Iowa › Sac County › Wall Lake
Twilight Acres
600 West 6th Street, Wall Lake, IA 51466
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Twilight Acres, in Wall Lake, Iowa, is certified for 39 beds under non-profit, corporation ownership.
CMS gives it 5 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 4, staffing 4 and quality measures 5.
Inspectors recorded 7 health deficiencies across the three most recent survey cycles (4, 1, 2 by cycle, most recent first), none at the actual-harm level. That is 17.9 per 100 beds, fewer than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.1 hours per resident per day (0.7 RN), close to the Iowa median of 3.7; nursing staff turnover is 34.5%.
Compared with county, state and nation
| Measure | This facility | Sac Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 7 | 20 | 16 | 28.7 |
| Citations per 100 beds | 17.9 | 31.2 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.1 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 34.5% | 34.5% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (3 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Dec 2025, 12 Dec 2024.
Severity mix: D ×5 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Mar 2026 |
| 18 Dec 2025 | F0578 | 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. | E | Standard survey | 17 Jan 2026 |
| 18 Dec 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 17 Jan 2026 |
| 18 Dec 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 17 Jan 2026 |
| 12 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Dec 2024 |
| 19 Oct 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 20 Oct 2023 |
| 19 Oct 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 20 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 34.5%, RNs 28.6%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.8% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.9% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.4% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Twilight Acres Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bcg Holdings Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Brighton Consulting Group LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Bcg LLC | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Cattail Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Ecsi Inc | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Iowa Health Care Association | Adp of the snf | NOT APPLICABLE | 10/01/2024 |
| Key Rehabilitation Inc | Adp of the snf | NOT APPLICABLE | 08/01/2023 |
| Olsen, Muhlbauer & Co, LLP | Adp of the snf | NOT APPLICABLE | 06/01/2007 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sac County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Odebolt Specialty Care | Odebolt | 38 | 3 | 2 | 5 | 20 | 52.6 | $14K | 12 Mar 2026 |
| Park View Rehabilitation Center | Sac City | 77 | 1 | 1 | 3 | 24 | 31.2 | — | 10 Jun 2026 |
All 3 facilities in Sac County
Questions and answers
How many deficiencies has Twilight Acres been cited for?
7 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Twilight Acres been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Twilight Acres compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Twilight Acres?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Twilight Acres last inspected?
The most recent survey or investigation in the CMS record is dated 5 Mar 2026; the most recent standard health survey was 18 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.