Twilight Acres
600 West 6Th Street, Wall Lake, IA, 51466
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 39 · avg 25 residents/day
- Total nursing staff turnover
- 35.5% — lower than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 42.9% — near the Iowa averageIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 165488
- Certified beds
- 39 beds · avg 25 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Twilight Acres Inc.
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (55 on record)
- Alison a Horsley
Adp of The Snf · since 2025
- Zoltan l Pek
Adp of The Snf · since 2025
- Bcg Holdings Inc
Adp of The Snf · since 2024
- Brighton Consulting Group Llc
Adp of The Snf · since 2024
- Cattail Bcg Llc
Adp of The Snf · since 2024
- Cattail Inc
Adp of The Snf · since 2024
+ 49 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 7 of 7)
- D0686·Mar 5, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0883·Dec 18, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0605·Dec 18, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- E0578·Dec 18, 2025
Resident Rights Deficiencies
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.
- D0684·Dec 12, 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0868·Oct 19, 2023
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D0637·Oct 19, 2023
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Fire-safety citations
34 Life-Safety-Code citations on file. Most recent: Jan 29, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Twilight Acresinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.