Nursing HomeInspections

Twilight Acres

Nursing home in Wall Lake, IA

Medicare & Medicaid certified5★ overall (CMS)

Call (712) 664-2488Send a messageMap ↗

Public-record details

Address
600 West 6th Street, Wall Lake, IA 51466
Phone
(712) 664-2488
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
165488
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
39
Average residents per day
28
Ownership
Nonprofit, corporation
Legal business name
Twilight Acres INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165488. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 18, 2025. CMS lists 7 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 19, 2023 to Mar 5, 2026): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 5, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 18, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Dec 18, 2025Honor 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…
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 18, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		E
Potential for more than minimal harm, pattern
Dec 12, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Oct 19, 2023Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Oct 19, 2023Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.07 hours
Registered nurse (RN) time per resident per day
0.73 hours
Nurse aide time per resident per day
2.44 hours
Total nurse staffing on weekends
3.73 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
29%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.