Twilight Acres

Name: Twilight Acres
Address: 600 West 6th Street, Wall Lake, IA, 51466, US
Telephone: 7126642488

600 West 6th Street, Wall Lake, IA 51466 · Sac County · 39 certified beds · avg 28 residents/day · certified since Sep 1, 2003

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.40

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (7)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 5, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Dec 18, 2025	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Dec 18, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Dec 18, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Oct 19, 2023	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 3).

Year	Citations	Worst severity that year
2023	2	D
2024	1	D
2025	3	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.40	4.37	3.95	top 44% in Iowa; top 26% in the U.S.
Registered Nurse hours	0.78	0.85	0.69	bottom 49% in Iowa; top 29% in the U.S.
Weekend total nurse staffing	4.02	3.86	3.50	top 37% in Iowa; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.51	0.51	0.48	top 37% in Iowa; top 31% in the U.S.
Total nursing staff turnover (%)	34.5	44.0	45.8	top 28% in Iowa; top 23% in the U.S.
RN turnover (%)	28.6	42.1	42.9	top 32% in Iowa; top 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.07, RN 0.73, weekend 3.73. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Aschinger, Marilyn	Individual	Corporate Director	NOT APPLICABLE	01/01/2014
BCG Holdings INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Brighton Consulting Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Cattail BCG LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Cattail INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Ecsi INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Geibe, Nicole	Individual	Operational/Managerial Control	NOT APPLICABLE	07/29/2024
Harman, Tony	Individual	Operational/Managerial Control	NOT APPLICABLE	09/24/2024
Helm, Cindy	Individual	Operational/Managerial Control	NOT APPLICABLE	03/28/2002
Horsley, Alison	Individual	Operational/Managerial Control	NOT APPLICABLE	04/13/2015
Horsley, Alison	Individual	ADP of the SNF	NOT APPLICABLE	12/10/2025
Hundling, Melanie	Individual	Corporate Officer	NOT APPLICABLE	04/18/2023
Iowa Health Care Association	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2024
Key Rehabilitation INC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2023
Olsen, Muhlbauer & Co, LLP	Organization	ADP of the SNF	NOT APPLICABLE	06/01/2007
Pek, Zoltan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/06/2023
Pek, Zoltan	Individual	ADP of the SNF	NOT APPLICABLE	12/10/2025
Schmitz, Sandra	Individual	Corporate Officer	NOT APPLICABLE	04/18/2023
Schroeder, Diane	Individual	Corporate Officer	NOT APPLICABLE	04/18/2023
Steinkamp, Jenna	Individual	Operational/Managerial Control	NOT APPLICABLE	12/14/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"How does your quality committee work, and can you share an example of a problem it identified and fixed?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Odebolt Specialty Care	7.9 mi	Odebolt, IA	★★★☆☆	2/5
Park View Rehabilitation Center	11.8 mi	Sac City, IA	★☆☆☆☆	1/5
Accura Healthcare of Lake City, LLC	17.6 mi	Lake City, IA	★★☆☆☆	2/5
Accura Healthcare of Carroll	17.6 mi	Carroll, IA	★☆☆☆☆	1/5
St Anthony Senior Services	19.4 mi	Carroll, IA	★☆☆☆☆	1/5	abuse
Regency Park Nursing & Rehab Center of Carroll	19.4 mi	Carroll, IA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Wall Lake →

Facility data as of CMS processing date 2026-08-01. CCN 165488.

The Care File

Visit checklist — Twilight Acres

600 West 6th Street, Wall Lake, IA 51466 · 7126642488

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165488 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)