Twin Lakes Therapy and Living
6152 Highway 202 East, Flippin, AR 72634 · (870) 453-4603
For profit - Corporation · 80 certified beds
Twin Lakes Therapy and Living has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 2 citations (the Arkansas average is 2.7). It was fined 2 times in the last three years, $25,678 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 12, 2025 found 2 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 12, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.June 12, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 13 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 12, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 12, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 1, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.November 1, 2024 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.March 15, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 15, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 15, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 15, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate foot care.March 15, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 15, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.March 15, 2024 · F0807 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 15, 2024 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.March 15, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $12,844November 1, 2024
- Fine of $12,834March 15, 2024
- Medicare payment denial for 16 daysStarting November 30, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Arkansas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.23 | 4.02 | 3.86 |
| Registered nurses (RN) | 0.56 | 0.41 | 0.69 |
| Licensed practical nurses (LPN) | 1.22 | 0.95 | 0.86 |
| Nurse aides | 2.46 | 2.67 | 2.32 |
| Total nursing staff turnover | 57.6% | 49.5% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 80 |
| Average residents per day | 43.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Creekside at the Springs Yellville · ★★★★★ 3 out of 5 stars
- The Blossoms at Berryville Rehab & Nursing Center Berryville · ★★★★★ 1 out of 5 stars
- The Blossoms at Eureka Springs Rehab & Nursing Cen Eureka Springs · ★★★★★ 1 out of 5 stars
- Gassville Therapy and Living Gassville · ★★★★★ 4 out of 5 stars
- The Springs of Harrison Harrison · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Twin Lakes Therapy and Living on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.