The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
TWILIGHT GARDENS NURSING AND REHABILITATION
NORWALK, OH · Medicare-certified · 94 beds
In good standing
For-profitChain member
4 of 5 overall
Overall rating: 4 out of 5 stars. Twilight Gardens Nursing and Rehabilitation in Norwalk, OH has solid health inspection and quality scores, staffing is 3 out of 5 stars, reported nurse staffing is slightly above the federal benchmark (4.29 vs. 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.285 hrs/resident/day
Quality measures
Last inspection: January 22, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.285.
Staffing detail
- Registered nurses
- 1.40
- Licensed practical nurses
- 0.41
- Nurse aides
- 2.47
- Weekend nursing
- 3.85
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 65%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.8%Worsening
Residents with a fall causing major injury
2.3%Worsening
Residents with pressure ulcers (bedsores)
2.7%Improving
Residents with a urinary tract infection
1.9%Worsening
Residents who lost too much weight
6.1%Worsening
Residents who were physically restrained
0.4%Worsening
Residents needing more help with daily activities
3.2%Improving
Residents whose ability to walk got worse
2.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
42.9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
21.5%Improving
Residents with depressive symptoms
13.5%Worsening
Long-stay residents given the seasonal flu vaccine
89%Steady
Long-stay residents given the pneumonia vaccine
98.1%Steady
Short-stay residents given the seasonal flu vaccine
44.6%Steady
Short-stay residents given the pneumonia vaccine
66.8%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited October 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CCH HEALTHCARE · 32 homes · 2.6 stars avg
- Occupancy
- 72.6 residents on an average day (77% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.