Nursing Homes · Medicare certified
Twilight Acres
600 West 6th Street · Wall Lake, IA 51466 · 39 certified beds
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About Twilight Acres
Twilight Acres is a nursing home in Wall Lake, Iowa. Its capacity is 39 beds, below the Iowa median of 57 for nursing homes. It is run by a nonprofit operator and is part of Cattail INC. It is Medicare certified. Its public inspection record shows 7 citations, the most recent on March 5, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 4.04 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
4.0Staffing
4.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (7)
Records from October 2023 to March 2026.
March 5, 2026
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2026.
December 18, 2025
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 17, 2026.
December 18, 2025
Tag F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 17, 2026.
December 18, 2025
Tag F0578Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 17, 2026.
December 12, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 13, 2024.
October 19, 2023
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 20, 2023.
October 19, 2023
Tag F0637Assess the resident when there is a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 20, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
4.04 nurse hours per resident per day in Q2 2026, down from 4.23 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
- Parent company: Cattail INC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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