nursing home in Norwalk, OH
Twilight Gardens Nursing and Rehabilitation
196 W Main St, Norwalk, OH 44857 · (419) 668-2086
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Twilight Gardens Nursing and Rehabilitation at a glance
Twilight Gardens Nursing and Rehabilitation is a 94-bed for-profit nursing home in Norwalk, Ohio (Huron County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Ohio average of 3.2.
Residents receive about 4.4 hours of nursing care per day (1.5 of them from registered nurses), better than the state average of 3.7 hours.
Its most recent standard health inspection (March 19, 2026) found 4 health citations. The Ohio average is 10.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 54.9% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 94
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cch Healthcare
- Medicare-certified since
- July 3, 1980
- Resident/family council
- Resident
- County
- Huron County
- CMS Certification Number
- 365517
Ratings
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.4 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 4.4 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.8 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.36 hrs | 3.69 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.53 hrs | 0.64 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.32 hrs | 2.09 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.79 hrs | 3.28 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 54.9% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60.7% | 43.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 22 | 80.7 | 80.6 | Better |
Penalties
| Measure | This facility | Ohio 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 | $26,381 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 94 | 88 | 107 | |
| Average residents per day | 77 | 74 | 86 | |
| Occupancy | 81.7% | 84.3% | 80.9% |
Long-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.8% | 3.2% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4% | 8.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.9% | 0.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 2.8% | 5.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 1.3% | 6.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 7% | 6.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 13.2% | 30.1% | 12.8% | Average |
| Long-stay residents who were physically restrained (lower is better) | 0.4% | 0.1% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 44.9% | 25.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 22.3% | 21.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 89% | 94.5% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 92.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 44.6% | 75.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 60.9% | 78.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 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 April 23, 2026 |
| March 19, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected April 23, 2026 |
| March 19, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 23, 2026 |
| March 19, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 23, 2026 |
| March 19, 2026 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected April 23, 2026 |
| March 19, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected April 23, 2026 |
| March 19, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected April 2, 2026 |
| March 19, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected April 2, 2026 |
| March 19, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 2, 2026 |
| January 22, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 9, 2026 |
| April 24, 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 May 29, 2025 |
| April 24, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected May 29, 2025 |
| April 24, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 29, 2025 |
| April 24, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 29, 2025 |
| April 24, 2025 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 May 29, 2025 |
| April 24, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 29, 2025 |
| October 19, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected December 7, 2023 |
| October 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 7, 2023 |
| October 19, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected December 7, 2023 |
| October 19, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected December 7, 2023 |
| October 19, 2023 Fire safety | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0915 | F Potential harm, widespread | Corrected December 7, 2023 |
| October 19, 2023 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected December 7, 2023 |
| October 19, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 7, 2023 |
| October 19, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 7, 2023 |
| October 19, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 7, 2023 |
| October 19, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected December 7, 2023 |
| October 19, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 7, 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 |
|---|---|---|---|
| TWILIGHT NURSING HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 100% | 06/01/2019 |
| CHOMESH 2 LLC Organization | 5% or greater indirect ownership interest | — | 05/03/2023 |
| STARLIGHT HEALTHCARE LLC Organization | 5% or greater indirect ownership interest | — | 05/03/2023 |
| WOLMARK, RACHEL Individual | 5% or greater indirect ownership interest | — | 05/03/2023 |
| WOLMARK, YEHUDA Individual | 5% or greater indirect ownership interest | — | 05/03/2023 |
| STERN, JACOB Individual | corporate director | NOT APPLICABLE | 06/01/2019 |
| STERN, JACOB Individual | corporate officer | NOT APPLICABLE | 06/01/2019 |
| WOODWARD, CURTIS Individual | w-2 managing employee | NOT APPLICABLE | 03/07/2023 |
Other nursing homes near Twilight Gardens Nursing and Rehabilitation
Carecore at Gaymont
66 Norwood Ave, Norwalk, OH 44857 · under 1 mi
For-profit · 88 beds · Part of Carecore Health
★★★★★2Below average- ★★★★★4Above average
Vista Care Center of Milan
185 S Main St, Milan, OH 44846 · 4 mi
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- Abuse citation
★★★★★2Below averageBellevue Care Center
One Audrich Square, Bellevue, OH 44811 · 9.7 mi
For-profit · 63 beds · Part of Saber Healthcare Group
★★★★★5Much above averageAdmirals Pointe Nursing & Rehabilitation
1920 Cleveland Rd W, Huron, OH 44839 · 12.1 mi
For-profit · 90 beds · Part of Foundations Health Solutions
★★★★★5Much above averageParkvue Health Care Center
3800 Boardwalk Blvd, Sandusky, OH 44870 · 12.1 mi
For-profit · 84 beds · Part of United Church Homes
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Twilight Gardens Nursing and Rehabilitation's rating?
Twilight Gardens Nursing and Rehabilitation has 4 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.
How many inspection citations did Twilight Gardens Nursing and Rehabilitation receive?
Its most recent standard health inspection found 4 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.
Does Twilight Gardens Nursing and Rehabilitation 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 Gardens Nursing and Rehabilitation?
It is for profit - corporation and part of Cch Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Twilight Gardens Nursing and Rehabilitation and how do I contact it?
Twilight Gardens Nursing and Rehabilitation is at 196 W Main St, Norwalk, OH 44857. Phone: (419) 668-2086.
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.