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Twilight Acres

Nursing Home Facility

600 West 6th Street, Wall Lake, IA 51466

Assisted Living Nursing Home Care Senior Living

Twilight Acres is a senior care community located in Wall Lake, IA. It provides assisted living, nursing home care, and senior living for older adults in the Wall Lake area. To learn more or schedule a tour, call (712) 664-2488.

Twilight Acres is licensed for 39 beds, about typical for the area, where senior care communities in Sac County average about 54 beds.

Federal reporting puts occupancy at about 71% of its licensed beds.

Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Sac County average about 3.0 stars. Its most recent standard health inspection was in December 2025 and recorded 4 deficiencies.

Residents receive about 4.1 hours of nursing care per day on average, including 0.7 hours from a registered nurse. Nursing staff turnover over the past year was about 35%.

The community is located in Sac County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 5/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 7 problems at Twilight Acres. None of them caused harm to a resident. 1 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected March 2026, after a complaint. Corrected by March 18, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected December 2025. Corrected by January 17, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Inspected December 2025. Corrected by January 17, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected December 2025. Corrected by January 17, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Twilight Acres offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type Non profit - Corporation
  • Beds / units 39
  • Occupancy 71%
  • Nursing hours per resident/day 4.1
  • Annual staff turnover 35%
  • Last health inspection December 2025

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