Marion County, Arkansas · Nursing home
Twin Lakes Therapy and Living
2 of 5 overall from CMS
6152 Highway 202 East, Flippin, AR 72634
At a glance
- Overall rating 2 of 5 Below the state average of 3.4
- Nurse time per resident, per day 4.23 hours Above the state average of 4.02
- Nursing staff who left in a year 57.6% Above the state average of 49.5%
- Health citations, last 3 inspection cycles 27 2 at the harm level or above
- Fines in 3 years $25,678 2 fines
- Certified beds in use 54.1% of 80 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Twin Lakes Therapy and Living is a 80-bed nursing home in Flippin, Arkansas (Marion County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.23 nurse staffing hours per resident per day, above the Arkansas average of 4.02. CMS lists 2 fines totaling $25,678 in the past three years.
- Certified beds
- 80
- Residents per day (average)
- 43.3
- Certified since
- 1995 (31 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Anthony & Bryan Adams (38 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Twin Lakes Therapy and Living
Chosen from this home's public data.
- CMS lists 2 fines totaling $25,678 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 57.6%, above the Arkansas average of 49.5%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.39 hours per resident on weekends against 4.23 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Arkansas average 3.4
- Health inspections 1 of 5 Arkansas average 3.2
- Staffing 4 of 5 Arkansas average 3.2
- Quality measures 5 of 5 Arkansas average 3.7
The vertical line marks the Arkansas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.23 h Arkansas average 4.02
- Nurse aides 2.46 h Arkansas average 2.67
- Licensed practical nurses 1.22 h Arkansas average 0.95
- Registered nurses 0.56 h Arkansas average 0.41
- All staff, weekends 3.39 h Arkansas average 3.45
How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Arkansas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover57.6%
- Arkansas average49.5%
- Registered nurse turnover66.7%
- Arkansas average44.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Arkansas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Arkansas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.3% | 9.5% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.0% | 4.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.6% | 1.2% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 1.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% | 3.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 95.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.6% | 10.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% | 21.7% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.5% | 4.2% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.0% | 13.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 0.8% | 10.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.90 | 2.01 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.23 | 2.13 | 1.78 |
Short-stay residents
| Measure | This home | Arkansas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% | 82.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.8% | 77.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 24.1% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 27 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 13 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 1, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 12, 2025 | 2 | 1 |
| Mar 15, 2024 | 21 | 2 |
| Jan 27, 2023 | 4 | 4 |
Arkansas homes averaged 2.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (27)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 12, 2025)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 12, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 12, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 12, 2025)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 16, 2024)
Show 22 more
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Dec 16, 2024)
-
JImmediate jeopardy, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Mar 14, 2024)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate foot care.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 8, 2024)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 8, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Apr 8, 2024)
-
BPotential for minimal harm, pattern
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Mar 15, 2024)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 17, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 17, 2023)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Feb 17, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 17, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 1, 2024 | Fine | $12,844 |
| Nov 1, 2024 | Payment Denial | 16 days |
| Mar 15, 2024 | Fine | $12,834 |
Arkansas homes averaged 0.5 fines and $9,209 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Arkansas
- Size187 of 221 by certified beds
- Arkansas average residents per day77.0
- ChainAnthony & Bryan Adams
- Chain average overall rating3.7 of 5
- Resident or family councilResident
- Homes in Marion County2
Common questions
What is the CMS star rating for Twin Lakes Therapy and Living?
Twin Lakes Therapy and Living has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 5.
How many beds does Twin Lakes Therapy and Living have?
Twin Lakes Therapy and Living has 80 certified beds. It averages 43.3 residents per day, about 54.1% of its certified beds.
How much nursing care do residents get at Twin Lakes Therapy and Living?
The home reports 4.23 hours of nurse staffing per resident per day, including 0.56 hours from registered nurses. The Arkansas average is 4.02 hours and 0.41 hours from registered nurses.
Has Twin Lakes Therapy and Living been fined?
Yes. CMS lists 2 fines totaling $25,678 in the past three years. It also lists 1 payment denial.
Does Twin Lakes Therapy and Living accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Creekside at the Springs 96beds 81.8%in use 3.44nurse hours a day
- 4 of 5 Gassville Therapy and Living 105beds 43.2%in use 3.67nurse hours a day
- 4 of 5 Hiram Shaddox Health and Rehab 140beds 57.8%in use 3.08nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Marion County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 045280. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.