Nursing Home

Twin Lakes Therapy And Living

6152 Highway 202 East, Flippin, AR 72634

Part of Anthony & Bryan Adamssee all 38 affiliated facilities

80 certified beds 43 residents per day on average

CMS Five-Star Quality Rating

2 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
4.2 hours

AR average: 4.0 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.6 hours

AR average: 0.4 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.4 hours

AR average: 3.5 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
57.6%

AR average: 49.5% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

2 fines totaling $25,678 and 1 Medicare payment denial in the recent inspection window (most recent: November 1, 2024).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Corporation
Chain
Anthony & Bryan Adams
Who owns this facility — 24 entries in CMS's ownership records expand ↓
  • Begley, Jennifer Individual
    Managing control (governing body) since 10/30/2024
  • Dvorak, Nora Individual
    Managing control (governing body) since 01/01/2017
  • Speaks, Kathy Individual
    Managing control (governing body) since 01/01/2024
  • Adams, Anthony Individual
    Corporate officer since 04/01/2014
  • Adams, Bryan Individual
    Corporate officer since 04/01/2014
  • Koehler, Tobey Individual
    Corporate officer since 04/01/2014
  • Begley, Jennifer Individual
    Operational/managerial control since 10/30/2024
  • Health Care Solutions, LLC Organization
    Additional disclosable party since 01/01/2019
  • Incite Rehab, LLC Organization
    Additional disclosable party since 04/01/2014
  • Ltc Systems/rx, LLC Organization
    Additional disclosable party since 04/01/2014

…and 14 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 2 health (AR avg 2.9) · 1 fire (AR avg 2) · ⚠ 2 serious Details

27 deficiencies cited across recent inspection cycles, including ⚠ 2 serious (actual harm or immediate jeopardy). Most recent survey: June 12, 2025.

Most recent inspection cycle: 2 health deficiencies · AR average: 2.9 · National: 9.3

7 fire-safety deficiencies cited — most often smoke (5) and miscellaneous (2).

Most recent fire-safety inspection (2025-06-12): 1 deficiency · AR average: 2 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

Is this your organization?

Claim this listing free to add your logo, correct details, and publish a statement.

Claim this listing

How Twin Lakes Therapy And Living compares nearby

Compared with the 6 other nursing homes within 25 miles — 7 facilities in all, CMS data only.

Among the 7 nursing homes within 25 miles, Twin Lakes Therapy And Living's overall star rating is 2★; the median among the 6 peers reporting it is 3.5★.

Measure This facility Nearby median
Overall star rating reported by 6 of 6 nearby peers 2★ 3.5★
Health inspections reported by 6 of 6 nearby peers 1★ 3★
Staffing reported by 6 of 6 nearby peers 4★ 2.5★
Quality measures reported by 6 of 6 nearby peers 5★ 4.5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

Compare this nursing home with another →