Twilight Acres
600 West 6th Street, Wall Lake, IA 51466
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Twilight Acres, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
Check your inbox!
Your facility vetting guide is on its way.
No spam. Unsubscribe anytime.
Care Quality Indicators
Lower is better
Lower is better
How Twilight Acres Compares
Twilight Acres is a 39-bed nonprofit nursing facility in Wall Lake, Iowa. It holds an overall CMS rating of 5 out of 5 stars, above the Iowa average of 3.1 stars. Its strongest area is quality measures, rated 5 stars. Its rate of falls resulting in major injury (9.9%) is above the Iowa average of 3.8% — a measure worth asking the staff about. With 39 certified beds, it maintains moderate occupancy at roughly 71% occupied.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 9.4% — better than the Iowa average of 19.5% (52% lower).
- Falls with major injury: 9.9% — worse than the Iowa average of 3.8% (158% higher).
- High-risk pressure ulcers: 0.0% — better than the Iowa average of 4.2% (100% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Twilight Acres
Use these facility-specific questions when calling admissions, touring the building, or comparing Twilight Acres with other nursing homes in Wall Lake.
What keeps Twilight Acres's health inspections rating strong?
This category is rated 4 out of 5 stars. Ask for concrete staffing, training, or care-process examples behind the score.
What practices help Twilight Acres keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 9.4% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What is Twilight Acres doing to reduce falls with major injury?
Falls with major injury is 9.9% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Twilight Acres?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Twilight Acres?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Wall Lake
Wall Lake sits in Sac County, where adults 65 and older make up about 23.5% of the population — a higher share of seniors than Iowa as a whole (17.1% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 2,278 (23.5%)
- Median age
- 46.2 years
- Median household income
- $57,446
- Median home value
- $101,200
Demographics for Sac County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Wall Lake.
Facility Details
Give Them a Daily Friend
Our AI companion calls your loved one daily for friendly conversation and wellness check-ins. We detect mood changes and alert you if something seems off.
- AI calls them daily
- Friendly conversation
- Alerts if something's wrong
Works on any phone. No app needed.