Facility Watch Inspection records for every certified US nursing home

Twilight Acres

600 West 6th Street
Wall Lake, IA 51466
(712) 664-2488

CCN
165488
Certified beds
39
Ownership
Non profit - Corporation

Nurse staffing

4.69
Total nurse staffing hours per resident per day, case-mix adjusted

Registered nurses: 1.09 hours per resident per day

Nursing staff turnover: 36% a year

Derived by CMS from the Payroll-Based Journal and refreshed quarterly.

Inspection history

Inspected March 5, 2026

1 citation · from a complaint investigation · Health
D
F0686 No actual harm with potential for more than minimal harm · Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Deficient, Provider has date of correction · corrected March 18, 2026

Inspected December 18, 2025

3 citations · Health
D
F0605 No actual harm with potential for more than minimal harm · Isolated

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Deficient, Provider has date of correction · corrected January 17, 2026
E
F0578 No actual harm with potential for more than minimal harm · Pattern

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.

Deficient, Provider has date of correction · corrected January 17, 2026
E
F0883 No actual harm with potential for more than minimal harm · Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Deficient, Provider has date of correction · corrected January 17, 2026

Inspected December 12, 2024

1 citation · Health
D
F0684 No actual harm with potential for more than minimal harm · Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Deficient, Provider has date of correction · corrected December 13, 2024

Inspected October 19, 2023

2 citations · Health
D
F0637 No actual harm with potential for more than minimal harm · Isolated

Assess the resident when there is a significant change in condition

Deficient, Provider has date of correction · corrected October 20, 2023
D
F0868 No actual harm with potential for more than minimal harm · Isolated

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Deficient, Provider has date of correction · corrected October 20, 2023