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Nursing homeFAID #9581

Twilight Gardens Nursing and Rehabilitation

196 W MAIN ST, NORWALK, OH, 44857

(419) 668-2086

94 licensed beds

★★★★★4/5CMS Five-Star overall4/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

196 W Main St

Norwalk, OH 44857

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Public record summary

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Bed capacity

CMS facility ID

365517

Care type

Nursing home

County

Huron

Facility name

Twilight Gardens Nursing and Rehabilitation

Street address

196 W MAIN ST

City / state / ZIP

Norwalk, OH 44857

Phone

(419) 668-2086

About this facility — Twilight Gardens Nursing and Rehabilitation

Twilight Gardens Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Norwalk, Ohio. It is licensed for 94 beds — close to the median for skilled nursing facilities in Ohio (86 beds).

It is one of 5 senior care facilities in Norwalk and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Twilight Gardens Nursing and Rehabilitation 27 times across 9 inspections in the last three years, including 2 food-safety citations; 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

Parent company

Cch Healthcare

Ownership type

For profit - Corporation

Registered owners & officers

Twilight Nursing Holdings, Llc

Direct owner — 100% stake — since 2019

Chomesh 2 Llc

Indirect owner — since 2023

Starlight Healthcare Llc

Indirect owner — since 2023

Stern, Jacob

Director · Officer — since 2019

Wolmark, Rachel

Indirect owner — since 2023

Wolmark, Yehuda

Indirect owner — since 2023

Woodward, Curtis

Managing employee — since 2023

Regulatory standing

Federal court records

4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1980-07-03

CMS overall rating

4 of 5 stars

Health deficiencies

4 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-19

Nurse staffing

4.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$449 per day (≈ $13,650/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

76% Medicaid · 9% Medicare · 15% private/other

Occupancy

74% (fiscal year 2023)

Vs. state median

23% above the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds

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

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-19Health inspection3 citations

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-04-02

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-04-02

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-02

2026-01-22Health inspectionComplaint-triggered1 citation

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-02-09

5 earlier / fire-safety inspections (23 citations)

2025-04-24Health inspectionComplaint-triggered4 citations

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-29

F-0686

D · No harm foundFrom a complaint

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

Corrected 2025-05-29

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-05-29

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-05-29

2023-10-19Health inspection6 citations

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-07

F-0756

D · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-12-07

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-12-07

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-12-07

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-12-07

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-12-07

2026-03-19Fire-safety inspection6 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-04-23

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-04-23

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2026-04-23

K-0915

F · No harm found

Have proper power supply for life support equipment.

Corrected 2026-04-23

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-04-23

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2026-04-23

2025-04-24Fire-safety inspection2 citations

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-05-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-29

2023-10-19Fire-safety inspection5 citations

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-12-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-07

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-07

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-07

K-0915

F · No harm found

Have proper power supply for life support equipment.

Corrected 2023-12-07

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 365517.

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 27 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

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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