAGERIAL CONTROL · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ISAAC S DOLE
MANAGING CONTROL - GOVERNING BODY · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ISAAC S DOLE
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CARLA HALL
OPERATIONAL/MANAGERIAL CONTROL · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CARLA HALL
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ROBIN ROBBINS
OPERATIONAL/MANAGERIAL CONTROL · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ROBIN ROBBINS
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · O · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
NORWALK PROPERTY, LLC
ADP OF THE SNF · O · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DALE M GRUNEWALD
OPERATIONAL/MANAGERIAL CONTROL · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
DALE M GRUNEWALD
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CYCLONE HOLDCO LLC
ADP OF THE SNF · O · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BIRCHWOOD HEALTHCARE PARTNERS LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CAMPBELL STREET SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CAMPBELL STREET SERVICES LLC
ADP OF THE SNF · O · since Nov 5, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
HOLDCO, IA 5, LLC
OPERATIONAL/MANAGERIAL CONTROL · O · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Unnamed party
ADP OF THE SNF · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
HOLDCO, IA 5, LLC
ADP OF THE SNF · O · since Jan 29, 2026
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
BRENDA S SATTERFIELD
OPERATIONAL/MANAGERIAL CONTROL · I · since Nov 3, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- OPCO HIGH ROAD NORWALK IA LLCNPI 1154113454 · certification 165399 · 815 HIGH RD, NORWALK, IA
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- ISAAC S DOLEINDIRECT OWNERSHIP INTEREST · 100% share · since 2025-11-03
- BIRCHWOOD HEALTHCARE PARTNERS LLCINDIRECT OWNERSHIP INTEREST · 100% share · since 2025-11-03
- HOLDCO, IA 5, LLCDIRECT OWNERSHIP INTEREST · 100% share · since 2025-11-03
- BRENDA S SATTERFIELDADP OF THE SNF · since 2025-11-03
- ISAAC S DOLEOPERATIONAL/MANAGERIAL CONTROL · since 2025-11-03
- ISAAC S DOLEMANAGING CONTROL - GOVERNING BODY · since 2025-11-03
- ISAAC S DOLEADP OF THE SNF · since 2025-11-03
- Unnamed partyADP OF THE SNF · since 2025-11-03
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Regency Care Center — 2024$1,132,763 paid · 49 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | OPCO HIGH ROAD NORWALK IA LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Trading name | REGENCY CARE CENTER | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1154113454 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 165399 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 4880172667 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 815 HIGH RD | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | NORWALK | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | IA | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 502111462 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
Readers judge whether this flag holds up. A note only reaches the top when people who usually disagree both rate it helpful.
No notes yet. If you have checked this provider, say what you found.