Twilight Haven

Overview of Twilight Haven

Twilight Haven has been a senior living home that provides a graceful living for independent living, assisted living, memory care, and skilled nursing residents since 1957. They follow a philosophy that encourages and empowers its residents to maintain their independence and individuality. Residents of all kinds of living options receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery.
Twilight Haven prioritizes wellness, comfort, and convenience for its residents. They offer 24-hour skilled nursing care services with speech, occupational, and physical therapy; ADLs, planned activities, recreational programs; and housekeeping, transportation, and religious services.

(610) 927-1466 williamsb@twilighthaven.com

Capacity and availability

This home usually has availability

Occupancy lower than 85% suggests more openings may be available.

156 days

Walk Score: 2 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Senior Housing

Specific ProgramsAffordable Senior Housing, Enhanced Quality of Life, Comprehensive Aging and Senior Resources

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 9 - 10 months

Private pay

35% of new residents, often for short stays.

Typical stay 1 years

Medicaid

30% of new residents, often for long-term daily care.

Typical stay 1 - 2 months

Financial Trends

Historical financial and operational data for Twilight Haven based on CMS SNF Cost Reports.

Occupancy Rate 44.1% ↓ 18.7pp vs 2021

Net Income -$1.9M ↓ ~$1.9M vs 2021

Total Payroll $5.5M ↑ ~$820.9K vs 2021

Profit Margin -29.2% ↓ 28.9pp vs 2021

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022
Occupancy %	98.5%	97.2%	97.2%	95.9%	91.5%	274.5%	265.1%	74.8%	79.5%	62.8%	44.1%
Beds	50	50	50	50	50	50	50	110	170	110	166
Net Income	$314,277	-$6,815	-$103,640	-$590,045	-$375,696	-$44,236	$122,628	$48,280	$52,695	-$20,190	-$1,927,144
Gross Revenue	$3,999,246	$6,228,257	$5,024,478	$6,333,704	$6,310,785	$6,222,829	$6,372,330	$5,896,323	$6,490,397	$5,838,959	$6,596,761
Operating Expenses	$4,930,336	$5,806,698	$5,897,411	$6,173,773	$5,999,867	$5,707,928	$5,694,739	$6,153,116	$7,125,026	$7,166,812	$8,270,425
Net Patient Revenue	$3,341,800	$5,665,739	$5,688,021	$5,466,215	$5,530,848	$5,598,798	$5,753,543	$5,530,077	$5,938,150	$6,029,488	$6,296,260
Total Payroll	$3,200,685	$3,694,491	$3,524,034	$3,757,400	$3,961,518	$3,803,535	$3,657,918	$4,092,852	$4,869,944	$4,643,458	$5,464,378
Profit Margin %	7.9%	-0.1%	-2.1%	-9.3%	-6.0%	-0.7%	1.9%	0.8%	0.8%	-0.4%	-29.2%
Medicare %	3.5%	6.0%	4.1%	4.8%	7.0%	2.6%	3.2%	5.6%	4.7%	7.3%	5.3%
Medicaid %	74.2%	78.4%	80.8%	80.5%	82.8%	24.8%	24.2%	38.1%	19.9%	37.2%	36.2%
Private %	22.4%	15.6%	15.1%	14.7%	10.2%	72.6%	72.6%	56.4%	75.5%	55.5%	58.5%
Revenue/Day	$186	$319	$321	$312	$330	$112	$119	$184	$120	$239	$236
Cost/Day	$274	$327	$333	$353	$358	$114	$118	$205	$144	$284	$310
Avg Length of Stay	561.6 days	268.8 days	377.3 days	350.2 days	261.6 days	214.6 days	213.5 days	156.7 days	188.1 days	181.9 days	155.5 days

Finances and operations

Home revenue

$6.6M

Operating deficit

-$1.9M

Voluntary non-profit community

Home revenue

$6.6M

Operating deficit

-$1.9M

Payroll costs

$5.5M

82.2% of revenue

Other operating costs

$3.1M

Total costs $8.6M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

How we assess these insights Show admissions and discharges

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+

General California resident, Medi-Cal eligible, nursing home risk.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $2,000 (individual), $3,000 (couple).

County-managed; waitlists possible.

Benefits

In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+

General California resident, Medicaid-eligible or low-income.

Income Limits ~$1,732/month individual, Medi-Cal threshold

Asset Limits $2,000 individual

Can hire family as caregivers.

Benefits

Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+

General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 38 counties; waitlists common.

Benefits

Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+

General California resident, own and live in home, 40% equity.

Income Limits (2025) ~$51,500/year household, adjusted annually

Asset Limits Equity-based; no strict asset cap.

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits

Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled

General California resident, Medi-Cal-eligible, nursing home-eligible.

Income Limits ~$2,829/month 300% FBR, individual

Asset Limits $2,000 individual

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits

Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age —

General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.

Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.

Asset Limits Not applicable; need-based.

High demand in urban areas; complements IHSS respite.

Benefits

Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Compare Nursing Home around Fresno

The information below is reported by the California Department of Social Services and Department of Public Health.

5 facilities compared · CMS & CA Dept. of Health data

Filter by care type


North Pointe Care Center		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Fresno (East Bullard Avenue)	99	90.6%	+7%	3.61				+19%	-14%	$0	21	4.2	-	158	-	80	North Point Wellness Gp LLC	$13.3M	$5.9M	44.5%	555179
The Terraces at San Joaquin Gardens a CCRC		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Fresno	652	56.1%	-34%	5.21				+27%	+23%	$0	32	4.6	1	48	-	57	Humangood Fresno	$37.3M	$14.7M	39.3%	55846
Horizon Health & Subacute Center		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Fresno (East Herndon Avenue)	180	70.2%	-17%	4.73				-29%	+12%	$22.9k	43	3.1	2	155	-	58	Chad Galley	$4.8M	$3.6M	74.7%	55199
Evergreen Life Care Homes		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Fresno (Roosevelt)	49	90.9%	+7%	4.36				-27%	+3%	$0	33	3.0	2	45	A+	37	Evergreen Care Center Holdings LLC	$6.6M	$2.8M	42.3%	555920
Twilight Haven	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Fresno	166	0.0%	-100%	-	-	-	-	-	-	-	-	-	-	-	-	2	Raymond Goertzen	$6.6M	$5.5M	82.2%	55658

Nursing Home Explorer

Is Twilight Haven in a walkable area?

Twilight Haven has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Twilight Haven?

Twilight Haven's occupancy is 0.0%.

Are there photos of Twilight Haven?

Yes — there are 5 photos of Twilight Haven in the photo gallery on this page.

What is the phone number of Twilight Haven?

(610) 927-1466 will put you in contact with the team at Twilight Haven.

Is Twilight Haven Medicare or Medicaid certified?

Yes — Twilight Haven is a CMS-certified provider of Medicare and Medicaid.

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