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Twin Lakes Therapy and Living

⌖ Flippin, AR · Marion County
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Medicare overall rating 2 of 5 stars
Certified beds80
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Twin Lakes Therapy and Living

Twin Lakes Therapy and Living is a 80-bed for-profit nursing home in Flippin, AR. Medicare rates it 2 out of 5 stars overall (below average); the average in Arkansas is 3.4. At its last full inspection (Jun 2025), inspectors found 2 problems, fewer than the Arkansas average of 2.7. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 14 min a day with each resident, about the same as the Arkansas average of 4 hr 01 min. About 58% of its nursing staff left in the past year. Medicare fined it $25,678 in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameTwin Lakes Therapy And Living
LocationMarion County, Arkansas
Address6152 Highway 202 East, Flippin, AR 72634 · Marion County
CMS provider number45280
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 22, 1995 (31 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections1 of 5Much below average
Quality measures5 of 5Much above average
Staffing4 of 5Above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jun 2025.
    Strength
  • Health citations at last inspection2 (Jun 2025)Arkansas average: 2.7. Most citations are minor and corrected within weeks.
    Strength
  • Registered nurse time per resident33 min a dayArkansas average: 24 min
    Strength

About average

  • Nurse staffing per resident4 hr 14 min a dayArkansas average: 4 hr 01 min
    About average

Things to ask about

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  • Fines and penalties2 fines totaling $25,678; 1 Medicare payment denialFederal penalties from the last three years, most recently in Nov 2024 (about 1 year ago). The national average is $30,972 per home.
    Ask about this
  • Nursing staff turnover58% a yearArkansas average: 50%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Arkansas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare has not rated this part of the home’s care.

  • Newly given antipsychotic drugs0.0%State average: 1.3%
    Better than average

Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury4.1%State average: 3.9%
    About average
  • Pressure sores (bedsores)1.5%State average: 4.2%
    Better than average
  • Given antipsychotic drugs0.8%State average: 10.9%
    Better than average
  • Hospital stays per 1,000 resident days0.9State average: 2.0
    Better than average

Source: Medicare (CMS) quality measures, compared with the Arkansas average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Arkansas, Medicaid pays for 67% of resident days at a typical home.

  • 43% Medicaid
  • 3% Medicare
  • 54% Private pay, insurance and other
Beds in use, on average56%Arkansas typical: 72%
Cost of care per resident day$309Arkansas typical: $308

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 11 times.

Overall rating2★
Health inspections1★
Staffing4★
Quality of care5★
Nurse hours per resident per day4.2
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201955453.3
Jan 202054353.6
Jan 202143253.5
Jan 202243253.4
Jan 202333243.3
Jan 202454353.7
Feb 202511133.5
Feb 202621353.6
Sep 202621454.2

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.