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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaTwilight Acres

Twilight Acres

600 West 6th Street, Wall Lake, IA 514667126642488
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
5/5
Staffing
5/5
Quality
4/5
Beds
39
certified

Key Findings

• CMS rates this facility 5/5 stars (above average)

• Has 39 certified beds with an average of 20.6 residents per day (53% occupancy)

• Last health inspection found 1 deficiencies (inspected Dec 12, 2024)

• No fines on record

• Total nursing staff: 4.80 hours per resident per day

• Staff turnover rate: 44.1%

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. The facility scored above average compared to Iowa facilities.

Beds
39
Avg Residents/Day
20.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 1, 2003
Sprinklers
Yes
Council
Resident
County
Sac
Last Inspection
Dec 12, 2024
Deficiencies (Cycle 1)
1
Weighted Score
5.0
Infection Citations
0

Deficiency Citations (7)

F0684Potential for Harm

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

Survey: Dec 12, 2024Corrected: NoCycle: 1
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Oct 19, 2023Corrected: NoCycle: 2
F0868Potential for Harm

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

Survey: Oct 19, 2023Corrected: NoCycle: 2
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Aug 2, 2022Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Aug 2, 2022Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Aug 2, 2022Corrected: NoCycle: 3
F0880Immediate Jeopardy

Provide and implement an infection prevention and control program.

Survey: Aug 2, 2022Corrected: 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 Aide2.97 hrs
National avg: 2.35 hrs
LPN0.83 hrs
National avg: 0.86 hrs
RN1.00 hrs
National avg: 0.68 hrs
Total Nursing4.80 hrs
National avg: 3.89 hrs
Weekend Total4.35 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
44.1%
RN Turnover
66.7%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (12)

NameRoleTypeOwnership %Since
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
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

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 5/5, staffing rating of 5/5, and quality measures rating of 4/5. This facility is rated above average.
Has Twilight Acres had any health inspection violations?▾
Twilight Acres had 1 deficiency citations in its most recent health inspection (Dec 12, 2024). The facility has no fines on record.
What are the staffing levels at Twilight Acres?▾
Twilight Acres provides 4.80 total nursing staff hours per resident per day, including 1.00 RN hours, 0.83 LPN hours, and 2.97 nurse aide hours. The total staff turnover rate is 44.1%.
How many beds does Twilight Acres have?▾
Twilight Acres has 39 certified beds with an average of 20.6 residents per day, resulting in approximately 53% occupancy. The facility is For profit - Corporation owned.