Twilight Acres
Nursing Home Facility
600 West 6th Street, Wall Lake, IA 51466
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.
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.
-
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.
-
Could cause more than minimal harm, a pattern
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
-
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.
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.
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
Resident & family reviews
No one has shared a review of Twilight Acres yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.