Twilight Acres

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 18, 2026

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jan 30, 2026

• Address patient/client population and determine types of services needed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• Conduct risk assessment and an All-Hazards approach.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• Create arrangements with other facilities to receive patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• List the names and contact information of those in the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 24, 2026

• Use approved construction type or materials.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 21, 2025

• Have exits that are accessible at all times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 31, 2025

• Have properly located and lighted "Exit" signs.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 18, 2025

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 31, 2025

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2025

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 19, 2025

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 22, 2025

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2025

• Have restrictions on the use of portable space heaters.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 30, 2025

• Ensure proper usage of power strips and extension cords.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2025

• Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 18, 2025

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2026

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2026

• Ensure that testing and maintenance of electrical equipment is performed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 17, 2025

• Construct fire resistant interior walls.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2024

• Install an approved automatic sprinkler system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 19, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2024

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2024

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2024

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 20, 2024

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 23, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 17, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 19, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 13, 2024

• Use approved construction type or materials.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 17, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 26, 2023

• Meet requirements for the use and maintenance of medical gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 26, 2023

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 20, 2023

• Have properly installed electrical wiring and gas equipment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 26, 2023

• Assess the resident when there is a significant change in condition

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 20, 2023

Twilight Acres offers Skilled Nursing / Long Term Care.

Twilight Acres is located at 600 West 6th Street in Wall Lake, Iowa.

Reviewers describe Twilight Acres as a clean, well-run skilled nursing home with attentive, friendly staff and good food. Feedback is limited but consistently positive, with families comparing it favorably to other senior care facilities they've visited.

Twilight Acres had 5 government inspection visits in the last three years, with 41 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Twilight Acres directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.