Among nursing homes in Iowa, Twilight Acres stands out with an A grade and a score of 97 out of 100. It ranks in the 99th percentile statewide, reflecting consistently high performance across CMS quality metrics.
Staffing levels at Twilight Acres exceed national averages, with 4.80 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.00 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 7 deficiencies at Twilight Acres, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.80 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.00 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.83 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.97 | 2.4 | Above Average |
| Weekend Total Nursing | 4.35 | 3.8 | Above Average |
| Weekend RN Hours | 0.85 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 11, 2024 · Quality of Life and Care Deficiencies
- Tag 0637 Severity DAssess the resident when there is a significant change in conditionOct 18, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0868 Severity DHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyOct 18, 2023 · Administration Deficiencies
- Tag 0880 Severity LProvide and implement an infection prevention and control program.Aug 1, 2022 · Infection Control Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeAug 1, 2022 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.9% | 4.5% | Better |
| Falls with major injury | 7.6% | 3.0% | Worse |
| On antipsychotic medication | 6.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 9.7% | 14.0% | Better |
| Excessive weight loss | 3.2% | 7.5% | Better |
| New/worsened incontinence | 26.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 97 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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