Twilight Acres

Twilight Acres

Wall Lake, Iowa

Address

600 West 6th Street, Wall Lake, IA, 51466

Phone

+1 712-664-2488

9.5 /10

Twilight Acres Quality & Safety Report

Excellent

Inspections: 5★ (50%) Staffing: 5★ (25%) Quality: 4★ (25%)

CMS Official Overall: 5★ / 5

CMS data as of January 2026

This score is calculated from three federally reported CMS metrics: Health Inspections (weighted 50%), Staffing levels (25%), and Quality Measures (25%). Facilities with serious safety findings receive score deductions. For centers with 5+ Google reviews, resident feedback contributes 15% of the final score. Learn more →

1 health deficiencies

Safety & Inspections

Health deficiencies
National median: 7
1 below national median

CMS data as of January 1, 2026

Staffing breakdown

Average hours of nursing care each resident receives per day, by staff role. Higher numbers generally indicate more attentive care.

Total nurse staffing
National median: 4.12 hrs
5.65 hrs above national median
Registered nurse (RN)
1.18 hrs
Licensed practical nurse (LPN)
0.83 hrs
Certified nursing aide (CNA)
2.97 hrs
Physical therapy
0.02 hrs

Quality rating trend

Overall rating improved from 4 to 5 stars over 18 data points.

Quality rating trend for Twilight Acres 1 2 3 4 5 Jun 24 Sep 24 Dec 24 Apr 25 Jul 25 Dec 25 Feb 26
  • Overall
  • Health inspection
  • Staffing
  • Quality measures

Facility profile

Type
Skilled Nursing Facility · Building
Capacity
39 certified beds · ~21 avg residents/day (53% occupancy)
Ownership
For profit - Corporation
Payment accepted
Medicare Medicaid (Medicare and Medicaid)

About

Twilight Acres is a 39-bed for-profit skilled nursing facility located in Wall Lake, Iowa. The center holds a five-star overall rating from the Centers for Medicare & Medicaid Services, including five stars for staffing and health inspections. Clinical performance is reflected in a four-star rating for quality measures.

Location

600 West 6th Street, Wall Lake, IA, 51466, Wall Lake, IA

Frequently asked questions

What is the overall CMS rating for Twilight Acres?
Twilight Acres has an overall CMS rating of 5 out of 5 stars.
How did Twilight Acres score on health inspections?
Twilight Acres received a health inspection rating of 5 out of 5 stars from CMS.
What is the staffing rating for Twilight Acres?
Twilight Acres has a staffing rating of 5 out of 5 stars, based on nurse-to-resident ratios.
How many beds does Twilight Acres have?
Twilight Acres has 39 certified beds.
Does Twilight Acres accept Medicare or Medicaid?
Yes, Twilight Acres accepts Medicare and Medicaid.
Where is Twilight Acres located?
Twilight Acres is located at 600 West 6th Street, Wall Lake, IA, 51466, Wall Lake, Iowa.
How can I contact Twilight Acres?
You can reach Twilight Acres by phone at +1 712-664-2488.

More facilities in Iowa

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About this data

How to read this page

Star ratings vs. Care Quality Score: The Google star rating reflects visitor and family opinions collected from public reviews. The Care Quality Score is an independent metric derived entirely from federal inspection data — the two measure different things, and comparing them side-by-side gives a fuller picture.

Where this data comes from

All clinical data on this page originates from the Centers for Medicare & Medicaid Services (CMS), the federal agency that certifies and inspects every Medicare- and Medicaid-participating nursing home in the United States. Reviews are imported verbatim from public Google business listings.

What to do next

Data is a starting point, not a final answer. We encourage families to visit facilities in person, observe daily routines, and speak with staff and residents. See our guide: Questions to Ask When Visiting →

Listing data sourced from CMS provider records and public Google business data. ACD-HUB independently aggregates and never accepts paid placement.