nursing home in Wall Lake, IA
Twilight Acres
600 West 6th Street, Wall Lake, IA 51466 · (712) 664-2488
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Twilight Acres at a glance
Twilight Acres is a 39-bed non-profit nursing home in Wall Lake, Iowa (Sac County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.
Residents receive about 4.1 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (December 18, 2025) found 4 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 34.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 39
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- September 1, 2003
- Resident/family council
- Resident
- County
- Sac County
- CMS Certification Number
- 165488
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.07 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.73 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.44 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.73 hrs | 3.37 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 34.5% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 19 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 39 | 65 | 107 | |
| Average residents per day | 28 | 52 | 86 | |
| Occupancy | 71% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.9% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.4% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.5% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.5% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 4.8% | 17.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.8% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7.9% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.6% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.2% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.2% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 84% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 82% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 7 health deficiencies and 34 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 5, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 18, 2026 |
| January 29, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected January 30, 2026 |
| December 18, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 30, 2025 |
| December 18, 2025 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 30, 2025 |
| December 18, 2025 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected December 30, 2025 |
| December 18, 2025 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected December 30, 2025 |
| December 18, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected December 30, 2025 |
| December 18, 2025 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected December 30, 2025 |
| December 18, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected February 24, 2026 |
| December 18, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected December 21, 2025 |
| December 18, 2025 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | F Potential harm, widespread | Corrected December 31, 2025 |
| December 18, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected December 18, 2025 |
| December 18, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 31, 2025 |
| December 18, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 17, 2025 |
| December 18, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 17, 2025 |
| December 18, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected December 19, 2025 |
| December 18, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 22, 2025 |
| December 18, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 17, 2025 |
| December 18, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | F Potential harm, widespread | Corrected December 17, 2025 |
| December 18, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 17, 2025 |
| December 18, 2025 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected December 18, 2025 |
| December 18, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected January 17, 2026 |
| December 18, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected January 17, 2026 |
| December 18, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected January 17, 2026 |
| December 12, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 17, 2024 |
| December 12, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 17, 2024 |
| December 12, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 17, 2024 |
| December 12, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected December 20, 2024 |
| December 12, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected December 23, 2024 |
| December 12, 2024 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | F Potential harm, widespread | Corrected December 17, 2024 |
| December 12, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected December 19, 2024 |
| December 12, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 17, 2024 |
| December 12, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected January 17, 2025 |
| December 12, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected December 19, 2024 |
| December 12, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected December 17, 2024 |
| December 12, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 13, 2024 |
| October 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected October 26, 2023 |
| October 19, 2023 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected October 26, 2023 |
| October 19, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected October 26, 2023 |
| October 19, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected October 20, 2023 |
| October 19, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected October 20, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BCG HOLDINGS INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| BRIGHTON CONSULTING GROUP LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CATTAIL BCG LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| CATTAIL INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| ECSI INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| HORSLEY, ALISON Individual | adp of the snf | NOT APPLICABLE | 12/10/2025 |
| IOWA HEALTH CARE ASSOCIATION Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| KEY REHABILITATION INC Organization | adp of the snf | NOT APPLICABLE | 08/01/2023 |
| OLSEN, MUHLBAUER & CO, LLP Organization | adp of the snf | NOT APPLICABLE | 06/01/2007 |
| PEK, ZOLTAN Individual | adp of the snf | NOT APPLICABLE | 12/10/2025 |
| ASCHINGER, MARILYN Individual | corporate director | NOT APPLICABLE | 01/01/2014 |
| STOLTENBERG, ANN Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| VILHAUER, ANN Individual | corporate director | NOT APPLICABLE | 01/19/2010 |
| HUNDLING, MELANIE Individual | corporate officer | NOT APPLICABLE | 04/18/2023 |
| SCHMITZ, SANDRA Individual | corporate officer | NOT APPLICABLE | 04/18/2023 |
| SCHROEDER, DIANE Individual | corporate officer | NOT APPLICABLE | 04/18/2023 |
| GEIBE, NICOLE Individual | operational/managerial control | NOT APPLICABLE | 07/29/2024 |
| HARMAN, TONY Individual | operational/managerial control | NOT APPLICABLE | 09/24/2024 |
| HELM, CINDY Individual | operational/managerial control | NOT APPLICABLE | 03/28/2002 |
| HORSLEY, ALISON Individual | operational/managerial control | NOT APPLICABLE | 04/13/2015 |
| PEK, ZOLTAN Individual | operational/managerial control | NOT APPLICABLE | 01/06/2023 |
| STEINKAMP, JENNA Individual | operational/managerial control | NOT APPLICABLE | 12/14/2015 |
Other nursing homes near Twilight Acres
Odebolt Specialty Care
801 South Des Moines Street, Odebolt, IA 51458 · 7.9 mi
Non-profit · 38 beds · Part of Care Initiatives
★★★★★3AveragePark View Rehabilitation Center
601 Park Avenue, Sac City, IA 50583 · 11.8 mi
For-profit · 77 beds · Part of Legacy Healthcare
★★★★★1Much below averageAccura Healthcare of Carroll
2241 North West Street, Carroll, IA 51401 · 17.6 mi
For-profit · 65 beds · Part of Accura Healthcare
★★★★★1Much below averageAccura Healthcare of Lake City, LLC
1409 West Main Street, Lake City, IA 51449 · 17.6 mi
For-profit · 46 beds · Part of Accura Healthcare
★★★★★2Below averageSt Anthony Senior Services
406 East Anthony Street, Carroll, IA 51401 · 19.4 mi
Non-profit · 79 beds
- Abuse citation
★★★★★1Much below averageRegency Park Nursing & Rehab Center of Carroll
500 East Valley Drive, Carroll, IA 51401 · 19.4 mi
For-profit · 46 beds · Part of Campbell Street Services
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Twilight Acres's rating?
Twilight Acres has 5 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Twilight Acres receive?
Its most recent standard health inspection found 4 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Twilight Acres accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Twilight Acres?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Twilight Acres and how do I contact it?
Twilight Acres is at 600 West 6th Street, Wall Lake, IA 51466. Phone: (712) 664-2488.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.