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Twilight Gardens Home

  • Nursing Home
  • Memory Care

Updated Apr 1, 2023 by Nick Lata

Historical Rating
Grade: F
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: DMay 19: CJun 19: CJul 19: DAug 19: DSep 19: DJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: DSep 20: DOct 20: DNov 20: DJan 21: DFeb 21: DMar 21: DApr 21: FMay 21: FJun 21: FJul 21: FAug 21: FSep 21: FOct 21: FNov 21: FJan 22: FFeb 22: FMar 22: FApr 22: FMay 22: FJun 22: FAug 22: FSep 22: FOct 22: FNov 22: FJan 23: FFeb 23: FMar 23: FApr 23: F
See Rating Overview
Twilight Gardens Home's website

196 W Main St,
Norwalk OH 44857

(419) 668-2086

70.7% estimated occupancy 1

Twilight Gardens Home is an average-sized facility in Norwalk, Ohio. This nursing home was given an overall grade of F. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Norwalk. Surprisingly, we were able to give this nursing home some positive feedback for our inspections category, which you can find more information about below.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • Has Family Council
  • For profit - Corporation
  • Offers Respite Care
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Home Making
  • Transportation
  • Speech Therapy
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Tracheotomy Care
  • Mental Health
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Laboratory
  • X-Ray
  • Recreational Therapy
  • Pain Management

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
Less:
More:
January
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February
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April
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May
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June
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July
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August
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October
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Facility Inspections

Grade: B

Although we gave this place a terrible overall score, we awarded it a grade of B for our inspections rating. This is the result of the nursing home receiving a quality inspection report this year. Perhaps the most critical factor we consider in determining our inspection grades is deficiencies. Deficiencies are found on a facility's inspection reports. It is generally in your best interest to avoid nursing homes that have a long list of severe deficiencies. While this place had a few deficiencies on its report, none of them were serious based on CMS' scale. A couple minor deficiencies aren't necessarily the end of the world.

Nurse Quality

Grade: F

One of the other reasons we graded this facility so highly is that it received a very impressive nursing rating. In fact, nursing turned out to be its second best category grade. In that category, we gave this nursing home an F. There are a number of criteria included in this area. Most of these factors reflect the quantity of nurse staffing. This facility averaged a meager 0.4 hours of nursing care per patient daily. This is not a very impressive figure. Lastly, we also looked at some nursing quality-based metrics in computing our nursing ratings. This facility performed well in the area of avoiding pressure ulcers and major falls. We consider these areas to be indicators of the quality of nursing care.

Short-term Care Quality

Grade: F

In addition, we gave this facility a rock-bottom F in the category of short-term care. In the category of short-term care, we seek to qualify indicators of a nursing home's rehabilitation services. We assess a nursing home's skilled nursing services, such as the ones performed by registered nurses and physical therapists. As you might expect, we learned that this place provides significantly less physical therapist and registered nurse hours per patient than the typical nursing home. The final measure we considered in this area is the number of patients who were able to return home from the nursing home. This facility struggled quite a bit in this area as well, with just 0 percent of its patients returning home.

Long-term Care Quality

Grade: F

Moving on to our last category, this nursing home really did not perform well in this category either. Due to a poor grade of F in long-term care, this is really as as uninspiring as it gets. Facilities that receive this type of score in this category likely don't provide the type of consistent 24/7 care that some other facilities offer. After assessing the volume of care provided by nurses and other staff, we turned to the nursing home's vaccination record. Frankly, we were a bit alarmed this facility vaccinated 77.40585 percent of its residents against pneumonia, which is significantly lower than average. Surprisingly, this facility was actually able to limit hospitalizations. With just 0.02 hospitalizations per 1,000 long-term resident days, this nursing home has less hospitalizations than the average nursing home. This is its best score in this category.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18May 23

Twilight Gardens Home Quality Metrics

Minimizes Pressure Ulcers

Grade: D

In Twilight Gardens Home, 7.3% of Patients had Pressure Ulcers

This indicates the percent of residents that suffered from a pressure ulcer. Pressure ulcers are skin damage resulting from staying in the same position for too long.

Minimizes Serious Falls

Grade: A

In Twilight Gardens Home, 3.68% of Patients had Serious Falls

This tells you the percent of residents that sustained a major fall. Falls leading to severe injury are considered to be an indicator of nursing care . Falls resulting in injury are routinely caused by lower quality nursing care.

Minimizes Urinary Tract Infections

Grade: B

In Twilight Gardens Home, 1.34% of Patients had UTIs

This indicates the percent of residents that have had a urinary tract infection. Urinary tract infections are often the result of nursing homes with worse hygiene protocols. More frequent bathing minimizes the number of UTI's sustained by residents in a nursing home. Note that this datapoint is sometimes skewed by the fact that facilities have varying reporting standards for infections.

Appropriately Uses Anti-Psychotic Medication

Grade: C

In Twilight Gardens Home, 12.59% of Patients use Anti-Psychotic Medication

This is the percent of patients who were prescribed antipsychotic drugs. Antipsychotic medications are administered to patients for many conditions, such as cognitive disorders. Sadly, in some cases, excessive reliance on these medications may indicate that a facility is using these medications to subdue residents.

Appropriately Uses Anti-Anxiety Medication

Grade: C

In Twilight Gardens Home, 21.99% of Patients use Anti-Anxiety Medication

This figure gauges the percentage of long-term stay residents taking antianxiety drugs.

Managing Depression Among Residents

Grade: C

In Twilight Gardens Home, 21.39% of Patients

This indicates the percentage of residents who are exhibiting signs of depression. High levels of depression may be an indicator a lower level of care.

Appropriate Vaccine Usage

Grade: F

In Twilight Gardens Home, 88.91% of Patients

This metric measures the percent of long-term stay patients who received the flu and pneumonia vaccines.

Residents Maintain Autonomy

Grade: B

In Twilight Gardens Home, 14.84% Percentage of Patients

This indicates the percentage of patients who required additional assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living could indicate deterioration of a resident's medical condition.

Ability to Keep Residents Mobile

Grade: D

In Twilight Gardens Home, 12.66% Percentage of Residents

This is the percent of residents that remained mobile levels over time. Optimizing mobility is usually a great sign for residents' well-being.

Hospitalizations

Grade: B-plus

In Twilight Gardens Home, 1.43 Hospitalizations per 1,000 resident days

Measures the number of times residents are hospitalized per 1,000 days of patient care. Staying out of the hospital is important to maintaining the physical health of nursing home patients.

Short-term Care: Rehospitalizations

Grade: A

In Twilight Gardens Home, 12.66 Percentage of Residents Rehospitalized

This is the number of times residents are rehospitalized per thousand days of short-term care.

Short-term Care: ER Visits

Grade: C

In Twilight Gardens Home, 12.98 Percentage of Patients

This is the number of times residents are sent to the emergency room per thousand days of short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: F

In Twilight Gardens Home, 75.85% Percentage of Resident

This datapoint is a measure of the percentage of short-term stay residents who saw functional improvements.

Nearby Hospitals

  • Fisher-Titus HospitalAcute Care Hospitals 1.64 miles away272 Benedict Avenue Norwalk Ohio 44857Voluntary non-profit - Private(419) 668-8101
  • Bellevue HospitalAcute Care Hospitals 13.43 miles away1400 West Main Street Bellevue Ohio 44811Voluntary non-profit - Other(419) 483-4040
  • Mercy Health - Willard HospitalCritical Access Hospitals 13.99 miles away1100 Neal Zick Road Willard Ohio 44890Voluntary non-profit - Private(419) 964-5000
  • Firelands Regional Medical CenterAcute Care Hospitals 15.05 miles away1111 Hayes Avenue Sandusky Ohio 44870Voluntary non-profit - Private(419) 557-7400

Nearby Dialysis

  • Fmc - Norwalk1.78 miles away290 Benedict Avenue Norwalk Ohio 44857Dialysis Stations: 13 (419) 668-2121
  • Firelands Bellevue Dialysis Center13.52 miles away290 Progress Drive, Suite A Bellevue Ohio 44811Dialysis Stations: 16 (419) 483-2070
  • Fmc - Willard14.4 miles away209 Rae Court Willard Ohio 44890Dialysis Stations: 12 (419) 935-0521
  • Firelands Dialysis Center South14.57 miles away904 Pierce Street Sandusky Ohio 44870Dialysis Stations: 31 (419) 557-7228
  • Davita Sandusky Dialysis Center15.47 miles away211 Lakeside Park Sandusky Ohio 44870Dialysis Stations: 8 (419) 626-3809

Helpful Articles

Footnotes:

  1. https://www.medicare.gov/nursinghomecompare/profile.html#ID=365517