Twilight Gardens Nursing and Rehabilitation
Nursing home in Norwalk, OH
Medicare & Medicaid certified4★ overall (CMS)
Public-record details
- Address
- 196 W Main St, Norwalk, OH 44857
- Phone
- (419) 668-2086
- Listed under
- For-profit, 4–5 star overall rating, No fines in 3 years
- Medicare CCN
- 365517
- Overall star rating
- 4 of 5 ★★★★☆
- Health inspection rating
- 4 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 94
- Average residents per day
- 77
- Ownership
- For-profit, corporation
- Legal business name
- Twilight Healthcare LLC
- Chain
- Cch Healthcare (33 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 3, 1980
- 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
Inspection record
Most recent standard health inspection: Mar 19, 2026. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 19, 2023 to Mar 19, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 19, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| Mar 19, 2026 | Provide and implement an infection prevention and control program. | D |
| Mar 19, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| Jan 22, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Apr 24, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Apr 24, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| Apr 24, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| Apr 24, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Oct 19, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Oct 19, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| Oct 19, 2023 | Ensure medication error rates are not 5 percent or greater. | D |
| Oct 19, 2023 | Ensure that residents are free from significant medication errors. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 4.36 hours
- Registered nurse (RN) time per resident per day
- 1.53 hours
- Nurse aide time per resident per day
- 2.32 hours
- Total nurse staffing on weekends
- 3.79 hours
- Nursing staff turnover (yearly)
- 55%
- RN turnover (yearly)
- 61%
- Administrators who left in the past year
- 0
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.