Establishment profile
TWILIGHT GARDENS NURSING & REHABILITATION
196 WEST MAIN STREET, NORWALK, OH, 44857
Operated by CCH HEALTHCARE · 1 of 31 establishments
623110 — Nursing Care Facilities (Skilled Nursing Facilities)
Summary
TWILIGHT GARDENS NURSING & REHABILITATION has accumulated 2 OSHA violations across 2 inspections over 5 years of recorded history, with $4,096 in total assessed penalties.
The establishment sits in the 51st percentile for violations within its industry-state peer group of 449 employers. Inspection frequency runs at the 75th percentile. The most recent enforcement activity was recorded 4 years ago.
Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.
Agency coverage
TWILIGHT GARDENS NURSING & REHABILITATION appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.
OSHA workplace safety
50% of inspections at this establishment produced violations,
Most-cited OSHA standards
Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 2 distinct standards shown · 2 citations in this view · $4,096 in penalties.
| CFR section | Citations | Inspections | Total penalty | First cited | Last cited |
|---|---|---|---|---|---|
| 29 CFR 1910.0134 E01 | 1 | 1 | $4,096 | May 2021 | May 2021 |
| 29 CFR 1910.0134 F02 | 1 | 1 | — | May 2021 | May 2021 |
Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.
Peer comparison
Above average violations in NAICS 6231 within OH. Peer group: 449 employers. This establishment has 2 OSHA violations; peer median is 1.
Safety self-report (OSHA 300A)
No self-reported injury rates filed with OSHA's Injury Tracking Application for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with OSHA Injury Tracking Application →
Industry benchmark
BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.
Inspection breakdown
Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.
OSHA severe injury reports
No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with Occupational Safety and Health Administration →
Activity timeline
No federal enforcement activity has been recorded against this establishment in 4+ years. Most recent activity: 4 years ago. Data on this page is refreshed weekly.
Wage & Hour Division (WHD)
No WHD wage, overtime, or child-labor enforcement cases on file for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with Wage and Hour Division →
Mine safety (MSHA)
No MSHA mine safety violations on file for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with Mine Safety and Health Administration →
Labor relations (NLRB)
No NLRB unfair labor practice charges or union representation cases on file for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with National Labor Relations Board →
Visa & labor certification (OFLC) — historical
No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with Office of Foreign Labor Certification →
Environmental compliance (EPA)
No EPA inspections or formal enforcement actions on file for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with Environmental Protection Agency →
CMS nursing-home record
CCN 365517 · Chain: CCH HEALTHCARE
Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →
CMS Care Compare deficiencies
Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 15 citations across 5 surveys · 3 complaint-triggered.
| Survey date | F-Tag | Severity | Description | Type | Corrected |
|---|---|---|---|---|---|
| Jan 2026 | 0580 | D | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies | Complaint | — |
| Apr 2025 | 0812 | F | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | — |
| Apr 2025 | 0677 | D | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Standard | — |
| Apr 2025 | 0686 | D | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies | Complaint | — |
| Apr 2025 | 0756 | D | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies | Standard | — |
| Oct 2023 | 0803 | E | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies | Standard | — |
| Oct 2023 | 0677 | D | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies | Standard | — |
| Oct 2023 | 0756 | D | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies | Standard | — |
| Oct 2023 | 0759 | D | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies | Standard | — |
| Oct 2023 | 0760 | D | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies | Standard | — |
| Oct 2023 | 0880 | D | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | — |
| Jun 2023 | 0552 | D | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies | Complaint | — |
| Jun 2021 | 0880 | F | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | — |
| Jun 2021 | 0812 | E | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | — |
| Jun 2021 | 0698 | D | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies | Standard | — |
Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.
Federal criminal prosecution record
No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for TWILIGHT GARDENS NURSING & REHABILITATION. Verify directly with UVA Corporate Prosecution Registry →
Inspection history
| Date | Trigger | Violations | Serious | Penalty | |
|---|---|---|---|---|---|
| 2022-04-22 | Follow-up | 0 | — | $0 | |
| 2020-12-21 | Complaint | 2 | 2 | $4,096 |
Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.
In the news
Part of a larger organization
TWILIGHT GARDENS NURSING & REHABILITATION is one of 31 establishments rolled up under the parent organization CCH HEALTHCARE.
Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of CCH HEALTHCARE across all 31 of its tracked locations is viewable on the parent profile.
Other employers in this industry and state
Other employers in nursing care facilities (skilled nursing facilities) within OH, ordered by federal enforcement volume:
- LUTHER HOME OF MERCYWILLISTON — 3 federal enforcement records
- COLUMBUS HEALTHCARE CENTERCOLUMBUS — 3 federal enforcement records
- FOUNDATIONS HEALTH SOLUTIONSSAINT CLAIRSVILLE — 2 federal enforcement records
- GREENBRIAR HEALTHCARE CENTERYOUNGSTOWN — 2 federal enforcement records
- FOUNDATIONS HEALTH SOLUTIONSHILLIARD — 2 federal enforcement records
- CHARDON HEALTHCARE CENTERCHARDON — 2 federal enforcement records
- ANDOVER VILLAGE RETIREMENT COMMUNITY, LTD.ANDOVER — 2 federal enforcement records
- HILLSIDE PLAZACLEVELAND — 2 federal enforcement records
- ZION CARE CENTERCINCINNATI — 2 federal enforcement records
- CERTUS HEALTHCARENORTH RANDALL — 2 federal enforcement records
Other locations under this parent
Other establishments operated by CCH HEALTHCARE, ordered by federal enforcement volume:
- SOLON POINTE AT EMERALD RIDGESOLON, OH — 1 federal enforcement record
- WILLOW RIDGE OF NC, LLC.RUTHERFORDTON, NC — 1 federal enforcement record
Related searches
- All CCH HEALTHCARE locationsParent rollup
- Nursing Care Facilities (Skilled Nursing Facilities)All employers in this industry
- Employers in OHState-wide enforcement data
- Nursing Care Facilities in OHIndustry × state cross-filter
About this data
This profile aggregates federal enforcement records on TWILIGHT GARDENS NURSING & REHABILITATION from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.
Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup CCH HEALTHCARE, which operates 31 establishments in our dataset.
OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.
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Contact sales →Frequently asked
- What is TWILIGHT GARDENS NURSING & REHABILITATION's OSHA violation history?
- TWILIGHT GARDENS NURSING & REHABILITATION has 2 OSHA inspections on record with 2 violations and $4,096 in total penalties.
- How does TWILIGHT GARDENS NURSING & REHABILITATION's safety record compare to its industry?
- TWILIGHT GARDENS NURSING & REHABILITATION operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3.