Twilight Acres

600 West 6th Street, Wall Lake, IA 51466

(712) 664-2488

5Overall Rating
For profit - CorporationMedicare and Medicaid

Quality Ratings

Overall
5
Health Inspections
5
Staffing
5
Quality Measures
4
Long-stay QM
4
Short-stay QMN/A

Facility Details

Licensed Beds39
Avg Residents21
CountySac
Sprinkler SystemYes
Ownership ChangedNo
Resident CouncilResident

Staffing (hrs/resident/day)

RN Hours1.00
LPN Hours0.83
Aide Hours2.97
Total Nurse Hours4.80
Weekend Nurse Hours4.35
Nursing Turnover44.1%
RN Turnover66.7%

State Staffing Compliance

Iowa Minimum3 hrs/resident/day
This Facility4.80 hrs/resident/day

Penalties & Enforcement

0
Total Penalties
None
Total Fines
0
Payment Denials
N/A
Infection Citations

Ownership

Recent Ownership Change
Primary OwnerGEIBE, NICOLE
Owner TypeIndividual
Chain AffiliationIndependent (not part of a chain)

Cost Context: Average in Iowa

$295
Private Room/day
$8,965
Private Room/mo
$269
Semi-Private/day
$188
Medicaid Rate/day

Average cost in Iowa: $295/day private room. Source: CareScout/Genworth Cost of Care Survey 2025.

Data from CMS (Centers for Medicare & Medicaid Services), processed 2026-03-01. CMS Provider ID: 165488