Nursing home
Twin Lakes Therapy and Living
6152 Highway 202 East, Flippin, AR 72634 · Map
For profit - Corporation · Part of Anthony & Bryan Adams (38 facilities) · 80 certified beds
Twin Lakes Therapy and Living is a Medicare-certified nursing home in Flippin, Arkansas. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.63 hours per resident per day, below the Arkansas average of 4.07. Its most recent inspection on Jun 12, 2025 cited 4 deficiencies.
- 2 fines totaling $25,678In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Twin Lakes Therapy and Living compares
This facility vs. the Arkansas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Arkansas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.63 | 4.07 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.40 | 0.40 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.36 | 2.72 | 2.34 | below avg |
| Nursing staff turnover | 62.7% | 50.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 4.3 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 12, 2025 inspection was corrected by July 12, 2025
Penalties in CMS records: 2 fines totaling $25,678, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Twin Lakes Therapy and Living
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 12, 2025 · Full report (PDF) - Potential 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.
Administration Deficiencies · Jun 12, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 12, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 12, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 1, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential 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.
Administration Deficiencies · Nov 1, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 15, 2024 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Mar 15, 2024 · Full report (PDF) - Potential 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.
Nutrition and Dietary Deficiencies · Mar 15, 2024 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Mar 15, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 15, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 15, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 6152 Highway 202 East
Flippin, AR 72634 - CMS certification #
- 045280
- Ownership
- For profit - Corporation
- Certified beds
- 80
- Avg residents/day
- 51.6
- Provider type
- Medicare and Medicaid
- First certified
- 1995-05-22
- Chain
- Anthony & Bryan Adams (38 facilities)
- Setting
- Rural
Part of Anthony & Bryan Adams
Anthony & Bryan Adams operates 38 nursing facilities across the United States. View all Anthony & Bryan Adams facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Twin Lakes Therapy and Living using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2006
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 12, 2006 to Mar 9, 2008. Violations found: Overtime. Back wages: $15,341 owed to 54 employees. Employer as DOL recorded it: Twin Lakes Nursing and Rehabilitation Center (Flippin Nursing Center, Inc D/B/A Twin Lakes). Case 1508393.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Baxter Health, Mountain Home. 12.8 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Creekside at the Springs, Yellville. 5.7 miles away, straight line.
- Nearest home health agency office
- Baxter Health Home Health, Cotter. 5.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Fred's. 5.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 72634 as rural (rural area).
- Dialysis within 15 miles
- Davita Renal Center Of Mountain Home, Mountain Home, 13.2 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 72634.
Hospice Of The Ozarks, office in Mountain Home, 12.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Elite Hospice, office in Mountain Home, 13.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Sgoh Acquisition Inc, Sparta. 56.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective September 6, 1977), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Marion County, AR, risk to homes is greater than 86% of communities in Arkansas and 72% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Twin Lakes Therapy and Living a good nursing home?
CMS gives Twin Lakes Therapy and Living an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Twin Lakes Therapy and Living staffed?
Twin Lakes Therapy and Living reports 3.63 total nurse hours per resident per day, compared with the Arkansas average of 4.07.
Has Twin Lakes Therapy and Living had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Twin Lakes Therapy and Living have?
Twin Lakes Therapy and Living is certified for 80 beds.