Twin Lakes Therapy and Living
6152 Highway 202 East · Flippin, AR · 72634 · 8704534603
80 certified beds For profit - Corporation Chain: Anthony & Bryan Adams
Why this verdict
- Federal penalties on record: $12,844 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $25,678 |
Inspection citations (28 in the current record)
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Potential for harm · D June 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E June 12, 2025 · found via complaint
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.
Corrected July 12, 2025 · Administration
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Potential for harm · F June 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 12, 2025 · Nutrition and Dietary
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Potential for harm · D June 12, 2025
Provide and implement an infection prevention and control program.
Corrected July 12, 2025 · Infection Control
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Immediate jeopardy · J November 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 16, 2024 · Quality of Life and Care
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Potential for harm · E November 1, 2024 · found via complaint
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.
Corrected December 16, 2024 · Administration
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Immediate jeopardy · J March 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 14, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
Ensure each resident receives an accurate assessment.
Corrected April 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 15, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 15, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 8, 2024 · Pharmacy Service
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Potential for harm · E March 15, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 8, 2024 · Pharmacy Service
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Potential for harm · E March 15, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected April 8, 2024 · Pharmacy Service
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Potential for harm · E March 15, 2024
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.
Corrected April 8, 2024 · Pharmacy Service
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Potential for harm · E March 15, 2024
Provide and implement an infection prevention and control program.
Corrected April 8, 2024 · Infection Control
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Potential for harm · D March 15, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 8, 2024 · Resident Rights
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Potential for harm · E March 15, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 15, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 8, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 8, 2024 · Quality of Life and Care
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Potential for harm · E March 15, 2024 · found via complaint
Provide appropriate foot care.
Corrected April 8, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected April 8, 2024 · Nutrition and Dietary
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Potential for harm · E March 15, 2024 · found via complaint
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.
Corrected April 8, 2024 · Nutrition and Dietary
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Potential for harm · E March 15, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 8, 2024 · Environmental
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No harm found · B March 15, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 15, 2024 · Resident Rights
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Potential for harm · E June 21, 2023 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 5, 2023 · Pharmacy Service
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Potential for harm · D January 27, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 17, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 1, 2024 | Fine | $12,844 |
| November 1, 2024 | Payment Denial | 16 days |
| March 15, 2024 | Fine | $12,834 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 045280 · certified since May 22, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.