Twilight Gardens Nursing & Rehabilitation

    196 W Main St, Norwalk, OH 44857
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.91·(85)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.8
    • Meals

      1.8
    • Amenities

      2.3
    • Value

      1.0

    Pros

    • Compassionate, courteous staff
    • Clean, welcoming environment
    • Positive personal-care experiences
    • Knowledgeable respiratory therapy and rehabilitation staff
    • Meaningful therapy and reported functional progress
    • Friendly, supportive visiting experience
    • Thoughtful admissions and administrator interactions
    • Individualized, respectful care described by some families
    • Residents described as comfortable and happy

    Cons

    • Inconsistent personal hygiene, bathing, and room-cleaning standards
    • Staffing capacity constraints and delays in assistance
    • Gaps in clinical monitoring, medication timing, and escalation
    • Inconsistent skin-integrity and repositioning practices
    • Weak fall-safety supervision and dining-room oversight
    • Unreliable family communication and after-hours responsiveness
    • Disjointed discharge and care coordination
    • Cold, dry, and limited meal offerings
    • Aging interiors, ongoing construction, and noise
    • Inconsistent rehabilitation intensity and medical follow-up
    • Concerns about staff teamwork and workplace conduct

    Summary of reviews

    Experiences at Twilight Gardens vary considerably. Some residents and families describe compassionate, professional staff, respectful personal care, clean surroundings, and a welcoming atmosphere. Positive accounts also highlight staff who answer questions, support family visits, and provide attentive respiratory therapy and rehabilitation. One resident credited therapy with helping them regain function, and a family reported progress with respiratory support and therapy after a transfer from another facility.

    Other accounts describe uneven day-to-day care. Families raised concerns about personal hygiene, bathing, room cleanliness, repositioning, and the prevention and management of pressure injuries. There are also accounts of delayed assistance, falls, and inconsistent supervision. Several reviewers raised concerns about clinical follow-through, including medication timing and monitoring of changing health needs. One family described a hospitalization involving significant hydration and glucose concerns. Another raised serious concerns about personal care, medication administration, and comfort in the hours before a resident's death. These accounts are serious but reflect individual experiences and cannot be independently assessed from the reviews alone.

    Staffing and communication are recurring concerns. Some reviewers say staff are caring but stretched, while others describe difficulty reaching the right person, receiving returned calls, or getting timely updates about care and transfers. Discharge planning and coordination are also criticized, including one family's account of delays and a dispute involving billing and missing personal equipment. In contrast, other families found administrators and admissions staff accessible and helpful, and one reviewer felt an issue was addressed after meeting with facility leadership.

    Dining feedback is mixed but includes criticism of meals being cold, dry, or limited in variety. Reviews provide little detail about organized activities. One family raised concerns about access to a resident's wheelchair and the ability to make the room feel personal. The physical environment is likewise described differently: some reviewers found it clean and pleasant, while others called it dated and noted ongoing construction and noise. Overall, the reviews suggest meaningful strengths in staff relationships and therapy for some residents, alongside concerns about consistency in staffing, clinical follow-through, communication, and basic care.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Twilight Gardens Nursing & Rehabilitation is located at 196 W Main St, Norwalk, OH, 44857.

    About Twilight Gardens Nursing & Rehabilitation

    Twilight Gardens Nursing & Rehabilitation sits in Norwalk, Ohio and has 99 certified beds, and while it offers many care services for both short-term and long-term residents like skilled nursing, memory care for dementia and Alzheimer's, physical, occupational, and speech therapies, plus respite care if a caregiver needs a break, it's had several state inspection reports over time, with the last one from October 19, 2023 showing 6 deficiencies, including some issues about activities of daily living and nutrition needs, all marked as having no actual harm but showing potential for more than minimal harm, and there have been 17 deficiencies cited altogether, with 4 of those related to infection control, so that's worth knowing if infections are a concern for anyone considering this place, since sometimes those things indicate areas that need improvement even though the facility does focus on providing care and support. Staffed with a nurse turnover rate of 45.9%, which is pretty high, Twilight Gardens reports total nurse staffing hours per resident per day of 4.27, which helps give an idea of how much time nurses spend with each person, but some might want to ask about that if nurse familiarity is important. You'll find a team of healthcare professionals there who make individualized care plans aimed at promoting independence, dignity, and comfort, offering services like diabetic care, incontinence care, chronic disease management, and specialized non-ambulatory care for those who need it, on top of having an on-site Dialysis Unit for people who need kidney care and a Ventilator Program for those who need help with breathing. The facility has private rehab suites for those staying short-term, newly renovated spaces, and several shared indoor communal areas plus a beauty shop for residents, meals are provided for all, and folks can join in on social, recreational, and devotional activities both on-site and off. Amenities include WiFi, in-room phones, flat-screen TVs with cable, and the care staff aims to create a supportive environment focused on resident well-being. Operated by Cch Healthcare and guided by the principles of Compassion, Dignity, and Unity, Twilight Gardens addresses different health situations with personalized care and has special programs for rehabilitation and chronic conditions, but with its mix of both positive features like its therapy resources and on-site dialysis and some areas noted for deficiency, it's good to ask questions about recent improvements and stay mindful of all inspection results while considering this senior living option. More details can be found at https://www.twilighthc.com/.

    People often ask...

    Twilight Gardens Nursing & Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 18 photos of Twilight Gardens Nursing & Rehabilitation on Mirador.

    The full address for this community is 196 W Main St, Norwalk, OH 44857.

    No, Twilight Gardens Nursing & Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Twilight Gardens Nursing & Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Twilight Gardens Nursing & Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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