Twilight Gardens Nursing and Rehabilitation

Quality ratings

CMS's most recent Care Compare release (data as of April 2026) puts Twilight Gardens Nursing and Rehabilitation's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (4/5), staffing (3/5), and quality measures (4/5).

Size and setting

Located in Norwalk, Ohio, this facility operates 94 certified beds with an average daily census of roughly 72 residents - an occupancy rate of about 77%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 77% occupancy, this facility has meaningful open capacity relative to its certified bed count.

Same-ownership peers

Within Ohio, Twilight Gardens Nursing and Rehabilitation is one of 490 for profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the for profit - corporation-segment average of 3.2 stars, ahead of roughly 54% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.

Inspection record

On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (14 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.