Senior Home Review
Home›Browse›Arkansas›Flippin›Twin Lakes Therapy and Living
Nursing homeFAID #469

Twin Lakes Therapy and Living

6152 HIGHWAY 202 EAST, FLIPPIN, AR, 72634
(870) 453-4603
80 licensed beds
★★★★★2/5CMS Five-Star overall1/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
80
CMS facility ID
045280
Care type
Nursing home
County
Marion
Facility name
Twin Lakes Therapy and Living
Street address
6152 HIGHWAY 202 EAST
City / state / ZIP
Flippin, AR 72634
Phone
(870) 453-4603

About this facility — Twin Lakes Therapy and Living

Twin Lakes Therapy and Living is a Medicare/Medicaid-certified skilled nursing facility in Flippin, Arkansas. It is licensed for 80 beds — below the median for skilled nursing facilities in Arkansas (106 beds).

It is one of 1 senior care facility in Flippin and 221 skilled nursing facilities across Arkansas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Twin Lakes Therapy and Living 34 times across 9 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $25,678 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Anthony & Bryan Adams
Ownership type
For profit - Corporation

Registered owners & officers

Adams, Anthony
Officer — since 2014
Adams, Bryan
Officer — since 2014
Begley, Jennifer
Governing body · Operational control · Additional disclosable party — since 2024
Cooper, Benjamin
Additional disclosable party — since 2019
Cooper, James
Additional disclosable party — since 2019
Cooper, Robert
Additional disclosable party — since 2019
Dvorak, Nora
Governing body · Additional disclosable party — since 2017
Ellis, John
Additional disclosable party — since 2014
Health Care Solutions, Llc
Additional disclosable party — since 2019
Incite Rehab, Llc
Additional disclosable party — since 2014
Koehler, Tobey
Officer · Additional disclosable party — since 2014
Ltc Systems/rx, Llc
Additional disclosable party — since 2014
Mainord, William
Additional disclosable party — since 2014
Mcginnis, Larry
Additional disclosable party — since 2014
Pedigo, Rita
Additional disclosable party — since 2014
Pharmacy Consults, Llc
Additional disclosable party — since 2007
Reliance Health Care, Inc.
Additional disclosable party — since 2007
Scribner, John
Additional disclosable party — since 2024
Speaks, Kathy
Governing body · Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since
1995-05-22
CMS overall rating
2 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
$25,678 total
Last standard inspection
2025-06-12
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$307 per day (≈ $9,330/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
78% Medicaid · 4% Medicare · 19% private/other
Occupancy
59% (fiscal year 2023)
Vs. state median
7% below the AR median of $329/day — full state cost breakdown

Services & coverage

Licensed beds
80
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-06-12Health inspectionComplaint-triggered4 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-12
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-12
F-0838
E · No harm foundFrom a 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 2025-07-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-12
2024-11-01Health inspectionComplaint-triggered2 citations
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-16
F-0838
E · No harm foundFrom a 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 2024-12-16
5 earlier / fire-safety inspections (28 citations)
2024-03-15Health inspectionComplaint-triggered17 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-08
F-0582
B · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-03-15
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-08
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-04-08
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-08
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-08
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-08
F-0687
E · No harm foundFrom a complaint
Provide appropriate foot care.
Corrected 2024-04-08
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-14
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-08
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-04-08
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-08
F-0761
E · No harm found
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 2024-04-08
F-0807
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-04-08
F-0809
E · No harm foundFood safetyFrom a 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 2024-04-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-08
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-08
2023-01-27Health inspection4 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-17
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-02-17
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-17
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-17
2025-06-12Fire-safety inspection1 citation
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-07-12
2024-03-15Fire-safety inspection2 citations
K-0344
F · No harm found
Have an alternate power supply for its alarm system.
Corrected 2024-04-08
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-04-08
2023-01-27Fire-safety inspection4 citations
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-03-03
K-0347
E · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-03-03
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-03
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-03-03

Federal penalties

2024-11-01Fine$12,844
2024-03-15Fine$12,834
2024-11-01Medicare payment denial — 16 days
Total fines$25,678
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 045280.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 34 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered