Twilight Gardens Nursing and Rehabilitation
196 W Main St · Norwalk, OH · 44857 · 4196682086
94 certified beds For profit - Corporation Chain: Cch Healthcare
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.85 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D March 19, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2026
Provide and implement an infection prevention and control program.
Corrected April 2, 2026 · Infection Control
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Potential for harm · D January 22, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 9, 2026 · Resident Rights
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Potential for harm · D April 24, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 29, 2025 · Pharmacy Service
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Potential for harm · F April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 29, 2025 · Nutrition and Dietary
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Potential for harm · D April 24, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D October 19, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 7, 2023 · Quality of Life and Care
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Potential for harm · D October 19, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 7, 2023 · Pharmacy Service
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Potential for harm · D October 19, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected December 7, 2023 · Pharmacy Service
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Potential for harm · D October 19, 2023
Ensure that residents are free from significant medication errors.
Corrected December 7, 2023 · Pharmacy Service
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Potential for harm · E October 19, 2023
Ensure 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.
Corrected December 7, 2023 · Nutrition and Dietary
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Potential for harm · D October 19, 2023
Provide and implement an infection prevention and control program.
Corrected December 7, 2023 · Infection Control
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Potential for harm · D June 14, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 27, 2023 · Resident Rights
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365517 · certified since July 3, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.