About Twilight Gardens Nursing and Rehabilitation
Twilight Gardens Nursing And Rehabilitation, located in NORWALK, OH, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Twilight Gardens Nursing and Rehabilitation
- High Quality Care: With a 4-star CMS rating, this facility demonstrates high standards.
- More Nursing Time: Staff spends 4.29 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 4 Stars
- Nursing Hours 4.29 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CCH HEALTHCARE network. This chain operates 32 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Twilight Gardens Nursing and Rehabilitation provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 4 |
|
| Health Inspection | 4 |
|
| Quality Measures | 4 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 32 | Apr 24, 2025 |
| Weighted Average | 32 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 32.1% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 22.2% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.8% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 6.9% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 3.2% |
| Percentage of long-stay residents who lose too much weight (QM404) | 6.1% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.9% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 13.5% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.4% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.3% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 98.1% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 66.8% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 42.9% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 89.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 44.6% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 2.7% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 21.5% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 1.8% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 1 complaint
- 2025: 1 complaint
- 2026: 1 complaint
- Total: 3 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Feb 09, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| May 29, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Jun 27, 2023 | Ensure that residents are fully informed and understand their health status, care and treatments. |
Nearby Hospitals
MERCY REGIONAL MEDICAL CENTER
LORAIN, OH
MAGRUDER HOSPITAL
PORT CLINTON, OH
FIRELANDS REGIONAL MEDICAL CENTER
SANDUSKY, OH
FISHER-TITUS HOSPITAL
NORWALK, OH
BELLEVUE HOSPITAL
BELLEVUE, OH
MERCY ALLEN HOSPITAL
OBERLIN, OH
MERCY HEALTH - WILLARD HOSPITAL
WILLARD, OH
CLEAR VISTA HEALTH & WELLNESS
LORAIN, OH
Owner & Operator Information
Business Entity
TWILIGHT HEALTHCARE LLC
Ownership Structure
- CAPITAL HOLDINGS TRUST Indirect
- CHOMESH 2 LLC Indirect
- STARLIGHT HEALTHCARE LLC Indirect
- TWILIGHT NURSING HOLDINGS LLC Direct: 100%
- RACHEL WOLMARK Indirect
- YEHUDA WOLMARK Indirect
Management & Direction
- JACOB STERN CORPORATE DIRECTOR
- JACOB STERN CORPORATE OFFICER
- CURTIS WOODWARD W-2 MANAGING EMPLOYEE
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Kendal at Oberlin | N/A | 5 |
| Laurels of New London The | N/A | 5 |
| Admiral's Pointe Nursing and Rehabilitation | N/A | 5 |
| Bellevue Care Center | N/A | 5 |
| The Meadows at Osborn Park | N/A | 5 |
| Welcome Nursing Home | N/A | 2 |
| Mill Manor Care Center | N/A | 5 |
| Elms Retirement Village Inc | N/A | 5 |
| Lake Pointe Health Care | N/A | 5 |
| Willows at Bellevue | N/A | 5 |
Related Analysis
Best Nursing Homes in NORWALK, OH
Compare Twilight Gardens Nursing and Rehabilitation to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Twilight Gardens Nursing and Rehabilitation directly at 4196682086. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.