Twilight Gardens Nursing and Rehabilitation
196 W Main St, Norwalk, OH 44857 · (419) 668-2086
For profit - Corporation · 94 certified beds
Twilight Gardens Nursing and Rehabilitation has a 4-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 3 citations (the Ohio average is 10.5). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 4 out of 5 stars · Above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 19, 2026 found 3 citations. What an inspection citation means
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 19, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMarch 19, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 19, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 2 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 22, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 24, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Ohio average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.36 | 3.69 | 3.86 |
| Registered nurses (RN) | 1.53 | 0.64 | 0.69 |
| Licensed practical nurses (LPN) | 0.51 | 0.95 | 0.86 |
| Nurse aides | 2.32 | 2.09 | 2.32 |
| Total nursing staff turnover | 54.9% | 48.7% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 94 |
| Average residents per day | 76.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Norwalk Memorial Home Norwalk · ★★★★★ 4 out of 5 stars
- Carecore at Gaymont Norwalk · ★★★★★ 2 out of 5 stars
- The Laurels of New London New London · ★★★★★ 5 out of 5 stars
- The Willows at Willard Willard · ★★★★★ 5 out of 5 stars
- Embassy of Willard Willard · ★★★★★ 2 out of 5 stars
Compare every nursing home in Norwalk, OH · Nursing homes in Ohio · Home health agencies in Norwalk, OH
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Data from Medicare (CMS), updated October 2026, from Twilight Gardens Nursing and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.