Twilight Acres ranks as Sac County’s No. 2 nursing home in Q1 2026

Twilight Acres was the second largest nursing home in Sac County during the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows.

The center provided 39 beds, which was 12 fewer than the Sac County average for the same period. It served an average of 24.7 residents per day during Q1 2026.

Twilight Acres earned a 5 out of 5 overall rating from CMS—surpassing the statewide nursing home average rating of 3.1 in Iowa.

Park View Rehabilitation Center was Sac County’s largest nursing home this quarter, offering 77 beds. Odebolt Specialty Care followed Twilight Acres as the third largest, with 38 beds available.

Twilight Acres also reported no fines or penalties during the first quarter of 2026.

There were two non-profit nursing homes in Sac County, Iowa during this period.

U.S. Census Bureau estimates show the country’s older adult population keeps increasing while younger groups decline. Between 2020 and 2024, the number of people age 65 and older in the U.S. rose by 13%, and those under 18 decreased by 1.7%. Over the last century, the population of older adults has increased substantially, growing from 4.9 million in 1920 to more than 61 million by 2024.

According to a 2021 study, nearly half of Americans in this group—about 28 million people—are likely to need long-term services and support, with projections indicating that more than one-third may require nursing home care at some point.

“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”

Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.