Arkansas › Marion County › Flippin
Twin Lakes Therapy and Living
6152 Highway 202 East, Flippin, AR 72634
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Twin Lakes Therapy and Living, in Flippin, Arkansas, is certified for 80 beds under for-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the Arkansas median of 4; the health inspection rating is 1, staffing 4 and quality measures 5.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (2, 21, 4 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 33.8 per 100 beds, more than the state median of 15.7.
CMS lists 3 penalties in the period covered: fines totalling $26K and 1 payment denial.
Reported nurse staffing is 4.2 hours per resident per day (0.6 RN), close to the Arkansas median of 3.9; nursing staff turnover is 57.6%.
Compared with county, state and nation
| Measure | This facility | Marion Co. median | Arkansas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 4 | 3.0 |
| Health citations, 3 cycles | 27 | 27 | 17 | 28.7 |
| Citations per 100 beds | 33.8 | 33.8 | 15.7 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 3.9 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 57.6% | 57.6% | 48.2% | 45.8% |
| Fines listed | $25,678 | $25,678 | $0 | — |
County and state figures are medians across facilities (2 in the county, 221 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Arkansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Jun 2025, 15 Mar 2024.
Severity mix: J ×2 D ×9 E ×14 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jul 2025 |
| 12 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jul 2025 |
| 12 Jun 2025 | F0838 | 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. | E | Complaint investigation | 12 Jul 2025 |
| 12 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 12 Jul 2025 |
| 1 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Dec 2024 |
| 1 Nov 2024 | F0838 | 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. | E | Complaint investigation | 16 Dec 2024 |
| 15 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Mar 2024 |
| 15 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 8 Apr 2024 |
| 15 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0687 | Provide appropriate foot care. | E | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 8 Apr 2024 |
| 15 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 8 Apr 2024 |
| 15 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 8 Apr 2024 |
| 15 Mar 2024 | F0761 | 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. | E | Standard survey | 8 Apr 2024 |
| 15 Mar 2024 | F0809 | 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. | E | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Apr 2024 |
| 15 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Apr 2024 |
| 15 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 8 Apr 2024 |
| 15 Mar 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 15 Mar 2024 |
| 27 Jan 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 17 Feb 2023 |
| 27 Jan 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Feb 2023 |
| 27 Jan 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Feb 2023 |
| 27 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Nov 2024 | Payment denial | — | 16 days |
| 1 Nov 2024 | Fine | $12,844 | |
| 15 Mar 2024 | Fine | $12,834 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Arkansas average. Turnover: nursing staff 57.6%, RNs 66.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Arkansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.3% | 8.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.6% | 8.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.8% | 8.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. CMS groups this facility with 38 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Fpnc, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Health Care Solutions, LLC | Adp of the snf | NOT APPLICABLE | 01/01/2019 |
| Incite Rehab, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2014 |
| LTC Systems/Rx, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2014 |
| Pharmacy Consults, LLC | Adp of the snf | NOT APPLICABLE | 09/10/2007 |
| Reliance Health Care, Inc. | Adp of the snf | NOT APPLICABLE | 12/20/2007 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Marion County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Creekside At the Springs | Yellville | 96 | 3 | 2 | 4 | 16 | 16.7 | $16K | 15 May 2025 |
All 2 facilities in Marion County
Questions and answers
How many deficiencies has Twin Lakes Therapy and Living been cited for?
27 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Arkansas median is 17 per facility.
Has Twin Lakes Therapy and Living been fined?
Yes. CMS lists fines totalling $26K in the period covered, plus 1 payment denial.
How does staffing at Twin Lakes Therapy and Living compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Arkansas median of 3.9 and a national average of 3.9.
Who operates Twin Lakes Therapy and Living?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Twin Lakes Therapy and Living last inspected?
The most recent survey or investigation in the CMS record is dated 12 Jun 2025; the most recent standard health survey was 12 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.