Nursing HomeInspections

Twin Lakes Therapy and Living

Nursing home in Flippin, AR

Medicare & Medicaid certified2★ overall (CMS)

Call (870) 453-4603Send a messageMap ↗

Public-record details

Address
6152 Highway 202 East, Flippin, AR 72634
Phone
(870) 453-4603
Listed under
For-profit
Medicare CCN
045280
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
80
Average residents per day
43
Ownership
For-profit, corporation
Legal business name
Fpnc, INC.
Chain
Anthony & Bryan Adams (38 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 22, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 045280. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 12, 2025. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 27, 2023 to Jun 12, 2025): 13 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 12, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jun 12, 2025Protect 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 12, 2025Conduct 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…
Administration · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 12, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Nov 1, 2024Conduct 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…
Administration · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 1, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Mar 15, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		B
Potential for minimal harm, pattern
Mar 15, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 15, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 15, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 15, 2024Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 15, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $25,678 and 1 denial of Medicare payment for new admissions in the last three years.

Nov 1, 2024Fine: $12,844
Nov 1, 2024Payment denial for 16 days from Nov 30, 2024
Mar 15, 2024Fine: $12,834

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.23 hours
Registered nurse (RN) time per resident per day
0.56 hours
Nurse aide time per resident per day
2.46 hours
Total nurse staffing on weekends
3.39 hours
Nursing staff turnover (yearly)
58%
RN turnover (yearly)
67%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.