About Twin Lakes Therapy and Living

Twin Lakes Therapy and Living is a nursing home in Flippin, Arkansas. Its capacity is 80 beds, below the Arkansas median of 106 for nursing homes. It is run by a for-profit operator and is part of Anthony & Bryan Adams. It is Medicare certified. Its public inspection record shows 28 citations, the most recent on June 12, 2025. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 4.16 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

4.0

Quality measures

5.0

CMS Care Compare, October 2026.

Inspection history (28)

Records from January 2023 to June 2025.

June 12, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 12, 2025.
June 12, 2025
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 12, 2025.
June 12, 2025
Tag 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 12, 2025.
June 12, 2025
Tag F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 12, 2025.
November 1, 2024
Tag 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 16, 2024.
November 1, 2024
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected December 16, 2024.
March 15, 2024
Tag F0687
Provide appropriate foot care.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0558
Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0641
Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0759
Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0807
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 15, 2024
Tag 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.

See the source data on data.cms.gov

Penalties (3)

Total fines: $25,678

November 1, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 30, 2024, lasting 16 days (triggered by inspection on November 1, 2024).
November 1, 2024 · Fine
CMS recorded a civil money penalty of $12,844 against this nursing home on November 1, 2024.
March 15, 2024 · Fine
CMS recorded a civil money penalty of $12,834 against this nursing home on March 15, 2024.

See the source data on data.cms.gov

Staffing

4.16 nurse hours per resident per day in Q2 2026, up from 3.88 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Anthony & Bryan Adams, a chain of 38 nursing homes.

Average CMS star ratings across the chain: 3.9 overall, 3.4 for health inspections, 3.2 for staffing, 4.6 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Arkansas.

Nursing Homes

Arkansas median$7,452/mo

Arkansas cost breakdown

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