Twilight Acres
Strong Medicare quality ratings; families often praise clean, well-maintained facility. Still worth an in-person visit.
based on 14 Google reviews
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What this means for your family
Twilight Acres is highly regarded for its cleanliness and professional staff, making it a strong candidate for your consideration. Since the majority of reviews are brief, we recommend scheduling an in-person tour to observe staff-resident interactions firsthand and ask specific questions about daily care routines.
Google Reviews
Google Reviews
14 reviews on Google“Twilight Acres is generally viewed positively by visitors and family members who highlight the cleanliness of the facility and the quality of the staff. While specific feedback is limited due to many reviews lacking text, those who provided comments consistently praise the professional care and well-maintained environment.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained facility
- Professional and attentive staff
- High-quality food services
Rating Trends
Tap a year to see what changed
Distribution · 15 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1With Twilight Acres maintaining a 5-star staffing rating, how do you ensure that level of personalized attention translates into the daily social and recreational activities for residents?
- 2I noticed the facility is very well-maintained; could you walk me through your process for ensuring consistent cleanliness and upkeep for resident living spaces?
- 3Given that the facility has had some state-level regulatory activity over the past year, what specific steps have you taken to address those findings and ensure ongoing compliance?
- 4With the high praise for your food services, how do you accommodate individual dietary preferences or specific nutritional needs while keeping the dining experience engaging?
- 5Since you have a smaller capacity of 39 residents, how does this intimate environment influence your approach to managing medical care and responding to urgent health needs?
- 6I appreciate how responsive you are to feedback online; how do you typically incorporate family input into the care planning process for your residents?
Personalized based on this facility's data
Key Review Excerpts
“Clean, well run, good food, care for real people, one of the better nursing home/assisted living facilities in Iowa.”
“Only visited someone there once ; but from my experience it seemed to be a great place compared to any of the other senior homes I've visited.”
“Nice nursing home with good staff”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
9
measures
7
measures
Residents on antipsychotic medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents who fell and were seriously hurt
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Twilight Acres shows a concerning pattern of recurring deficiencies across three surveys, primarily in fire safety systems, building maintenance, and electrical systems. The same issues with sprinkler system maintenance and smoke barriers have persisted across multiple inspections from 2022 to 2024, suggesting ongoing challenges with infrastructure upkeep. While all deficiencies show correction dates, the repetitive nature of safety violations warrants careful consideration during your visit.
Mar 5, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jan 29, 2026Complaint1
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Dec 18, 2025Routine22
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Emergency Preparedness Deficiencies
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Resident Rights Deficiencies
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Dec 12, 2024Routine12
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Smoke Deficiencies
Construct fire resistant interior walls.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Construction Deficiencies
Use approved construction type or materials.
Oct 19, 2023Routine5
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Mar 18, 2026ComplaintClean
Fed violations: 0, State violations: 0
Mar 5, 2026ComplaintClean
Fed violations: 1, State violations: 0
Jan 20, 2026InspectionClean
Fed violations: 0, State violations: 0
Dec 18, 2025InspectionClean
Fed violations: 3, State violations: 0
Dec 13, 2024InspectionClean
Fed violations: 0, State violations: 0
Dec 12, 2024InspectionClean
Fed violations: 1, State violations: 0
Nov 13, 2023InspectionClean
Fed violations: 0, State violations: 0
Oct 19, 2023InspectionClean
Fed violations: 2, State violations: 0
Ownership & Operations
Who Operates This Facility
Twilight Acres
for profit
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
14 reviews from families & visitors
Official Website
Visit twilightacres.net
Medicare data downloads
Original nursing home datasets
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