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HomeArkansasTwin Lakes Therapy and Living

Twin Lakes Therapy and Living

6152 Highway 202 East, Flippin, AR 726348704534603WebsiteGoogle Maps
4.4on Google(15 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
4/5
Quality
5/5
Beds
80
certified
2 fine(s) totaling $25,678

How Twin Lakes Therapy and Living Compares in Arkansas

Facility results compared with averages for CMS-certified nursing homes in Arkansas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
AR average
3.5/5
Below state average
Health inspection rating
1/5
AR average
3.2/5
Below state average
Staffing rating
4/5
AR average
3.3/5
Above state average
Nursing hours per resident
4.23 hrs/day
AR average
4.03 hrs/day
Above state average
RN hours per resident
0.56 hrs/day
AR average
0.41 hrs/day
Above state average
Staff turnover
57.6%
AR average
49.5%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Arkansas average of 3.5/5.
Its 1/5 health inspection rating is below the Arkansas average of 3.2/5.
Reported RN time is 0.56 hours per resident per day, above the state average of 0.41.
Staff turnover is 57.6%, higher than the Arkansas average of 49.5%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
21
deficiency citations
Inspected Mar 15, 2024
Most recent cycle
2
deficiency citations
Inspected Jun 12, 2025
The most recent cycle recorded 19 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$6,540/mo
Arkansas median
Private Room
$7,300/mo
Arkansas median
Marion County 65+
4,867
28.8% of county
County Population
16,905
Marion County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Twin Lakes Therapy and Living is a 2-star Medicare and Medicaid certified nursing home in Flippin, Arkansas with 80 certified beds. It has been operating since 1995. Its overall CMS rating is 2 out of 5.

Beds
80
Avg Residents/Day
43.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 22, 1995
Sprinklers
Yes
Council
Resident
County
Marion
Last Inspection
Jun 12, 2025
Deficiencies (Cycle 1)
2
Weighted Score
69.8
Infection Citations
0

Deficiency Citations (27)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 12, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 12, 2025Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Jun 12, 2025Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jun 12, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 1, 2024Corrected: NoCycle: 2
F0838Potential for Harm

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.

Survey: Nov 1, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0687Potential for Harm

Provide appropriate foot care.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0809Potential for Harm

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.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0807Potential for Harm

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0582Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Mar 15, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jan 27, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 27, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jan 27, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 27, 2023Corrected: NoCycle: 3
Total Fines
$25,678
Number of Fines
2
Payment Denials
1
Total Penalties
3

Penalty History

FineMar 15, 2024
$12,834
FineNov 1, 2024
$12,844
Payment DenialNov 1, 2024
16 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.46 hrs
National avg: 2.32 hrs
LPN1.22 hrs
National avg: 0.86 hrs
RN0.56 hrs
National avg: 0.69 hrs
Total Nursing4.23 hrs
National avg: 3.86 hrs
Weekend Total3.39 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
57.6%
RN Turnover
66.7%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (24)

NameRoleTypeOwnership %Since
BEGLEY, JENNIFERMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 30, 2024
DVORAK, NORAMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2017
SPEAKS, KATHYMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2024
ADAMS, ANTHONYCORPORATE OFFICERIndividualN/AApr 1, 2014
ADAMS, BRYANCORPORATE OFFICERIndividualN/AApr 1, 2014
KOEHLER, TOBEYCORPORATE OFFICERIndividualN/AApr 1, 2014
BEGLEY, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 30, 2024
HEALTH CARE SOLUTIONS, LLCADP OF THE SNFOrganizationN/AJan 1, 2019
INCITE REHAB, LLCADP OF THE SNFOrganizationN/AApr 1, 2014
LTC SYSTEMS/RX, LLCADP OF THE SNFOrganizationN/AApr 1, 2014
PHARMACY CONSULTS, LLCADP OF THE SNFOrganizationN/ASep 10, 2007
RELIANCE HEALTH CARE, INC.ADP OF THE SNFOrganizationN/ADec 20, 2007
BEGLEY, JENNIFERADP OF THE SNFIndividualN/AOct 30, 2024
COOPER, BENJAMINADP OF THE SNFIndividualN/AJan 1, 2019
COOPER, JAMESADP OF THE SNFIndividualN/AJan 1, 2019
COOPER, ROBERTADP OF THE SNFIndividualN/AJan 1, 2019
DVORAK, NORAADP OF THE SNFIndividualN/AJan 1, 2017
ELLIS, JOHNADP OF THE SNFIndividualN/AApr 1, 2014
KOEHLER, TOBEYADP OF THE SNFIndividualN/AApr 1, 2014
MAINORD, WILLIAMADP OF THE SNFIndividualN/AApr 1, 2014
MCGINNIS, LARRYADP OF THE SNFIndividualN/AApr 1, 2014
PEDIGO, RITAADP OF THE SNFIndividualN/AApr 1, 2014
SCRIBNER, JOHNADP OF THE SNFIndividualN/AAug 28, 2024
SPEAKS, KATHYADP OF THE SNFIndividualN/AJan 1, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Twin Lakes Therapy and Living and nearby alternatives.

All Arkansas facilities
Twin Lakes Therapy and Living
Flippin, ARCurrent facility
CMS
2/5
Health
1/5
Staffing
4/5
Recorded fines: $25,678
Creekside at the Springs
Yellville, AR5.7 mi
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $15,915
Gassville Therapy and Living
Gassville, AR6.3 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: None
Hiram Shaddox Health and Rehab
Mountain Home, AR12.4 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: None
Care Manor Nursing and Rehab
Mountain Home, AR12.5 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
Lake Forest Senior Living at Mountain Home
Mountain Home, AR14.6 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Highland Court, a Rehabilitation and Resident Care
Marshall, AR26.1 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Twin Lakes Therapy and Living
Flippin, AR · Current facility
—2/51/54/5$25,678
Creekside at the Springs
Yellville, AR
5.7 mi3/52/54/5$15,915
Gassville Therapy and Living
Gassville, AR
6.3 mi4/53/54/5None recorded
Hiram Shaddox Health and Rehab
Mountain Home, AR
12.4 mi4/54/52/5None recorded
Care Manor Nursing and Rehab
Mountain Home, AR
12.5 mi5/54/53/5None recorded
Lake Forest Senior Living at Mountain Home
Mountain Home, AR
14.6 mi3/53/52/5None recorded
Highland Court, a Rehabilitation and Resident Care
Marshall, AR
26.1 mi5/54/55/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Twin Lakes Therapy and Living?▾
Twin Lakes Therapy and Living has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated below average.
How much does Twin Lakes Therapy and Living cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Arkansas is $6,540/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Twin Lakes Therapy and Living participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Twin Lakes Therapy and Living had any health inspection violations?▾
Twin Lakes Therapy and Living had 2 deficiency citations in its most recent health inspection (Jun 12, 2025). The current CMS dataset records 2 fine(s) totaling $25,678.
What are the staffing levels at Twin Lakes Therapy and Living?▾
Twin Lakes Therapy and Living provides 4.23 total nursing staff hours per resident per day, including 0.56 RN hours, 1.22 LPN hours, and 2.46 nurse aide hours. The total staff turnover rate is 57.6%.
How many beds does Twin Lakes Therapy and Living have?▾
Twin Lakes Therapy and Living has 80 certified beds with an average of 43.3 residents per day, resulting in approximately 54% occupancy. The facility is For profit - Corporation owned and is part of the Anthony & Bryan Adams chain.
Are there other nursing homes near Twin Lakes Therapy and Living?▾
Yes. This page lists 6 nearby nursing homes in Arkansas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Twin Lakes Therapy and Living?▾
On Google Maps, Twin Lakes Therapy and Living has a rating of 4.4 out of 5 based on 15 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Anthony & Bryan Adams

This chain operates 38 facilities. View all →