Nursing homeActive
Twilight Acres
600 West 6th Street, Wall Lake, IA 51466712664248839 certified beds · 28 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
7
● 0● 7● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-05
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-12-18 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-12-12 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-18Record 165488-20260305-F686
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-17Record 165488-20251218-F578
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-17Record 165488-20251218-F605
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-17Record 165488-20251218-F883
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 165488-20241212-F684
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 165488-20231019-F637
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 165488-20231019-F868
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.73
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.07
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.73
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover35%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover29%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.4% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.5% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 4.8% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.9% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.6% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| 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 | — | — |
| Aschinger, Marilyn Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bcg Holdings Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Bcg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ecsi Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Horsley, Alison Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hundling, Melanie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Iowa Health Care Association Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Key Rehabilitation Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Olsen, Muhlbauer & Co, LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pek, Zoltan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schmitz, Sandra Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Schroeder, Diane Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stoltenberg, Ann Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Vilhauer, Ann Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Sac.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Odebolt Specialty Care Odebolt | 7.9 mi | 2026-03-12 | 0173 |
| Park View Rehabilitation Center Sac City | 11.8 mi | 2026-06-10 | 0222 |
| Accura Healthcare of Carroll Carroll | 17.6 mi | 2026-06-08 | 1462 |
| Regency Park Nursing & Rehab Center of Carroll Carroll | 19.4 mi | 2025-11-20 | 031 |
| St Anthony Senior Services Carroll | 19.4 mi | 2026-04-01 | 0163 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |