Twilight Acres
600 West 6th Street, Wall Lake, IA, 51466
Yes. Federal inspectors cited 4 deficiencies against Twilight Acres in Wall Lake, Iowa at its most recent standard inspection on 2025-12-18, 1 of them arising from complaints. Medicare rates it 5 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 7 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-03-05 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0578 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · F0883 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
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 · F0605 · 2025-12-18 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-12-12 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2023-10-19 · standard survey · No actual harm, potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · F0868 · 2023-10-19 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Twilight Acres
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ASCHINGER, MARILYN | Individual | NOT APPLICABLE | since 01/01/2014 |
| STOLTENBERG, ANN | Individual | NOT APPLICABLE | since 01/01/2024 |
| VILHAUER, ANN | Individual | NOT APPLICABLE | since 01/19/2010 |
| HUNDLING, MELANIE | Individual | NOT APPLICABLE | since 04/18/2023 |
| SCHMITZ, SANDRA | Individual | NOT APPLICABLE | since 04/18/2023 |
| SCHROEDER, DIANE | Individual | NOT APPLICABLE | since 04/18/2023 |
| GEIBE, NICOLE | Individual | NOT APPLICABLE | since 07/29/2024 |
| HARMAN, TONY | Individual | NOT APPLICABLE | since 09/24/2024 |
| HELM, CINDY | Individual | NOT APPLICABLE | since 03/28/2002 |
| HORSLEY, ALISON | Individual | NOT APPLICABLE | since 04/13/2015 |
| PEK, ZOLTAN | Individual | NOT APPLICABLE | since 01/06/2023 |
| STEINKAMP, JENNA | Individual | NOT APPLICABLE | since 12/14/2015 |
Ask Twilight Acres a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165488.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction