nursing home in Flippin, AR
Twin Lakes Therapy and Living
6152 Highway 202 East, Flippin, AR 72634 · (870) 453-4603
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Twin Lakes Therapy and Living at a glance
Twin Lakes Therapy and Living is a 80-bed for-profit nursing home in Flippin, Arkansas (Marion County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Arkansas average of 3.4.
Residents receive about 4.2 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (June 12, 2025) found 2 health citations. The Arkansas average is 2.7.
Federal regulators fined it 2 times in the past three years, totaling $25,678.
Nursing staff turnover is 57.6% per year (state average 49.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Anthony & Bryan Adams
- Medicare-certified since
- May 22, 1995
- Resident/family council
- Resident
- County
- Marion County
- CMS Certification Number
- 045280
Ratings
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.4 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3.2 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.2 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.23 hrs | 4.02 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.41 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.46 hrs | 2.67 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.39 hrs | 3.45 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 57.6% | 49.5% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 44.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 2 | 3 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 69.8 | 39.8 | 80.6 | Better |
Penalties
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $25,678 | $9,209 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 109 | 107 | |
| Average residents per day | 43 | 77 | 86 | |
| Occupancy | 54.1% | 71.1% | 80.9% |
Long-stay residents
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.9% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.5% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0.8% | 10.9% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 5.3% | 9.5% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.6% | 10.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 4.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 1.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.8% | 21.7% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 11% | 13.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.7% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 95.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Arkansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 69.8% | 77.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 82% | 82% | Better |
Inspection citations
State inspectors cited this home for 27 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 12, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 12, 2025 |
| June 12, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 12, 2025 |
| June 12, 2025 Complaint | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | E Potential harm, pattern | Corrected July 12, 2025 |
| June 12, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 12, 2025 |
| June 12, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 12, 2025 |
| November 1, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected December 16, 2024 |
| November 1, 2024 Complaint | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | E Potential harm, pattern | Corrected December 16, 2024 |
| March 15, 2024 Fire safety | Have an alternate power supply for its alarm system. Smoke Deficiencies · Tag K0344 | F Potential harm, widespread | Corrected April 8, 2024 |
| March 15, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 14, 2024 |
| March 15, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected April 8, 2024 |
| March 15, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 8, 2024 |
| March 15, 2024 Complaint | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected April 8, 2024 |
| March 15, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | B No harm, pattern | Corrected March 15, 2024 |
| January 27, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 3, 2023 |
| January 27, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected March 3, 2023 |
| January 27, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 3, 2023 |
| January 27, 2023 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected March 3, 2023 |
| January 27, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected February 17, 2023 |
| January 27, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 17, 2023 |
| January 27, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected February 17, 2023 |
| January 27, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 17, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $25,678 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 1, 2024 | Payment Denial | 16 days from November 30, 2024 |
| November 1, 2024 | Fine | $12,844 |
| March 15, 2024 | Fine | $12,834 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BEGLEY, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 10/30/2024 |
| COOPER, BENJAMIN Individual | adp of the snf | NOT APPLICABLE | 01/01/2019 |
| COOPER, JAMES Individual | adp of the snf | NOT APPLICABLE | 01/01/2019 |
| COOPER, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/01/2019 |
| DVORAK, NORA Individual | adp of the snf | NOT APPLICABLE | 01/01/2017 |
| ELLIS, JOHN Individual | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| HEALTH CARE SOLUTIONS, LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2019 |
| INCITE REHAB, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| KOEHLER, TOBEY Individual | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| LTC SYSTEMS/RX, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| MAINORD, WILLIAM Individual | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| MCGINNIS, LARRY Individual | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| PEDIGO, RITA Individual | adp of the snf | NOT APPLICABLE | 04/01/2014 |
| PHARMACY CONSULTS, LLC Organization | adp of the snf | NOT APPLICABLE | 09/10/2007 |
| RELIANCE HEALTH CARE, INC. Organization | adp of the snf | NOT APPLICABLE | 12/20/2007 |
| SCRIBNER, JOHN Individual | adp of the snf | NOT APPLICABLE | 08/28/2024 |
| SPEAKS, KATHY Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| ADAMS, ANTHONY Individual | corporate officer | NOT APPLICABLE | 04/01/2014 |
| ADAMS, BRYAN Individual | corporate officer | NOT APPLICABLE | 04/01/2014 |
| KOEHLER, TOBEY Individual | corporate officer | NOT APPLICABLE | 04/01/2014 |
| BEGLEY, JENNIFER Individual | managing control - governing body | NOT APPLICABLE | 10/30/2024 |
| DVORAK, NORA Individual | managing control - governing body | NOT APPLICABLE | 01/01/2017 |
| SPEAKS, KATHY Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| BEGLEY, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 10/30/2024 |
Other nursing homes near Twin Lakes Therapy and Living
Creekside at the Springs
620 Noth Panther Avenue, Yellville, AR 72687 · 5.7 mi
For-profit · 96 beds · Part of The Springs Arkansas
★★★★★3AverageGassville Therapy and Living
203 Cotter Road, Gassville, AR 72635 · 6.3 mi
For-profit · 105 beds · Part of Anthony & Bryan Adams
★★★★★4Above averageHiram Shaddox Health and Rehab
1100 Pinetree Lane, Mountain Home, AR 72653 · 12.4 mi
For-profit · 140 beds · Part of Anthony & Bryan Adams
★★★★★4Above averageCare Manor Nursing and Rehab
804 Burnett Drive, Mountain Home, AR 72653 · 12.5 mi
For-profit · 104 beds · Part of Anthony & Bryan Adams
- CMS high performer
★★★★★5Much above averageLake Forest Senior Living at Mountain Home
300 Good Samaritan Drive, Mountain Home, AR 72653 · 14.6 mi
For-profit · 70 beds · Part of Continuum Healthcare
★★★★★3AverageGainesville Nursing
77 Medical Drive, Gainesville, MO 65655 · 23 mi
For-profit · 99 beds · Part of Community Care Centers
★★★★★3Average
Frequently asked questions
What is Twin Lakes Therapy and Living's rating?
Twin Lakes Therapy and Living has 2 out of 5 stars on the CMS overall star rating. The average for Arkansas nursing homes is 3.4 stars.
How many inspection citations did Twin Lakes Therapy and Living receive?
Its most recent standard health inspection found 2 citations, compared with a Arkansas average of 2.7. Every citation is listed on this page with its severity.
Does Twin Lakes Therapy and Living accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Twin Lakes Therapy and Living?
It is for profit - corporation and part of Anthony & Bryan Adams. The ownership section on this page lists the owners and managers reported to CMS.
Where is Twin Lakes Therapy and Living and how do I contact it?
Twin Lakes Therapy and Living is at 6152 Highway 202 East, Flippin, AR 72634. Phone: (870) 453-4603.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.