With a score of 76/100 and a B grade, Twilight Gardens Nursing And Rehabilitation is a well-regarded option in Norwalk, Ohio. The facility performs above average in most CMS categories, placing it in the 74th percentile statewide.
Staffing levels at Twilight Gardens Nursing And Rehabilitation exceed national averages, with 4.41 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.50 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 15 deficiencies at Twilight Gardens Nursing And Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.41 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.50 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.55 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.36 | 2.4 | Average |
| Weekend Total Nursing | 3.88 | 3.8 | Average |
| Weekend RN Hours | 1.26 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Jan 21, 2026 · Resident Rights Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 23, 2025 · Nutrition and Dietary Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Apr 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0756 Severity DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in develoApr 23, 2025 · Pharmacy Service Deficiencies
- Tag 0686 Severity DProvide appropriate pressure ulcer care and prevent new ulcers from developing.Apr 23, 2025 · Quality of Life and Care 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 | 3.5% | 4.5% | Better |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 7.8% | 14.5% | Better |
| Urinary tract infections | 1.5% | 2.5% | Better |
| ADL decline (daily activities) | 3.2% | 14.0% | Better |
| Excessive weight loss | 2.9% | 7.5% | Better |
| New/worsened incontinence | 24.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 76 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 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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