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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeArkansasTwin Lakes Therapy and Living

Twin Lakes Therapy and Living

6152 Highway 202 East, Flippin, AR 726348704534603
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
5/5
Beds
80
certified
2 fine(s) totaling $25,678

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 80 certified beds with an average of 51.6 residents per day (65% occupancy)

• Last health inspection found 4 deficiencies (inspected Jun 12, 2025)

• Has been fined a total of $25,678 across 2 fine(s)

• Total nursing staff: 3.63 hours per resident per day

• Staff turnover rate: 62.7% (high)

• Part of the Anthony & Bryan Adams chain (38 facilities)

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. The facility scored below average compared to Arkansas facilities.

Beds
80
Avg Residents/Day
51.6
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)
4
Weighted Score
77.8
Infection Citations
0

Deficiency Citations (28)

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: 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: 1
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
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
F0582Minimal Harm

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

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

Ensure each resident receives an accurate assessment.

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
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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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

Reasonably accommodate the needs and preferences of each resident.

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
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
F0686Potential for Harm

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

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

Provide appropriate foot care.

Survey: Mar 15, 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
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
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
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
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jun 21, 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
F0695Potential for Harm

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

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 Aide2.36 hrs
National avg: 2.35 hrs
LPN0.88 hrs
National avg: 0.86 hrs
RN0.40 hrs
National avg: 0.68 hrs
Total Nursing3.63 hrs
National avg: 3.89 hrs
Weekend Total3.10 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
62.7%
RN Turnover
0.0%
Administrators Left
1

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
EAGLE HEALTH SYSTEMS INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2014
ADAMS, ANTHONY5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Apr 1, 2014
ADAMS, BRYAN5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%Apr 1, 2014
BEGLEY, JENNIFEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 30, 2024
ADAMS, ANTHONYCORPORATE OFFICERIndividualN/AApr 1, 2014
ADAMS, BRYANCORPORATE OFFICERIndividualN/AApr 1, 2014
KOEHLER, TOBEYCORPORATE OFFICERIndividualN/AApr 1, 2014

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 3/5, and quality measures rating of 5/5. This facility is rated below average.
Has Twin Lakes Therapy and Living had any health inspection violations?▾
Twin Lakes Therapy and Living had 4 deficiency citations in its most recent health inspection (Jun 12, 2025). The facility has been fined a total of $25,678 across 2 fine(s).
What are the staffing levels at Twin Lakes Therapy and Living?▾
Twin Lakes Therapy and Living provides 3.63 total nursing staff hours per resident per day, including 0.40 RN hours, 0.88 LPN hours, and 2.36 nurse aide hours. The total staff turnover rate is 62.7%.
How many beds does Twin Lakes Therapy and Living have?▾
Twin Lakes Therapy and Living has 80 certified beds with an average of 51.6 residents per day, resulting in approximately 65% occupancy. The facility is For profit - Corporation owned and is part of the Anthony & Bryan Adams chain.

Part of Anthony & Bryan Adams

This chain operates 38 facilities. View all →