Twilight Gardens Nursing and Rehabilitation

Name: Twilight Gardens Nursing and Rehabilitation
Address: 196 W MAIN ST, Norwalk, OH, 44857, US
Telephone: 4196682086

196 W Main St, Norwalk, OH 44857 · Huron County · 94 certified beds · avg 77 residents/day · certified since Jul 3, 1980

Part of chain: CCH HEALTHCARE (33 facilities, chain avg rating 2.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.54

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: 4/5

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 (14)

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 19, 2026	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 19, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 22, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Apr 24, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 24, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 24, 2025	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
Apr 24, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 19, 2023	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 19, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).

Year	Citations	Worst severity that year
2023	6	E
2025	4	F
2026	4	E

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	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.54	3.45	3.95	top 34% in Ohio; bottom 38% in the U.S.
Registered Nurse hours	1.24	0.60	0.69	top 3% in Ohio; top 8% in the U.S.
Weekend total nurse staffing	3.07	3.07	3.50	top 39% in Ohio; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.27	0.42	0.48	top 1% in Ohio; top 3% in the U.S.
Total nursing staff turnover (%)	54.9	48.7	45.8	bottom 31% in Ohio; bottom 25% in the U.S.
RN turnover (%)	60.7	43.9	42.9	bottom 22% in Ohio; bottom 20% 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 4.36, RN 1.53, weekend 3.79. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Chomesh 2 LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/03/2023
Starlight Healthcare LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/03/2023
Twilight Nursing Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2019
Wolmark, Rachel	Individual	5% or Greater Indirect Ownership Interest	—	05/03/2023
Wolmark, Yehuda	Individual	5% or Greater Indirect Ownership Interest	—	05/03/2023
Stern, Jacob	Individual	Corporate Director	NOT APPLICABLE	06/01/2019
Stern, Jacob	Individual	Corporate Officer	NOT APPLICABLE	06/01/2019
Woodward, Curtis	Individual	W-2 Managing Employee	NOT APPLICABLE	03/07/2023

Questions to ask on your visit

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

"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"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
Carecore at Gaymont	0.8 mi	Norwalk, OH	★★★☆☆	3/5
Norwalk Memorial Home	1.7 mi	Norwalk, OH	★★★★☆	4/5
Vista Care Center of Milan	4.0 mi	Milan, OH	★★☆☆☆	1/5	abuse
Bellevue Care Center	9.7 mi	Bellevue, OH	★★★★★	5/5
Admirals Pointe Nursing & Rehabilitation	12.1 mi	Huron, OH	★★★★★	5/5
Parkvue Health Care Center	12.1 mi	Sandusky, OH	★★★★★	4/5
Concord Care and Rehabilitation Center	12.5 mi	Sandusky, OH	★★★★☆	3/5
The Meadows at Osborn Park	12.7 mi	Huron, OH	★★★★☆	4/5
Ohio Veterans Home	13.0 mi	Sandusky, OH	★★★★☆	2/5	abuse
Willows at Bellevue	13.6 mi	Bellevue, OH	★★★★★	4/5
Willows at Willard the	13.7 mi	Willard, OH	★★★★★	4/5
Embassy of Willard	13.8 mi	Willard, OH	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Norwalk →

Facility data as of CMS processing date 2026-08-01. CCN 365517.

The Care File

Visit checklist — Twilight Gardens Nursing and Rehabilitation

196 W Main St, Norwalk, OH 44857 · 4196682086

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

Questions for the administrator:

☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "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 365517 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)