Senior Care Records.

Twin Lakes Therapy and Living

6152 HIGHWAY 202 EAST, Flippin, AR, 72634

Nursing home80 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 2 deficiencies against Twin Lakes Therapy and Living in Flippin, Arkansas at its most recent standard inspection on 2025-06-12. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $25,678. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
80certified beds
2deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
2federal fines, $25,678
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.24
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2025-06-12 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-06-12 · standard survey · No actual harm, potential for more than minimal harm

D

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 · F0838 · 2025-06-12 · from a complaint · No actual harm, potential for more than minimal harm

E

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 · F0600 · 2025-06-12 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2024-11-01 · from a complaint · Immediate jeopardy to resident health or safety

J

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 · F0838 · 2024-11-01 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2024-03-15 · from a complaint · Immediate jeopardy to resident health or safety

J

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-03-15 · from a complaint · No actual harm, potential for more than minimal harm

E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · F0657 · 2024-03-15 · standard survey · No actual harm, potential for more than minimal harm

E

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · F0677 · 2024-03-15 · from a complaint · No actual harm, potential for more than minimal harm

E

Provide appropriate foot care.

Quality of Life and Care Deficiencies · F0687 · 2024-03-15 · from a complaint · No actual harm, potential for more than minimal harm

E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies · F0755 · 2024-03-15 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies · F0757 · 2024-03-15 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2024-03-15 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2024-03-15 · standard survey · No actual harm, potential for more than minimal harm

E

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 · F0809 · 2024-03-15 · from a complaint · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2024-03-15 · standard survey · No actual harm, potential for more than minimal harm

E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies · F0921 · 2024-03-15 · from a complaint · No actual harm, potential for more than minimal harm

E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · F0558 · 2024-03-15 · from a complaint · No actual harm, potential for more than minimal harm

D

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2024-03-15 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.23354
Nursing staff turnoverShare of nursing staff who left in a year57.6%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS2
Total fined$25,678
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership

Who owns Twin Lakes Therapy and Living

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
BEGLEY, JENNIFERIndividualNOT APPLICABLEsince 10/30/2024
DVORAK, NORAIndividualNOT APPLICABLEsince 01/01/2017
SPEAKS, KATHYIndividualNOT APPLICABLEsince 01/01/2024
ADAMS, ANTHONYIndividualNOT APPLICABLEsince 04/01/2014
ADAMS, BRYANIndividualNOT APPLICABLEsince 04/01/2014
KOEHLER, TOBEYIndividualNOT APPLICABLEsince 04/01/2014
BEGLEY, JENNIFERIndividualNOT APPLICABLEsince 10/30/2024
HEALTH CARE SOLUTIONS, LLCOrganizationNOT APPLICABLEsince 01/01/2019
INCITE REHAB, LLCOrganizationNOT APPLICABLEsince 04/01/2014
LTC SYSTEMS/RX, LLCOrganizationNOT APPLICABLEsince 04/01/2014
PHARMACY CONSULTS, LLCOrganizationNOT APPLICABLEsince 09/10/2007
RELIANCE HEALTH CARE, INC.OrganizationNOT APPLICABLEsince 12/20/2007

Part of the ANTHONY & BRYAN ADAMS group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Twin Lakes Therapy and Living a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Twin Lakes Therapy and Living has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 8704534603 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 045280.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction