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Nursing homes › Iowa › Twilight Acres

Twilight Acres

600 West 6th Street, Wall Lake, IA 51466 · (712) 664-2488 · 39 certified beds

Overall★★★★★ 5/5
Health inspections★★★★☆ 4/5
Staffing★★★★☆ 4/5
Quality measures★★★★★ 5/5

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Same-type reference in IA

CMS overall star rating: this provider 5/5; median among 385 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Twilight Acres

  • The published staff-turnover figure is 34.5%. Ask which reporting period it covers and how the current staffing team compares.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.

Staffing (hours per resident per day)

Total nurse staffing: 4.07 (Iowa median: 3.68). RN hours: 0.73. Weekend total: 3.73. Nursing staff turnover: 34%.

Inspection deficiencies

In the downloaded CMS dataset: 7 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-03-05Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2026-03-18
2025-12-18Honor 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. EHealthcorrected 2026-01-17
2025-12-18Develop and implement policies and procedures for flu and pneumonia vaccinations. EHealthcorrected 2026-01-17
2025-12-18Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. DHealthcorrected 2026-01-17
2024-12-12Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2024-12-13
2023-10-19Assess the resident when there is a significant change in condition DHealthcorrected 2023-10-20
2023-10-19Have the Quality Assessment and Assurance group have the required members and meet at least quarterly DHealthcorrected 2023-10-20

Federal penalties

No federal fines or payment denials in this downloaded dataset.

Ownership & control records (CMS filings)

NameRoleType%Since
ASCHINGER, MARILYNCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2014
STOLTENBERG, ANNCorporate DirectorIndividualNOT APPLICABLEsince 01/01/2024
VILHAUER, ANNCorporate DirectorIndividualNOT APPLICABLEsince 01/19/2010
HUNDLING, MELANIECorporate OfficerIndividualNOT APPLICABLEsince 04/18/2023
SCHMITZ, SANDRACorporate OfficerIndividualNOT APPLICABLEsince 04/18/2023
SCHROEDER, DIANECorporate OfficerIndividualNOT APPLICABLEsince 04/18/2023
GEIBE, NICOLEOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/29/2024
HARMAN, TONYOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/24/2024
HELM, CINDYOperational/Managerial ControlIndividualNOT APPLICABLEsince 03/28/2002
HORSLEY, ALISONOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/13/2015
PEK, ZOLTANOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/06/2023
STEINKAMP, JENNAOperational/Managerial ControlIndividualNOT APPLICABLEsince 12/14/2015

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How to cite this page: CareRecords, “Twilight Acres — compliance, penalty and ownership record” (CCN 165488), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/twilight-acres-wall-lake-ia/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165488. Corrections: data@carerecords.org.