{
 "id": "165488",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Twilight Acres",
 "slug": "twilight-acres",
 "path": "/ia/sac/wall-lake/twilight-acres",
 "address": {
  "street": "600 West 6th Street",
  "city": "Wall Lake",
  "county": "Sac",
  "state": "IA",
  "state_name": "Iowa",
  "zip": "51466"
 },
 "phone": "7126642488",
 "coords": [
  42.275547,
  -95.096365
 ],
 "capacity": 39,
 "residents_per_day": 27.7,
 "status": "Medicare and Medicaid",
 "licensee": "Twilight Acres INC.",
 "administrator": null,
 "licensed_since": "2003-09-01",
 "last_visit": "2025-12-18",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "Non profit - Corporation",
  "chain": null,
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 5,
   "health_inspection": 4,
   "staffing": 4,
   "quality": 5
  },
  "cycle1": {
   "date": "2025-12-18",
   "total": 4,
   "standard": 3,
   "complaint": 1
  },
  "fines": {
   "count": 0,
   "dollars": 0,
   "penalties": 0
  },
  "staffing": {
   "nurse_hours_per_resident_day": 4.07431,
   "turnover_pct": 34.5
  },
  "on_record": {
   "immediate_jeopardy": 0,
   "actual_harm": 0,
   "potential_harm": 7,
   "minimal": 0
  },
  "penalties_on_file": {
   "count": 0,
   "dollars": 0
  },
  "owners": [
   {
    "name": "ASCHINGER, MARILYN",
    "role": "Individual",
    "since": "since 01/01/2014",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "STOLTENBERG, ANN",
    "role": "Individual",
    "since": "since 01/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "VILHAUER, ANN",
    "role": "Individual",
    "since": "since 01/19/2010",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HUNDLING, MELANIE",
    "role": "Individual",
    "since": "since 04/18/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SCHMITZ, SANDRA",
    "role": "Individual",
    "since": "since 04/18/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SCHROEDER, DIANE",
    "role": "Individual",
    "since": "since 04/18/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "GEIBE, NICOLE",
    "role": "Individual",
    "since": "since 07/29/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HARMAN, TONY",
    "role": "Individual",
    "since": "since 09/24/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HELM, CINDY",
    "role": "Individual",
    "since": "since 03/28/2002",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HORSLEY, ALISON",
    "role": "Individual",
    "since": "since 04/13/2015",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "PEK, ZOLTAN",
    "role": "Individual",
    "since": "since 01/06/2023",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "STEINKAMP, JENNA",
    "role": "Individual",
    "since": "since 12/14/2015",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-03-05",
   "tag": "0686",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-12-18",
   "tag": "0578",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-12-18",
   "tag": "0883",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-12-18",
   "tag": "0605",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-12-12",
   "tag": "0684",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-10-19",
   "tag": "0637",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2023-10-19",
   "tag": "0868",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "165488"
 }
}