Twilight Acres
Nursing Home · Wall Lake, IA
CMS certification number165488
Contact & location
600 West 6th StreetWall Lake, IA 51466
Sac County
- Phone
- (712) 664-2488
- ZIP code
- 51466 – all care providers
Facility details
- Certified beds
- 39
- Residents per day
- 27.7 (71% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Twilight Acres INC.
- Medicare certified since
- September 1, 2003
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.07 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.73 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.91 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.44 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.73 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 34.5 (state 44.0 · U.S. 45.8)%
- RN turnover
- 28.6 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- December 18, 2025
- Health deficiencies (last cycle)
- 4.0 (state 6.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 7 health · 34 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-18 |
| 2025-12-18 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-17 |
| 2025-12-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-17 |
| 2025-12-18 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-17 |
| 2024-12-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-13 |
| 2023-10-19 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-20 |
| 2023-10-19 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| BCG Holdings INC (organization) | Administrator · NOT APPLICABLE | |
| Brighton Consulting Group LLC (organization) | Administrator · NOT APPLICABLE | |
| Cattail BCG LLC (organization) | Administrator · NOT APPLICABLE | |
| Cattail INC (organization) | Administrator · NOT APPLICABLE | |
| Ecsi INC (organization) | Administrator · NOT APPLICABLE | |
| Horsley, Alison (individual) | Administrator · NOT APPLICABLE | |
| Iowa Health Care Association (organization) | Administrator · NOT APPLICABLE | |
| Key Rehabilitation INC (organization) | Administrator · NOT APPLICABLE | |
| Olsen, Muhlbauer & Co, LLP (organization) | Administrator · NOT APPLICABLE | |
| Pek, Zoltan (individual) | Administrator · NOT APPLICABLE | |
| Aschinger, Marilyn (individual) | Corporate Director · NOT APPLICABLE | |
| Stoltenberg, Ann (individual) | Corporate Director · NOT APPLICABLE | |
| Vilhauer, Ann (individual) | Corporate Director · NOT APPLICABLE | |
| Hundling, Melanie (individual) | Corporate Officer · NOT APPLICABLE | |
| Schmitz, Sandra (individual) | Corporate Officer · NOT APPLICABLE | |
| Schroeder, Diane (individual) | Corporate Officer · NOT APPLICABLE | |
| Geibe, Nicole (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Harman, Tony (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Helm, Cindy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Horsley, Alison (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Pek, Zoltan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Steinkamp, Jenna (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Twilight Acres?
Twilight Acres has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Twilight Acres have?
It has 39 certified beds and cares for about 28 residents per day.
Has Twilight Acres been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Twilight Acres?
(712) 664-2488. The facility is located at 600 West 6th Street, Wall Lake, IA 51466.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.