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Twilight Gardens Nursing and Rehabilitation

All states › Ohio › Norwalk › Twilight Gardens Nursing and Rehabilitation

196 W Main St Norwalk, OH 44857 · Huron County

(419) 668-2086

All 3 nursing homes in Norwalk, OH (3 take Medicaid)

Accepts Medicare Accepts Medicaid 94 certified beds For profit

CMS certification number 365517 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Twilight Gardens Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Twilight Gardens Nursing and Rehabilitation as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Ohio average of 3.2. Inspectors issued 14 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.30 hours per resident per day at Twilight Gardens Nursing and Rehabilitation, above the Ohio median of 3.58 (US median: 3.72). About 1.54 of those hours are from registered nurses. On weekends it falls to 3.84 hours, 11% below its all-week average. 55.2% of nursing staff left within a year (Ohio median 48.9%).

Nursing care per resident per day 4.30 hours
Above the Ohio median of 3.58 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.54 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.84 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 55.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 62.1% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds94
Residents per day 72 About 77% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1980
Part of a chainCch Healthcare
Legal business nameTWILIGHT HEALTHCARE LLC

Paying for care at Twilight Gardens Nursing and Rehabilitation: Medicare and Medicaid

Twilight Gardens Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 19, 2026 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 14 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 14 citations at Twilight Gardens Nursing and Rehabilitation across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 14 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were pharmacy service (4) and quality of life and care (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, April 24, 2025).

March 19, 2026 · 3 citations

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 2, 2026)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Apr 2, 2026)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 2, 2026)

January 22, 2026 · 1 citation · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Feb 9, 2026)

April 24, 2025 · 4 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 29, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 29, 2025)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (May 29, 2025)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (May 29, 2025)

October 19, 2023 · 6 citations

EEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Dec 7, 2023)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Dec 7, 2023)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Dec 7, 2023)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Dec 7, 2023)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Dec 7, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 7, 2023)

Questions to ask on a tour of Twilight Gardens Nursing and Rehabilitation

  1. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 3/5 4/5
August 2026 4/5 4/5 3/5 4/5
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Location

Hospitals near Twilight Gardens Nursing and Rehabilitation

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.6 mi
    Fisher Titus Memorial Hospital Norwalk
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 4m for patients treated and sent home
  • 13.5 mi
    Bellevue Hospital Bellevue
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 7m for patients treated and sent home
  • 13.9 mi
    Mercy Hospital of Willard Willard
    Emergency room
    Median ER visit 1h 39m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Carecore at Gaymont Norwalk · 0.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 88 beds · Medicaid
Norwalk Memorial Home Norwalk · 1.7 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 69 beds · Medicaid
Vista Care Center of Milan Milan · 4.0 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 90 beds · Medicaid
Bellevue Care Center Bellevue · 9.7 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 63 beds · Medicaid
Admirals Pointe Nursing & Rehabilitation Huron · 12.1 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 90 beds · Medicaid

More nursing homes near Twilight Gardens Nursing and Rehabilitation ›   All nursing homes in Norwalk ›

Compare Twilight Gardens Nursing and Rehabilitation with the 3 closest homes side by side ›

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Other Cch Healthcare nursing homes in Ohio

Affiliation comes from CMS's affiliated-entity data, October 2026. All 33 Cch Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/ohio/norwalk/twilight-gardens-nursing-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.