Twilight Acres — Nursing Home in WALL LAKE, IA
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 39 |
|---|---|
| Average Residents/Day | 21.8 |
| CMS Certification Number | 165488 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 4.62 HPRD |
|---|---|
| RN Staffing | 1.05 HPRD |
Health Inspection Findings & Deficiencies
Twilight Acres had 1 health inspection deficiency on its most recent inspection (March 5, 2026).
Inspection Findings — March 5, 2026
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Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Level D)Corrected — March 18, 2026
Twilight Acres is a 39-bed nursing home in Wall Lake, Iowa. It holds a 5-star CMS overall rating. Total nurse staffing is 4.6 hours per resident day, above the Iowa average of 3.8. Its most recent inspection, in March 2026, cited 1 deficiency, none of them severe.
Staffing appears to be a clear strength, with stronger nurse coverage than typical in the area. You may want to ask what specific steps the facility has taken to address the cited deficiency—particularly how they strengthened their infection prevention program and related care practices.
Frequently Asked Questions
Is Twilight Acres Medicare and Medicaid certified?
Twilight Acres is Medicare certified and Medicaid certified according to CMS data.
What is Twilight Acres's CMS star rating?
Twilight Acres has an overall CMS rating of 5 out of 5 stars.
How is staffing at Twilight Acres?
Twilight Acres reports 4.6164 total nurse hours per resident day.
Has Twilight Acres had health inspection deficiencies?
On its most recent inspection, Twilight Acres had 1 total deficiencies, including 0 classified as severe.
How many beds does Twilight Acres have?
Twilight Acres has 39 certified beds.
Nearby Nursing Homes
- Blackhawk Life Care Center — 1/5 — 3.0 mi
- Odebolt Specialty Care — 4/5 — 7.9 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.