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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 102nd out of 164 homes in Arkansas.| Staff type | Hours / day | vs state avg |
|---|---|---|
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Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
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24m per day | ■ Avg State avg: 24m per day · National avg: 41m per day |
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LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
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53m per day | ▼ 7% State avg: 57m per day · National avg: 52m per day |
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Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
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2h 21m per day | ▼ 13% State avg: 2h 43m per day · National avg: 2h 20m per day |
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Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
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3h 29m per day | ■ Avg State avg: 3h 29m per day · National avg: 3h 26m per day |
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RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
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14m per day | ▼ 13% State avg: 16m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
35% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #154 / 161Payroll — state benchmarkedThis home is ranked 154th out of 161 homes in Arkansas.Shows total annual staff payroll benchmarked to the Arkansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Arkansas average: 71.3%
Twin Lakes Therapy and Living is administrated by Stephanie Sullins.
Key information about the people who lead and staff this community.
In Arkansas, the Department of Human Services, Office of Long Term Care is authorized to conduct unannounced inspections and issue official quality of care reports for all senior living providers.
Arkansas average 4.2
Last Health inspection on Jun 2025
Arkansas average 21.8
Arkansas average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 34 citations resulted from standard inspections; 11 of 34 resulted from complaint investigations; and 11 of 34 came from combined inspections (standard and complaint).
400% worse than Arkansas average
Arkansas average: 0.4
0
100% better than Arkansas average
Arkansas average: 0.2
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 12, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 12, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 12, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 12, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Twin Lakes Therapy and Living is located in Flippin, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
0.0 miles from city center
Estimated distance in miles from Flippin's city center to Twin Lakes Therapy and Living's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
29% worse than Arkansas average
Arkansas average ratio: 1.61:1
0% compared with Arkansas average
Arkansas average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
No contractors work on this role.
Total hours from contractors
400 contractor hours this quarter
| Certified Nursing Assistant | 31 | 0 | 31 | 11,738 | 91 | 100% | 9 |
| Licensed Practical Nurse | 9 | 0 | 9 | 3,394 | 91 | 100% | 10.2 |
| Registered Nurse | 3 | 0 | 3 | 1,230 | 79 | 87% | 10.3 |
| RN Director of Nursing | 2 | 0 | 2 | 586 | 62 | 68% | 7.3 |
| Dietitian | 1 | 0 | 1 | 536 | 66 | 73% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Administrator | 1 | 0 | 1 | 505 | 64 | 70% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 492 | 61 | 67% | 8.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 173 | 63 | 69% | 2.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 159 | 58 | 64% | 2.7 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 147 | 34 | 37% | 3.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 26 | 21 | 23% | 1.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 25 | 17 | 19% | 1.4 |
| Qualified Social Worker | 0 | 1 | 1 | 18 | 21 | 23% | 0.8 |
| Medication Aide/Technician | 1 | 0 | 1 | 6 | 1 | 1% | 5.6 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
8% better than Arkansas average
Arkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.4
7% better than Arkansas average
Arkansas average: 13.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
9% better than Arkansas average
Arkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
12.6%
6% better than Arkansas average
Arkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
6% better than Arkansas average
Arkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
91% worse than Arkansas average
Arkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.1%
14% better than Arkansas average
Arkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
1.3%
In line with Arkansas average
Arkansas average: 1.3%
Percent of long-stay residents who lose too much weight
0.7%
86% better than Arkansas average
Arkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas average
Arkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
3.1%
70% better than Arkansas average
Arkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with Arkansas average
Arkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Arkansas average
Arkansas average: 96.2%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
15% better than Arkansas average
Arkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
16% better than Arkansas average
Arkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.8%
10% worse than Arkansas average
Arkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
41.0%
63% worse than Arkansas average
Arkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.0%
28% better than Arkansas average
Arkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Arkansas average
Arkansas average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
58.1%
15% better than Arkansas average
Arkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
In line with Arkansas average
Arkansas average: $26K
36% more fines than Arkansas average
Arkansas average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
429% more payment denials than Arkansas average
Arkansas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 1, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 15, 2024
Last updated: Jan 2026
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| Ash Flat Healthcare and Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Ash Flat | 105 | 54.3% | -24% | 4.87 | +1% | +4% | 0 | 18 | 6.0 | 0 | 53 | - | - | French, Misty | $6.5M | $2.1M | 32.5% | 45155 | ||||
| Alma Nursing and Rehab, LLC |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Alma | 80 | 93.6% | +31% | 4.96 | -40% | +6% | 0 | 10 | 3.3 | 0 | 69 | - | - | George-Fort, Debra | $11.6M | $3.3M | 28.2% | 45370 | ||||
| Alcoa Pines Health and Rehabilitation |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Benton | 120 | 65.4% | -8% | 4.54 | -22% | -3% | 2 | 25 | 3.6 | 1 | 91 | A+ | - | Edala, Arpana | $11.7M | $3.7M | 31.4% | 45408 | ||||
| Twin Lakes Therapy and Living |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Flippin | 80 | 58.6% | -18% | 4.40 | -13% | -6% | 2 | 34 | 4.9 | 2 | 50 | A+ | - | Jimerson, Marcus | $5.3M | $1.9M | 35.4% | 45280 | ||||
| Arbor Oaks Healthcare and Rehabilitation Center | - |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Malvern | 94 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Historical financial and operational data for Twin Lakes Therapy and Living based on CMS SNF Cost Reports.
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