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TWIN LAKES THERAPY AND LIVING

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TWIN LAKES THERAPY AND LIVING is a for profit - corporation facility in FLIPPIN, AR with 80 certified beds and a 2-star overall CMS rating. The facility has 28 deficiency records on file. Total penalties: $26K.

6152 HIGHWAY 202 EAST, FLIPPIN, AR 72634

Phone: 8704534603

Overall Rating

2/5

Health Inspection

1/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
045280
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
80
Residents
52
In Hospital
No
County
Marion
Last Inspection
Jun 12, 2025

Staffing Data

RN Hours
0.40 (nat'l avg: 0.68)
LPN Hours
0.88
CNA Hours
2.36
Total Nursing Hours
3.63 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
62.7%

What the CMS Record Reveals About TWIN LAKES THERAPY AND LIVING

TWIN LAKES THERAPY AND LIVING operates 80 certified beds in FLIPPIN, AR with approximately 52 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 28 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $26K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.63 total nursing hours per resident day (national average 3.89), with RN coverage at 0.40 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, TWIN LAKES THERAPY AND LIVING falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 62.7%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (28 most recent)

D — Isolated - Minimal harm Jun 12, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 12, 2025

F — Widespread - Minimal harm Jun 12, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 12, 2025

E — Pattern - Minimal harm Jun 12, 2025 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Jul 12, 2025

D — Isolated - Minimal harm Jun 12, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 12, 2025

E — Pattern - Minimal harm Nov 1, 2024 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Dec 16, 2024

J — Isolated - Jeopardy Nov 1, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 16, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0809

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 8, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0807

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 8, 2024

J — Isolated - Jeopardy Mar 15, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 14, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 8, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 8, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 8, 2024

E — Pattern - Minimal harm Mar 15, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 8, 2024

D — Isolated - Minimal harm Mar 15, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 8, 2024

B — Pattern - No harm Mar 15, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 15, 2024

E — Pattern - Minimal harm Jun 21, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 5, 2023

E — Pattern - Minimal harm Jan 27, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2023

D — Isolated - Minimal harm Jan 27, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 17, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 93.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 69.8% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 14.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 4.0% Yes

Penalty History 2 penalties totaling $26K

Date Type Amount
Nov 1, 2024 Fine $13K
Nov 1, 2024 Payment Denial -
Mar 15, 2024 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for TWIN LAKES THERAPY AND LIVING?
TWIN LAKES THERAPY AND LIVING has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at TWIN LAKES THERAPY AND LIVING?
TWIN LAKES THERAPY AND LIVING reports 3.63 total nursing hours per resident day (national average: 3.89). RN hours are 0.40 per resident day (national average: 0.68). Nursing staff turnover is 62.7%.
How many beds does TWIN LAKES THERAPY AND LIVING have?
TWIN LAKES THERAPY AND LIVING has 80 certified beds with approximately 52 residents. The facility is located at 6152 HIGHWAY 202 EAST, FLIPPIN, AR 72634.
Does TWIN LAKES THERAPY AND LIVING have any deficiencies on record?
Yes, TWIN LAKES THERAPY AND LIVING has 28 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has TWIN LAKES THERAPY AND LIVING received any fines or penalties?
Yes, TWIN LAKES THERAPY AND LIVING has received 2 penalties totaling $26K.
Who owns TWIN LAKES THERAPY AND LIVING?
TWIN LAKES THERAPY AND LIVING is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was TWIN LAKES THERAPY AND LIVING last inspected?
The most recent health inspection for TWIN LAKES THERAPY AND LIVING was on Jun 12, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for TWIN LAKES THERAPY AND LIVING?
TWIN LAKES THERAPY AND LIVING is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial