Twilight Acres
Wall Lake, IA · Medicare and Medicaid-certified nursing home (CCN 165488) · 39 certified beds
Health inspection: 4 · Quality measures: 5 · Staffing: 4
Federal fines: none on current record
Phone: (712) 664-2488 · Verify on Medicare Care Compare ↗
Twilight Acres holds a 5-star overall CMS rating, above Iowa's state average of 3.07 stars. Its health inspection rating is 4 stars and its staffing rating is 4 stars.
Twilight Acres reports 4.07 total nurse hours per resident per day, including 0.73 RN hours per resident per day, with a staffing star rating of 4. Nursing staff turnover is reported at 34.5%.
Twilight Acres has no federal fines on record and no payment denials reported by CMS. There is no abuse icon or Special Focus Facility designation noted in the available data for this facility.
About this facility
Twilight Acres is a non-profit nursing home in Wall Lake, Sac County, Iowa, certified for both Medicare and Medicaid since September 2003. The facility is licensed for 39 beds and reports an average daily census of 27.7 residents, indicating a smaller, community-scale operation.
According to CMS Care Compare, Twilight Acres holds an overall star rating of 5, which is above the Iowa state average of 3.07. Its component ratings are: 4 stars for health inspections, 5 stars for quality measures, and 4 stars for staffing. Nurse staffing data show 4.07 total nurse hours per resident per day, including 0.73 RN hours per resident per day, with a nursing staff turnover rate of 34.5%.
On the penalty record, CMS lists no federal fines on record (0 fines totaling $0.00) and no payment denials for this facility. There is no indication in the data of an abuse icon being displayed or a Special Focus Facility designation for Twilight Acres. No chain affiliation is listed in the data provided, and there has been no change of ownership reported in the last 12 months, so current ratings reflect the present operator.
Families evaluating this facility should note these figures represent a single point-in-time snapshot from CMS Care Compare and should verify current details, including any updates to staffing, ratings, or penalty history, directly on Medicare Care Compare or by contacting the facility.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Twilight Acres has an overall CMS rating of 5 stars, above the Iowa state average of 3.07 stars.
Does this facility accept Medicare, Medicaid, or both?
Twilight Acres is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
The facility reports 4.07 total nurse hours per resident per day, including 0.73 RN hours per resident per day, with a staffing star rating of 4 and 34.5% nursing turnover.
Does this facility have federal fines or penalties on record?
No, CMS records show zero fines, $0.00 in total fines, and no payment denials for Twilight Acres.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility status for Twilight Acres.
How large is this facility and how many residents live there?
Twilight Acres is certified for 39 beds and has an average daily census of 27.7 residents.
Who owns this facility — and is it part of a chain?
Twilight Acres is operated as a non-profit corporation, and no chain affiliation is listed in the available data.
How long has this facility been Medicare/Medicaid certified?
Twilight Acres has been certified since September 1, 2003.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; Twilight Acres scores 5, 4, 4, and 5 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service lines like short-term rehabilitation; please contact the facility at 7126642488 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data does not cover tour details; contact the facility at 7126642488 to arrange a visit and verify current conditions.
How do I verify this facility's current record on Medicare Care Compare?
You can review the latest details for Twilight Acres at https://www.medicare.gov/care-compare/details/nursing-home/165488?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.