Nursing home · Top rated by CMS
Twilight Acres
600 West 6Th Street, Wall Lake, IA 51466 · Map
For profit - Corporation · 39 certified beds
Twilight Acres is a Medicare-certified nursing home in Wall Lake, Iowa. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 5/5 for health inspections). Nurse staffing is 4.80 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Dec 12, 2024 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Twilight Acres compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.80 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.00 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.97 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 44.1% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 1.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 5, 2026 inspection was corrected by March 18, 2026
What inspectors found at Twilight Acres
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Mar 5, 2026 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Dec 18, 2025 · Full report (PDF) - Potential for harm
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 · Dec 18, 2025 · Full report (PDF) - Potential for harm
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 · Dec 18, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 12, 2024 · Full report (PDF)
Show all 7 deficiencies
- Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Oct 19, 2023 - Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Oct 19, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 600 West 6Th Street
Wall Lake, IA 51466 - CMS certification #
- 165488
- Ownership
- For profit - Corporation
- Certified beds
- 39
- Avg residents/day
- 20.6
- Provider type
- Medicare and Medicaid
- First certified
- 2003-09-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Twilight Acres using Google Maps.
Other public records
- Website says Respite stays, works with hospice, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Twilight Acres says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Loring Hospital, Sac City. 11.7 miles away, straight line.
- Nearest Medicare nursing home
- Odebolt Specialty Care, Odebolt. 7.9 miles away, straight line.
- Nearest home health agency office
- Sac County Phns, Sac City. 11.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 18.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51466 as rural (rural area).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 51466.
Gentiva, office in Carroll, 18.6 miles away, straight line
St. Anthony Regional Hospital And Nursing Home, office in Carroll, 19.5 miles away, straight line - Nearest geriatric medicine practice
- Homaha Senior Care LLC, Omaha. 83.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire very low, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Twilight Acres a good nursing home?
CMS gives Twilight Acres an overall rating of 5 out of 5 stars, including 5/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Twilight Acres staffed?
Twilight Acres reports 4.80 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Twilight Acres had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Twilight Acres have?
Twilight Acres is certified for 39 beds.