Public Record
Twilight Gardens Nursing and Rehabilitation
Operated by CCH Healthcare
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 94
- Avg. residents per day
- 72.6
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 15
- Fire safety findings
- 15
- Inspections on file
- 8
- Last inspection
- 2026-01-22
*CMS
*CMS
*CMS
*CMS
Citations
15 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0803Generalpotential for harm
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.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection1 deficiency
365517 01/22/2026 Twilight Gardens Nursing and Rehabilitation 196 W Main St Norwalk, OH 44857 F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
- Inspection4 deficiencies
365517 04/24/2025 Twilight Gardens Nursing and Rehabilitation 196 W Main St Norwalk, OH 44857 F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - Inspection6 deficiencies
365517 10/19/2023 Twilight Gardens Nursing and Rehabilitation 196 W Main St Norwalk, OH 44857 F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - View inspection reportInspectionFire Safety5 deficiencies
- Inspection1 deficiency
365517 06/14/2023 Twilight Gardens Nursing and Rehabilitation 196 W Main St Norwalk, OH 44857 F 0552 Ensure that residents are fully informed and understand their health status, care and treatments. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - Inspection3 deficiencies
365517 06/22/2021 Twilight Gardens Nursing and Rehabilitation 196 W Main St Norwalk, OH 44857 F 0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. Level of Harm - Minimal harm or potential for actual harm Based on record review, staff interview…
Read full statement of deficiencies - View inspection reportInspectionFire Safety8 deficiencies
Ownership
CCH Healthcare
32nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Twilight Gardens Nursing and Rehabilitation?
- Twilight Gardens Nursing and Rehabilitation is a Medicare- and Medicaid-certified nursing home in Norwalk, OH, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 365517.
- What is the CMS rating for Twilight Gardens Nursing and Rehabilitation?
- Twilight Gardens Nursing and Rehabilitation has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Twilight Gardens Nursing and Rehabilitation have?
- Twilight Gardens Nursing and Rehabilitation is certified for 94 beds. It serves an average of 72.6 residents per day.
- How many citations does Twilight Gardens Nursing and Rehabilitation have?
- Twilight Gardens Nursing and Rehabilitation has 15 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Twilight Gardens Nursing and Rehabilitation last inspected?
- Twilight Gardens Nursing and Rehabilitation was last inspected on January 22, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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