Twilight Acres
600 West 6th Street, Wall Lake, IA, 51466 · 7126642488
Nursing HomeMedicare CertifiedMedicaid CertifiedUpdated 2026-07-03
5.0
★★★★★
Overall Rating
Health Inspection
4.0
Staffing
5.0
Quality Measures
4.0
39
Licensed Beds
5.0
Staffing Rating
Twilight Acres is a long-term care facility located at 600 West 6th Street in Wall Lake, Iowa, within Sac County. The facility operates under non-profit corporate ownership and holds certification for both Medicare and Medicaid. With 39 certified beds, Twilight Acres is a smaller facility by national standards, serving residents in a rural Iowa community.
The Centers for Medicare and Medicaid Services (CMS) assigns star ratings to nursing facilities on a five-star scale, where higher ratings reflect stronger performance across measured categories. Twilight Acres holds an overall CMS rating of 5 stars, which is the highest possible rating on the scale. This overall rating is derived from three component categories. The health inspection rating stands at 4 stars, reflecting the results of standard state surveys and complaint investigations conducted at the facility. The staffing rating is 5 stars, indicating staffing levels relative to resident census that meet or exceed the thresholds associated with the top rating tier. The quality measure rating is 4 stars, reflecting performance on clinical indicators that track resident health outcomes over time. All component ratings are measured against a national average overall rating of 3.0 stars.
Twilight Acres accepts both Medicare and Medicaid as payment sources, making it accessible to residents who rely on federal health insurance programs or state-administered long-term care coverage. Individuals and families seeking placement at this facility should contact the administration directly at (712) 664-2488 to inquire about current availability, private pay options, and any additional payment arrangements that may be applicable.
When compared to national averages, Twilight Acres performs above the midpoint across all measured categories. The national average overall CMS star rating is 3.0 stars, and this facility's overall rating of 5 stars places it in the top tier of rated facilities nationally. The staffing rating of 5 stars similarly exceeds the national norm, while the health inspection and quality measure ratings of 4 stars each reflect above-average performance in those respective domains. These ratings are based on data reported to and verified by CMS and are subject to periodic updates as new inspection cycles and staffing data are submitted.
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About CMS Star Ratings
CMS assigns 1–5 star ratings to Medicare and Medicaid-certified nursing homes based on three domains: health inspections, staffing levels, and quality measures. The overall rating is a weighted composite.
A 5-star overall rating does not guarantee excellence in every domain — inspect each sub-rating independently. Data is updated quarterly.
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Data sourced from CMS Care Compare. Last updated via nightly pipeline.