TWILIGHT GARDENS NURSING AND REHABILITATION

196 W MAIN ST, NORWALK, OH 44857 · CCN 365517 · 94 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections4 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

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Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

4.09

state median 3.20

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

1.33

registered nurses only

Contract (agency) staff

27%

share of all nursing hours

Nursing staff turnover

55%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation. Part of the CCH HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

The Greens at Viewmont (Hickory, NC) — CMS overall2 of 5
The Greens at Gastonia (Gastonia, NC) — CMS overall1 of 5
The Greens at Pinehurst Rehabilitation & Living Ce (Pinehurst, NC) — CMS overall3 of 5
Willow Ridge Of NC (Rutherfordton, NC) — CMS overall2 of 5
The Greens at Weaverville (Weaverville, NC) — CMS overall4 of 5
Ridgewood Living & Rehabilitation Center (Washington, NC) — CMS overall2 of 5
The Greens at Hickory (Hickory, NC) — CMS overall2 of 5
Valley Nursing and Rehabilitation Center (Taylorsville, NC) — CMS overall1 of 5

Full citation history

By severity: Potential for more than minimal harm: 14

Survey date	Tag	Category	Severity	Corrected
2026-03-19	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-03-19	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-03-19	F0880	Infection Control Deficiencies	D	not recorded
2026-01-22	F0580	Resident Rights Deficiencies	D	not recorded
2025-04-24	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0756	Pharmacy Service Deficiencies	D	not recorded
2025-04-24	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-10-19	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-10-19	F0756	Pharmacy Service Deficiencies	D	not recorded
2023-10-19	F0759	Pharmacy Service Deficiencies	D	not recorded
2023-10-19	F0760	Pharmacy Service Deficiencies	D	not recorded
2023-10-19	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2023-10-19	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “TWILIGHT GARDENS NURSING AND REHABILITATION, NORWALK” at medicare.gov/care-compare.