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HomeIowaTwilight Acres

Twilight Acres

600 West 6th Street, Wall Lake, IA 514667126642488WebsiteGoogle Maps
4.6on Google(14 reviews)
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
4/5
Quality
5/5
Beds
39
certified

How Twilight Acres Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
5/5
IA average
3.1/5
Above state average
Health inspection rating
4/5
IA average
2.8/5
Above state average
Staffing rating
4/5
IA average
3.6/5
Above state average
Nursing hours per resident
4.07 hrs/day
IA average
3.81 hrs/day
Above state average
RN hours per resident
0.73 hrs/day
IA average
0.74 hrs/day
Close to state average
Staff turnover
34.5%
IA average
44.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 5/5 overall CMS rating is above the Iowa average of 3.1/5.
Its 4/5 health inspection rating is above the Iowa average of 2.8/5.
Reported nursing time is 4.07 hours per resident per day, above the state average of 3.81.
Staff turnover is 34.5%, lower than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
1
deficiency citation
Inspected Dec 12, 2024
Most recent cycle
4
deficiency citations
Inspected Dec 18, 2025
The most recent cycle recorded 3 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Sac County 65+
2,315
23.7% of county
County Population
9,778
Sac County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Twilight Acres is a 5-star Medicare and Medicaid certified nursing home in Wall Lake, Iowa with 39 certified beds. It has been operating since 2003. Its overall CMS rating is 5 out of 5.

Beds
39
Avg Residents/Day
27.7
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 2003
Sprinklers
Yes
Council
Resident
County
Sac
Last Inspection
Dec 18, 2025
Deficiencies (Cycle 1)
4
Weighted Score
19.0
Infection Citations
0

Deficiency Citations (7)

F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 5, 2026Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Dec 18, 2025Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Dec 18, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Dec 18, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Dec 12, 2024Corrected: NoCycle: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Oct 19, 2023Corrected: NoCycle: 3
F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Oct 19, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.44 hrs
National avg: 2.32 hrs
LPN0.91 hrs
National avg: 0.86 hrs
RN0.73 hrs
National avg: 0.69 hrs
Total Nursing4.07 hrs
National avg: 3.86 hrs
Weekend Total3.73 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
34.5%
RN Turnover
28.6%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (22)

NameRoleTypeOwnership %Since
ASCHINGER, MARILYNCORPORATE DIRECTORIndividualN/AJan 1, 2014
STOLTENBERG, ANNCORPORATE DIRECTORIndividualN/AJan 1, 2024
VILHAUER, ANNCORPORATE DIRECTORIndividualN/AJan 19, 2010
HUNDLING, MELANIECORPORATE OFFICERIndividualN/AApr 18, 2023
SCHMITZ, SANDRACORPORATE OFFICERIndividualN/AApr 18, 2023
SCHROEDER, DIANECORPORATE OFFICERIndividualN/AApr 18, 2023
GEIBE, NICOLEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 29, 2024
HARMAN, TONYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 24, 2024
HELM, CINDYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 28, 2002
HORSLEY, ALISONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 13, 2015
PEK, ZOLTANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 6, 2023
STEINKAMP, JENNAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 14, 2015
BCG HOLDINGS INCADP OF THE SNFOrganizationN/AOct 1, 2024
BRIGHTON CONSULTING GROUP LLCADP OF THE SNFOrganizationN/AOct 1, 2024
CATTAIL BCG LLCADP OF THE SNFOrganizationN/AOct 1, 2024
CATTAIL INCADP OF THE SNFOrganizationN/AOct 1, 2024
ECSI INCADP OF THE SNFOrganizationN/AOct 1, 2024
IOWA HEALTH CARE ASSOCIATIONADP OF THE SNFOrganizationN/AOct 1, 2024
KEY REHABILITATION INCADP OF THE SNFOrganizationN/AAug 1, 2023
OLSEN, MUHLBAUER & CO, LLPADP OF THE SNFOrganizationN/AJun 1, 2007
HORSLEY, ALISONADP OF THE SNFIndividualN/ADec 10, 2025
PEK, ZOLTANADP OF THE SNFIndividualN/ADec 10, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Twilight Acres and nearby alternatives.

All Iowa facilities
Twilight Acres
Wall Lake, IACurrent facility
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Odebolt Specialty Care
Odebolt, IA7.9 mi
CMS
3/5
Health
2/5
Staffing
5/5
Recorded fines: $14,433
Park View Rehabilitation Center
Sac City, IA11.8 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: None
Accura Healthcare of Carroll
Carroll, IA17.6 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: None
Accura Healthcare of Lake City, LLC
Lake City, IA17.6 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $38,610
St Anthony Senior Services
Carroll, IA19.4 miAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $12,038
Regency Park Nursing & Rehab Center of Carroll
Carroll, IA19.4 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Twilight Acres
Wall Lake, IA · Current facility
—5/54/54/5None recorded
Odebolt Specialty Care
Odebolt, IA
7.9 mi3/52/55/5$14,433
Park View Rehabilitation Center
Sac City, IA
11.8 mi2/52/53/5None recorded
Accura Healthcare of Carroll
Carroll, IA
17.6 mi1/51/52/5None recorded
Accura Healthcare of Lake City, LLC
Lake City, IA
17.6 mi2/52/53/5$38,610
St Anthony Senior Services
Carroll, IA
19.4 mi1/51/53/5$12,038
Regency Park Nursing & Rehab Center of Carroll
Carroll, IA
19.4 mi5/54/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Twilight Acres?▾
Twilight Acres has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated above average.
How much does Twilight Acres cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Twilight Acres participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Twilight Acres had any health inspection violations?▾
Twilight Acres had 4 deficiency citations in its most recent health inspection (Dec 18, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Twilight Acres?▾
Twilight Acres provides 4.07 total nursing staff hours per resident per day, including 0.73 RN hours, 0.91 LPN hours, and 2.44 nurse aide hours. The total staff turnover rate is 34.5%.
How many beds does Twilight Acres have?▾
Twilight Acres has 39 certified beds with an average of 27.7 residents per day, resulting in approximately 71% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Twilight Acres?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Twilight Acres?▾
On Google Maps, Twilight Acres has a rating of 4.6 out of 5 based on 14 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 5/5.