90/100
Excellent
600 West 6Th Street, Wall Lake, IA 51466
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: December 18, 2025 (8 months ago).
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
No actual harm, potential for more than minimal harm
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| ASCHINGER, MARILYN | Individual | CORPORATE DIRECTOR | — |
| STOLTENBERG, ANN | Individual | CORPORATE DIRECTOR | — |
| VILHAUER, ANN | Individual | CORPORATE DIRECTOR | — |
| HUNDLING, MELANIE | Individual | CORPORATE OFFICER | — |
| SCHMITZ, SANDRA | Individual | CORPORATE OFFICER | — |
| SCHROEDER, DIANE | Individual | CORPORATE OFFICER | — |
| GEIBE, NICOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HARMAN, TONY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HELM, CINDY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HORSLEY, ALISON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PEK, ZOLTAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| STEINKAMP, JENNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Twilight Acres holds an ElderGrade of A (90 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.07 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 7 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Twilight Acres is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.