Nursing Homes · Medicare certified
Twilight Acres
600 West 6th Street · Wall Lake, IA 51466 · 39 certified beds
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Public record
CMS Care Compare · Updated Jul 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
5
Inspection history (7)
March 5, 2026 · D
Citation F0686Federal surveyors cited this nursing home on 2026-03-05 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2026-03-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-05.GOVDecember 18, 2025 · E
Citation F0883Federal surveyors cited this nursing home on 2025-12-18 under CMS tag F0883 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2026-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-18.GOVDecember 18, 2025 · D
Citation F0605Federal surveyors cited this nursing home on 2025-12-18 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2026-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-18.GOVDecember 18, 2025 · E
Citation F0578Federal surveyors cited this nursing home on 2025-12-18 under CMS tag F0578 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-18.GOVDecember 12, 2024 · D
Citation F0684Federal surveyors cited this nursing home on 2024-12-12 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-12-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-12.GOVOctober 19, 2023 · D
Citation F0868Federal surveyors cited this nursing home on 2023-10-19 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2023-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-19.GOVOctober 19, 2023 · D
Citation F0637Federal surveyors cited this nursing home on 2023-10-19 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2023-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-19.GOV
Penalties
Total fines on file: $0
Staffing
Latest: 4.23 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
- 2025Q44.23 hrs/resident/day
- 2026-06-014.23 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit - Corporation
Parent organization: Cattail INC
parent · PAC 4486155835
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$7,858/moNursing Homes
Median · IA$9,277/moNearby alternatives
No other listed providers in Wall Lake yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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