Twilight Acres
Nursing home in Wall Lake, Iowa, CMS certification number 165488
600 West 6th Street, Wall Lake, IA 51466 · Sac County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 39
- Certified for
- Medicare and Medicaid
- Last standard inspection
- December 18, 2025
- Deficiencies at that inspection
- 7
- Fines in 3 years
- No fines
Does Twilight Acres take Medicare and Medicaid?
Yes to both. Twilight Acres is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Twilight Acres reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.04
- Registered nurse hours
- 0.69
- Licensed practical nurse hours
- 0.84
- Nurse aide hours
- 2.51
- Weekend total hours
- 3.77
- Nursing staff turnover
- 40.6%
- Registered nurse turnover
- 57.1%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on December 18, 2025 and cited 7 deficiencies, plus 4 from complaint visits.
The visit before, on December 12, 2024, found 1.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Twilight Acres in the past 3 years.
Beds and residents
On an average day 29.8 residents live here, about 76% of its 39 certified beds.
- Certified beds
- 39
- Average residents per day
- 29.8
- Certified since
- September 1, 2003
- Resident or family council
- Resident
Who owns Twilight Acres
- Legal business name
- Twilight Acres Inc.
- Ownership type
- Non profit - Corporation
Other nursing homes near Twilight Acres
- Odebolt Specialty Care801 South Des Moines Street, Odebolt 51458
- Park View Rehabilitation Center601 Park Avenue, Sac City 50583
- Accura Healthcare of Carroll2241 North West Street, Carroll 51401
- Accura Healthcare of Lake City, LLC1409 West Main Street, Lake City 51449
- St Anthony Senior Services406 East Anthony Street, Carroll 51401
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Twilight Acres, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Twilight Acres
What is the CMS star rating of Twilight Acres?
4 out of 5 stars overall.
Does Twilight Acres accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Twilight Acres?
7 cited at the last standard visit.
Who owns Twilight Acres?
Twilight Acres Inc., non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.