Twilight Acres
Wall Lake, Sac County, Iowa · CCN 165488 · Non-profit (Corporation) · not part of a chain
CMS rates Twilight Acres 5 of 5 overall as of August 2026. 39 certified beds, 28 residents a day on average. 7 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 4.07431 hours per resident per day |
|---|---|
| Registered nurses | 0.72505 hours per resident per day |
| Weekend total | 3.72559 hours per resident per day |
| Nursing staff turnover | 34.5% (registered nurses 28.6%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-05 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-18 |
| 2025-12-18 | 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. Resident Rights Deficiencies · tag F0578 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-17 |
| 2025-12-18 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-17 |
| 2025-12-18 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0605 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-17 |
| 2024-12-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-13 |
| 2023-10-19 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-20 |
| 2023-10-19 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-20 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bcg Holdings Inc. Organization | adp of the snf | — | 2024-10-01 |
| Brighton Consulting Group LLC Organization | adp of the snf | — | 2024-10-01 |
| Cattail Bcg LLC Organization | adp of the snf | — | 2024-10-01 |
| Cattail Inc. Organization | adp of the snf | — | 2024-10-01 |
| Ecsi Inc. Organization | adp of the snf | — | 2024-10-01 |
| Iowa Health Care Association Organization | adp of the snf | — | 2024-10-01 |
| Key Rehabilitation Inc. Organization | adp of the snf | — | 2023-08-01 |
| Olsen, Muhlbauer & Co, LLP Organization | adp of the snf | — | 2007-06-01 |
| Horsley, Alison Individual | adp of the snf | — | 2025-12-10 |
| Pek, Zoltan Individual | adp of the snf | — | 2025-12-10 |
| Aschinger, Marilyn Individual | corporate director | — | 2014-01-01 |
| Stoltenberg, Ann Individual | corporate director | — | 2024-01-01 |
| Vilhauer, Ann Individual | corporate director | — | 2010-01-19 |
| Hundling, Melanie Individual | corporate officer | — | 2023-04-18 |
| Schmitz, Sandra Individual | corporate officer | — | 2023-04-18 |
| Schroeder, Diane Individual | corporate officer | — | 2023-04-18 |
| Geibe, Nicole Individual | operational/managerial control | — | 2024-07-29 |
| Harman, Tony Individual | operational/managerial control | — | 2024-09-24 |
| Helm, Cindy Individual | operational/managerial control | — | 2002-03-28 |
| Horsley, Alison Individual | operational/managerial control | — | 2015-04-13 |
| Pek, Zoltan Individual | operational/managerial control | — | 2023-01-06 |
| Steinkamp, Jenna Individual | operational/managerial control | — | 2015-12-14 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Twilight Acres.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sac County.