CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ASCHINGER, MARILYN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2014 |
| STOLTENBERG, ANN | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2024 |
| VILHAUER, ANN | CORPORATE DIRECTOR | Individual | N/A | Jan 19, 2010 |
| HUNDLING, MELANIE | CORPORATE OFFICER | Individual | N/A | Apr 18, 2023 |
| SCHMITZ, SANDRA | CORPORATE OFFICER | Individual | N/A | Apr 18, 2023 |
| SCHROEDER, DIANE | CORPORATE OFFICER | Individual | N/A | Apr 18, 2023 |
| GEIBE, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jul 29, 2024 |
| HARMAN, TONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 24, 2024 |
| HELM, CINDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 28, 2002 |
| HORSLEY, ALISON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 13, 2015 |
| PEK, ZOLTAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 6, 2023 |
| STEINKAMP, JENNA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 14, 2015 |
| BCG HOLDINGS INC | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| BRIGHTON CONSULTING GROUP LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| CATTAIL BCG LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| CATTAIL INC | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| ECSI INC | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| IOWA HEALTH CARE ASSOCIATION | ADP OF THE SNF | Organization | N/A | Oct 1, 2024 |
| KEY REHABILITATION INC | ADP OF THE SNF | Organization | N/A | Aug 1, 2023 |
| OLSEN, MUHLBAUER & CO, LLP | ADP OF THE SNF | Organization | N/A | Jun 1, 2007 |
| HORSLEY, ALISON | ADP OF THE SNF | Individual | N/A | Dec 10, 2025 |
| PEK, ZOLTAN | ADP OF THE SNF | Individual | N/A | Dec 10, 2025 |
Compare CMS ratings and recorded fines for Twilight Acres and nearby alternatives.
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.