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
Data as of July 1, 2026
4 of 5 overall
4 out of 5 stars overall. TWILIGHT GARDENS NURSING AND REHABILITATION has solid scores in health inspections and quality measures, staffing is middling at 3 stars but reported nurse staffing is above the federal benchmark (4.36 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.3582 hrs/resident/day
Quality measures
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3582.
Staffing detail
- Registered nurses
- 1.53
- Licensed practical nurses
- 0.51
- Nurse aides
- 2.32
- Weekend nursing
- 3.79
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 61%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.3%9.5%Worsening
Residents with a fall causing major injury
0%6.3%Worsening
Residents with pressure ulcers (bedsores)
2.6%4%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.1%7.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.1%2.1%Improving
Residents whose ability to walk got worse
0%5.1%Worsening
Long-stay residents on antianxiety or sleep medication
41.5%53.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.9%34.4%Worsening
Residents with depressive symptoms
13.2%10.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89%—
Long-stay residents given the pneumonia vaccine
98.5%95.2%Worsening
Short-stay residents given the seasonal flu vaccine
—44.6%—
Short-stay residents given the pneumonia vaccine
71.9%55%Worsening
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
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 create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
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 March 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- 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
Recent ownership change · Jun 1, 2019
Now operated by Twilight Gardens Nursing & Rehabilitation, previously Twilight Gardens Home.
- Ownership
- For profit - Corporation
- Chain
- Part of CCH HEALTHCARE · 33 homes · 2.5 stars avg
- Occupancy
- 76.8 residents on an average day (82% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 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.