Nursing Homes · Medicare certified
Twin Lakes Therapy and Living
6152 Highway 202 East · Flippin, AR 72634 · 80 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
Are you the operator? Claim this profile. Corrections are free, always.
About Twin Lakes Therapy and Living
Twin Lakes Therapy and Living is a nursing home in Flippin, Arkansas. Its reported capacity is 80 beds. It is recorded as a for-profit operator, part of Anthony & Bryan Adams. Federal records list it as Medicare certified. Our copy of the inspection record holds 28 citations, the newest dated 12 June 2025. Federal enforcement records add 3 fine or payment denial actions. Staffing reports put it at 4.23 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
3.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
24
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
23
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
23
Inspection history (28)
Records from January 2023 to June 2025.
June 12, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-06-12 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-12.GOVJune 12, 2025 · F
Citation F0812Federal surveyors cited this nursing home on 2025-06-12 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-12.GOVJune 12, 2025 · E
Citation F0838Federal surveyors cited this nursing home on 2025-06-12 under CMS tag F0838 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-12.GOVJune 12, 2025 · D
Citation F0600Federal surveyors cited this nursing home on 2025-06-12 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-07-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-12.GOVNovember 1, 2024 · E
Citation F0838Federal surveyors cited this nursing home on 2024-11-01 under CMS tag F0838 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-12-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-01.GOVNovember 1, 2024 · J
Citation F0689Federal surveyors cited this nursing home on 2024-11-01 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-12-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-01.GOVMarch 15, 2024 · E
Citation F0687Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0687 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate foot care. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · D
Citation F0558Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · D
Citation F0686Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0809Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0755Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0677Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0759Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0759 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · D
Citation F0807Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0807 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0609Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0921Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0657Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOVMarch 15, 2024 · E
Citation F0761Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-04-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOV
Penalties (3)
Total fines on file: $25,678
November 1, 2024 · Payment Denial
Citation PAYDEN-2024-11-30CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-11-30, lasting 16 days (triggered by inspection on 2024-11-01). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-01.GOVNovember 1, 2024 · Fine
Citation FINE-92425CMS recorded a civil money penalty of $12,844 against this nursing home on 2024-11-01 (Fine ID: 92425). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-01.GOVMarch 15, 2024 · Fine
Citation FINE-92388CMS recorded a civil money penalty of $12,834 against this nursing home on 2024-03-15 (Fine ID: 92388). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOV
Staffing
Latest: 4.23 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.88 hrs/resident/day
- 2026-06-013.88 hrs/resident/day
- 2026-07-014.23 hrs/resident/day
- 2026-08-014.23 hrs/resident/day
- 2026Q14.23 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.35 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
CMS Care Compare chain: Anthony & Bryan Adams
Chain ID 36 · 38 facilities in chain (CMS)
- Chain average overall rating: 3.8
- Chain average health inspection rating: 3.5
- Chain average staffing rating: 3
- Chain average quality measure rating: 4.3
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical AR range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · AR$7,452/moNearby alternatives
No other listed providers in Flippin yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Twin Lakes Therapy and Living
Request info and we'll pass it directly to Twin Lakes Therapy and Living, or call them at 8704534603 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.