Twilight Gardens Nursing and Rehabilitation
Nursing home in Norwalk, Ohio, CMS certification number 365517
196 W Main St, Norwalk, OH 44857 · Huron County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 94
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 19, 2026
- Deficiencies at that inspection
- 4
- Fines in 3 years
- No fines
Does Twilight Gardens Nursing and Rehabilitation take Medicare and Medicaid?
Yes to both. Twilight Gardens Nursing and Rehabilitation 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 | 4 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Twilight Gardens Nursing and Rehabilitation 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
- 4.30
- Registered nurse hours
- 1.54
- Licensed practical nurse hours
- 0.44
- Nurse aide hours
- 2.32
- Weekend total hours
- 3.84
- Nursing staff turnover
- 55.2%
- Registered nurse turnover
- 62.1%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on March 19, 2026 and cited 4 deficiencies, plus 1 from complaint visits.
The visit before, on April 24, 2025, found 4.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Twilight Gardens Nursing and Rehabilitation in the past 3 years.
Beds and residents
On an average day 72 residents live here, about 77% of its 94 certified beds.
- Certified beds
- 94
- Average residents per day
- 72
- Certified since
- July 3, 1980
- Resident or family council
- Resident
Who owns Twilight Gardens Nursing and Rehabilitation
- Legal business name
- Twilight Healthcare LLC
- Ownership type
- For profit - Corporation
- Chain
- 33 homes nationally under CCH Healthcare, 2.7-star chain average
Other nursing homes near Twilight Gardens Nursing and Rehabilitation
- Carecore at Gaymont66 Norwood Ave, Norwalk 44857
- Norwalk Memorial Home272 Benedict Ave, Norwalk 44857
- Vista Care Center of Milan185 S Main St, Milan 44846
- Bellevue Care CenterOne Audrich Square, Bellevue 44811
- Admirals Pointe Nursing & Rehabilitation1920 Cleveland Rd W, Huron 44839
Who inspects nursing homes in Ohio
Ohio'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 Ohio, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Twilight Gardens Nursing and Rehabilitation, 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 Gardens Nursing and Rehabilitation
What is the CMS star rating of Twilight Gardens Nursing and Rehabilitation?
4 out of 5 stars overall.
Does Twilight Gardens Nursing and Rehabilitation accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Twilight Gardens Nursing and Rehabilitation?
4 cited at the last standard visit.
Who owns Twilight Gardens Nursing and Rehabilitation?
Twilight Healthcare LLC, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.