Contact Information

LBN: TWILIGHT ACRES INC.
600 WEST 6TH STREET
WALL LAKE, IA 51466
(712) 664-2488
Ownership1: Non profit - Corporation
Medicare certification date2: September 01, 2003
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

•   32 residents

•   56 certified beds

•   Participates in Medicare and Medicaid

•   Resident Council only - Resident and family councils can help communications with staff. Federal law requires nursing homes to allow councils to be set up by residents and families.

•   Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents 7
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Higher staffing levels in a nursing home may mean better quality care for residents.

Staffing for 32 residents Iowa Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 6 minutes 45 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 34 minutes 37 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 30 minutes 2 hours, 23 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 4 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Health Inspection

Most recent health inspection: Aug 09, 2018

Number of health citations / deficiencies: None

Health care professionals inspect each nursing home for health and safety violations. - View the latest Medicare Inspection Report


Quality of Care

Measure Nursing Home Iowa Nationwide
Short-stay residents who self-report moderate to severe pain 7.6% 15.6% 12.8%
Short-stay residents with pressure ulcers that are new or worsened none 1.2% 0.9%
Short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.7% 81.0% 81.8%
Short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0% 86.6% 83.3%
Short-stay residents who newly received an antipsychotic medication 5.3% 1.5% 1.9%
Short-stay residents who made improvements in function 67.9% 77.9% 68.0%
Long-stay residents whose need for help with daily activities has increased 7.3% 16.3% 14.9%
Long-stay residents who self-report moderate to severe pain none 7.1% 5.7%
High risk long-stay residents with pressure ulcers 2.3% 4.2% 5.6%
Long-stay residents who lose too much weight 6.1% 6.7% 7.0%
Low risk long-stay residents who lose control of their bowels or bladder 52.3% 43.1% 48.2%
Long-stay residents with a catheter inserted and left in their bladder 1.0% 2.5% 1.8%
Long-stay residents with a urinary tract infection 15.7% 3.8% 3.0%
Long-stay residents who have depressive symptoms 5.5% 4.5% 4.6%
Long-stay residents who were physically restrained none 0.2% 0.3%
Long-stay residents experiencing one or more falls with major injury 0.8% 3.7% 3.4%
Long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0% 96.9% 95.2%
Long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0% 95.4% 93.9%
Long-stay residents who received an antipsychotic medication 17.5% 14.7% 15.0%
Long-stay residents whose ability to move independently worsened 11.4% 19.2% 18.2%
Long-stay residents who received an antianxiety or hypnotic medication 9.7% 20.0% 21.6%

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