Twilight Acres

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 3.3 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.

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