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Nursing homeFAID #4370

Twilight Acres

600 WEST 6TH STREET, WALL LAKE, IA, 51466
(712) 664-2488
39 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
39
State license
1190
CMS facility ID
165488
Care type
Nursing home
Facility name
Twilight Acres
Street address
600 WEST 6TH STREET
City / state / ZIP
Wall Lake, IA 51466
Phone
(712) 664-2488
State license #
1190

About this facility — Twilight Acres

Twilight Acres is a Medicare/Medicaid-certified skilled nursing facility in Wall Lake, Iowa. It is licensed for 39 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 1 senior care facility in Wall Lake and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Twilight Acres 41 times across 8 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Non profit - Corporation

Registered owners & officers

Aschinger, Marilyn
Director — since 2014
Bcg Holdings Inc
Additional disclosable party — since 2024
Brighton Consulting Group Llc
Additional disclosable party — since 2024
Cattail Bcg Llc
Additional disclosable party — since 2024
Cattail Inc
Additional disclosable party — since 2024
Ecsi Inc
Additional disclosable party — since 2024
Geibe, Nicole
Operational control — since 2024
Harman, Tony
Operational control — since 2024
Helm, Cindy
Operational control — since 2002
Horsley, Alison
Operational control · Additional disclosable party — since 2015
Hundling, Melanie
Officer — since 2023
Iowa Health Care Association
Additional disclosable party — since 2024
Key Rehabilitation Inc
Additional disclosable party — since 2023
Olsen, Muhlbauer & Co, Llp
Additional disclosable party — since 2007
Pek, Zoltan
Operational control · Additional disclosable party — since 2023
Schmitz, Sandra
Officer — since 2023
Schroeder, Diane
Officer — since 2023
Steinkamp, Jenna
Operational control — since 2015
Stoltenberg, Ann
Director — since 2024
Vilhauer, Ann
Director — since 2010

Regulatory standing

Licensed / certified since
2003-09-01
CMS overall rating
5 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-12-18
Nurse staffing
4.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$271 per day (≈ $8,240/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
21% Medicaid · 5% Medicare · 74% private/other
Occupancy
51% (fiscal year 2023)
Vs. state median
21% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
39
Licensed as
Residential Care Facility
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-03-05Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-03-18
2025-12-18Health inspection3 citations
F-0578
E · No harm found
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.
Corrected 2026-01-17
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-17
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-17
6 earlier / fire-safety inspections (37 citations)
2024-12-12Health inspection1 citation
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-13
2023-10-19Health inspection2 citations
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2023-10-20
F-0868
D · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-10-20
2026-01-29Fire-safety inspectionComplaint-triggered1 citation
K-0211
F · No harm foundFrom a complaint
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-01-30
2025-12-18Fire-safety inspection19 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-12-30
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-12-30
E-0007
F · No harm found
Address patient/client population and determine types of services needed.
Corrected 2025-12-30
E-0025
F · No harm found
Create arrangements with other facilities to receive patients.
Corrected 2025-12-30
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2025-12-30
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2026-02-24
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2025-12-21
K-0271
F · No harm found
Have exits that are accessible at all times.
Corrected 2025-12-31
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-12-18
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2025-12-31
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-17
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-12-19
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-12-22
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-12-17
K-0781
F · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2025-12-17
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-12-30
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-12-17
K-0926
F · No harm found
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-12-18
2024-12-12Fire-safety inspection11 citations
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2024-12-17
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-19
K-0331
F · No harm found
Construct fire resistant interior walls.
Corrected 2024-12-17
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-12-19
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-17
K-0363
F · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-12-17
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-17
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-12-20
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-12-23
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-17
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-01-17
2023-10-19Fire-safety inspection3 citations
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-26
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-26
K-0922
D · No harm found
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2023-10-26
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165488.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 41 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered