Twin Lakes Therapy and Living
Nursing Home · Flippin, AR
CMS certification number045280
Contact & location
6152 Highway 202 EastFlippin, AR 72634
Marion County
- Phone
- (870) 453-4603
- ZIP code
- 72634 – all care providers
Facility details
- Certified beds
- 80
- Residents per day
- 43.3 (54% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Fpnc, INC.
- Chain
- Anthony & Bryan Adams (38 facilities, avg 3.8★)
- Medicare certified since
- May 22, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.23 (state 4.03 · U.S. 3.86)
- Registered nurses (RN)
- 0.56 (state 0.41 · U.S. 0.69)
- Licensed practical nurses
- 1.22 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.46 (state 2.67 · U.S. 2.32)
- Weekend total
- 3.39 (state 3.46 · U.S. 3.42)
- Nursing staff turnover
- 57.6 (state 49.5 · U.S. 45.8)%
- RN turnover
- 66.7 (state 44.8 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- June 12, 2025
- Health deficiencies (last cycle)
- 2.0 (state 2.9 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 27 health · 7 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-06-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-07-12 |
| 2025-06-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-12 |
| 2025-06-12 | 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. F0838 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-12 |
| 2025-06-12 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-12 |
| 2024-11-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-12-16 |
| 2024-11-01 | 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. F0838 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-16 |
| 2024-03-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-03-14 |
| 2024-03-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | 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. F0809 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-15 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2024-03-15 |
| 2023-01-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-02-17 |
| 2023-01-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-02-17 |
| 2023-01-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-02-17 |
| 2023-01-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-02-17 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $25,678 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-01 | Payment Denial | 16 days payment denial |
| 2024-11-01 | Fine | $12,844 |
| 2024-03-15 | Fine | $12,834 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Begley, Jennifer (individual) | Administrator · NOT APPLICABLE | |
| Cooper, Benjamin (individual) | Administrator · NOT APPLICABLE | |
| Cooper, James (individual) | Administrator · NOT APPLICABLE | |
| Cooper, Robert (individual) | Administrator · NOT APPLICABLE | |
| Dvorak, Nora (individual) | Administrator · NOT APPLICABLE | |
| Ellis, John (individual) | Administrator · NOT APPLICABLE | |
| Health Care Solutions, LLC (organization) | Administrator · NOT APPLICABLE | |
| Incite Rehab, LLC (organization) | Administrator · NOT APPLICABLE | |
| Koehler, Tobey (individual) | Administrator · NOT APPLICABLE | |
| LTC Systems/Rx, LLC (organization) | Administrator · NOT APPLICABLE | |
| Mainord, William (individual) | Administrator · NOT APPLICABLE | |
| McGinnis, Larry (individual) | Administrator · NOT APPLICABLE | |
| Pedigo, Rita (individual) | Administrator · NOT APPLICABLE | |
| Pharmacy Consults, LLC (organization) | Administrator · NOT APPLICABLE | |
| Reliance Health Care, INC. (organization) | Administrator · NOT APPLICABLE | |
| Scribner, John (individual) | Administrator · NOT APPLICABLE | |
| Speaks, Kathy (individual) | Administrator · NOT APPLICABLE | |
| Adams, Anthony (individual) | Corporate Officer · NOT APPLICABLE | |
| Adams, Bryan (individual) | Corporate Officer · NOT APPLICABLE | |
| Koehler, Tobey (individual) | Corporate Officer · NOT APPLICABLE | |
| Begley, Jennifer (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Dvorak, Nora (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Speaks, Kathy (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Begley, Jennifer (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Twin Lakes Therapy and Living?
Twin Lakes Therapy and Living has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.4-star average in Arkansas.
How many beds does Twin Lakes Therapy and Living have?
It has 80 certified beds and cares for about 43 residents per day.
Has Twin Lakes Therapy and Living been fined?
Yes. CMS lists 3 penalties totaling $25,678 in the last three years.
Who owns Twin Lakes Therapy and Living?
It is part of Anthony & Bryan Adams and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Twin Lakes Therapy and Living?
(870) 453-4603. The facility is located at 6152 Highway 202 East, Flippin, AR 72634.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.