Twilight Gardens Nursing and Rehabilitation
Strong Medicare quality ratings; families often praise friendly and welcoming front-line staff. Still worth an in-person visit.
based on 79 Google reviews
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What this means for your family
While some families report positive experiences with specific staff members, the recurring reports of neglect, poor hygiene, and lack of communication are serious red flags. If you are considering this facility, we strongly recommend unannounced visits and asking management directly how they monitor resident hygiene and ensure timely communication during hospital transfers.
Google Reviews
Google Reviews
79 reviews on Google“Twilight Gardens Nursing and Rehabilitation receives highly polarized feedback, with some families praising the staff's attentiveness and individual care, while others report severe neglect, including unaddressed bedsores, poor hygiene, and lack of communication. While some visitors find the facility clean and friendly, multiple reviewers have raised critical concerns regarding staffing levels, responsiveness, and the quality of medical oversight.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and welcoming front-line staff
- Responsive nursing and therapy team for some residents
- Clean and well-maintained facility environment
- Effective rehabilitation and weaning protocols for specific cases
Concerns
- Poor hygiene and lack of personal care (unwashed hair, dirty linens, unbrushed teeth) (mentioned by 5 reviewers)
- Inadequate communication with family members regarding medical status or transfers (mentioned by 4 reviewers)
- Understaffing leading to slow response times and neglect (mentioned by 4 reviewers)
- Serious medical issues including untreated bedsores and dehydration (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 61 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is quite active in responding to feedback online; how do you incorporate that family input into your daily care routines?
- 2With a 3-star staffing rating, what specific protocols do you have in place to ensure residents receive timely assistance with personal hygiene and grooming?
- 3Could you walk me through your process for updating families on a resident's medical status or any changes in their care plan?
- 4Given the importance of hydration and skin integrity, what is your daily monitoring process to ensure residents are well-hydrated and protected against pressure sores?
- 5What does the daily activity schedule look like to ensure residents stay engaged and social throughout the week?
- 6How do you manage medication administration to ensure accuracy and consistency for residents with complex health needs?
Personalized based on this facility's data
Key Review Excerpts
“When I would visit, I would have to tend to his personal care and hygiene, change his linens, etc. he had 2 falls out of bed and I was notified of one. I literally found out from a physician at FTMC that my brother had been sent to the hospital 36 hours prior.”
“She was filthy and hair full of food including matted as if it had never been brushed. Her face was filthy including clothes and bed linen. The room was disgusting and the floor looked as if it has never been cleaned.”
“They are knowledgeable, responsive, caring, and really give meaningful, individual care to each of their clients!”
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 · 17 measures
7
measures
6
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
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
This facility shows a concerning pattern of repeated safety and care issues, with families filing three complaint-triggered deficiencies including problems with wound care and communication about resident conditions. The most frequent problems involve medication management (appearing across multiple surveys), facility safety systems, and daily care assistance, though all violations have been corrected by the facility.
Jan 22, 2026Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Apr 24, 2025Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Apr 24, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Oct 19, 2023Routine11
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 14, 2023Complaint1
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Jun 22, 2021Routine11
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
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 proper medical gas storage and administration areas.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ownership & Operations
Who Operates This Facility
Twilight Gardens Nursing and Rehabilitation
for profit
Chain Affiliation
Cch Healthcare
32 facilities nationwide
Chain avg rating: 2.5/5 · Rank 2 of 32
Ownership & Management
Owners
Twilight Nursing Holdings, LLC
Owner · Organization
Capital Holdings Trust
Owner (parent company) · Organization
Chomesh 2 LLC
Owner (parent company) · Organization
Starlight Healthcare LLC
Owner (parent company) · Organization
Wolmark, Rachel
Owner (parent company)
Wolmark, Yehuda
Owner (parent company)
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
79 reviews from families & visitors
Official Website
Visit twilighthc.com
Medicare data downloads
Original nursing home datasets
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