B
Odebolt Specialty Care
75/100 score
0.76 hrs RN staffing
3 deficiencies
Twilight Acres
600 West 6th Street, Wall Lake, IA 51466
Operator
BCG HOLDINGS · 47 facilities
- Provider number (CCN)
- 165488
- Certification
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified beds
- 39
- Phone
- (712) 664-2488
- CMS data as of
- July 1, 2026
A
What the records show
CMS rates Twilight Acres 5 out of 5 stars overall, with 4 of 5 for health inspections, 4 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors cited 7 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by BCG HOLDINGS, which scores 21 points above the national average.
Reviews, Ratings and Official Records
This page reviews Twilight Acres using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
At or above the 2024 benchmark — top tier inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.73 — At or above the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
7
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★★ (5/5)
Staffing: ★★★★☆ (4/5)
|
|
NursingHomeGrade Score
|
86/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.73 hrs |
|---|---|
| IA median | 0.69 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 28.6% · Total nursing staff turnover: 34.5%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: December 18, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from October 19, 2023 to March 5, 2026.
Source records: CMS Care Compare profile for provider 165488 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
7 deficiencies found. 7 corrected. None involved actual harm.
Most recent inspection (December 18, 2025)
D
Potential harm — isolated
F0605
Status: Corrected
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 — Deficient, Provider has date of correction, corrected January 17, 2026
E
Potential harm — pattern
F0883
Status: Corrected
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected January 17, 2026
D
Potential harm — isolated
F0686
Status: Corrected
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected March 18, 2026
E
Potential harm — pattern
F0578
Status: Corrected
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 — Deficient, Provider has date of correction, corrected January 17, 2026
Inspection cycle 2 (December 12, 2024)
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected December 13, 2024
Inspection cycle 3 (October 19, 2023)
D
Potential harm — isolated
F0868
Status: Corrected
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies — Deficient, Provider has date of correction, corrected October 20, 2023
D
Potential harm — isolated
F0637
Status: Corrected
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected October 20, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Twilight Acres in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- Twilight Acres
- Legal business name
- TWILIGHT ACRES INC.
- Address
- 600 West 6th Street, Wall Lake, IA 51466
- Phone
- (712) 664-2488
- Provider number (CCN)
- 165488
- Ownership type
- Non profit - Corporation
- Operator
- BCG HOLDINGS · 47 facilities
- Medicare/Medicaid certified since
- September 1, 2003
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Wall Lake
Compare local nursing homes using the same CMS-backed grading method.
D
Park View Rehabilitation Center
46/100 score
0.69 hrs RN staffing
12 deficiencies
F
Accura Healthcare of Carroll
34/100 score
0.50 hrs RN staffing
17 deficiencies
D
Accura Healthcare of Lake City, LLC
46/100 score
0.35 hrs RN staffing
7 deficiencies
B
St Anthony Senior Services
65/100 score
0.73 hrs RN staffing
5 deficiencies
Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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