Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Twin Lakes Therapy and Living
Twin Lakes Therapy and Living is a Nursing Home in Arkansas
Twin Lakes Therapy and… is a Nursing Home in Arkansas
Twin Lakes Therapy and Living
Twin Lakes Therapy and Living is a Nursing Home in Arkansas
Twin Lakes Therapy and… is a Nursing Home in Arkansas
Twin Lakes Therapy and Living offers skilled nursing care in Flippin, Arkansas. The facility provides short-term rehab, long-term care, and respite care services, all delivered by a dedicated team. Residents enjoy a supportive environment with engaging activities and nutritious meals.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
80
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
58.6%
Residents per day (avg)
50
Occupancy rate
58.6%
Residents per day (avg)
50
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
35% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
53% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
4 years
Finances and operations
Proprietary home
Corporation
Home revenue
$5.3M
Profit
$371.1K
Proprietary home
Corporation
Home revenue
$5,260,580.00
Profit
$371,130.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
80-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility Type
Skilled Nursing Facility with dual certified beds (Medicaid / Medicare)
Additional licensing details
CMS Certification Number:
045280
Certification type:
XIX/XVIII
County:
Marion
Ownership & operating entity
Twin Lakes Therapy and Living is administrated by Stephanie Sullins.
Owner name:
FPNC, Inc.
Profit status:
Corporation
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
24-Hour Staffing
Contact Information
Fax:
870-453-1900
Amenities & Lifestyle
Programs & Activities
Activities
Daily opportunities for entertainment and socialization, with a diverse and engaging calendar of activities.
Specific Programs
Short-Term Rehab, Long-Term Care, Memory Care, Respite Care, Additional Services
Dining & Nutrition
Food Description
Nutritious meals crafted by a certified dietary manager and cooks, accommodating food allergies and preferences.
Comparison Chart
The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.Compare Nursing Homes around Arkansas
Belle View Estates Rehabilitation and Care Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 71655
80
No
TRUCKS, JULIE
78.3%
$7,846,952.00
$2,915,308.00
37.2%
68.60
5/5
3.8868
5/5
3/5
5/5
1
Alma Nursing and Rehab, LLC
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72921
80
No
GEORGE-FORT, DEBRA
93.6%
$11,585,302.00
$3,270,741.00
28.2%
68.60
4/5
4.9641
4/5
3/5
3/5
-
Cabot Health and Rehab, LLC
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72023
89
No
FISHER, KATHERN
79.7%
$9,017,922.00
$3,179,015.00
35.3%
76.20
1/5
4.5482
1/5
3/5
4/5
-
Twin Lakes Therapy and Living
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72634
80
No
JIMERSON, MARCUS
58.6%
$5,252,072.00
$1,864,235.00
35.5%
49.80
1/5
4.3960
1/5
2/5
4/5
2
Ashley Rehabilitation and Health Care Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
AR 72756
100
No
-
59.8%
$11,709,337.00
$2,771,402.00
23.7%
55.70
-
3.6693
-
-
-
1
Places of interest near Twin Lakes Therapy and Living
0.0 miles from city center
Flippin, AR 72634
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
62
Total Staff
55
Employees
7
Contractors
19,553
Total Hours (Quarter)
26
Avg Staff/Day
8.3
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 3 | 10.3 | No |
| Licensed Practical Nurse | 9 | 10.2 | No |
| Certified Nursing Assistant | 31 | 9 | No |
Staff by Category
Administration ⓘ
1 staff
7.9hs shift avg
Nursing Staff ⓘ
46 staff
9.2hs shift avg
Physicians & Practitioners ⓘ
6 staff
6.1hs shift avg
Therapy Services ⓘ
6 staff
2.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
0.8hs shift avg
Dietary Services ⓘ
1 staff
8.1hs shift avg
Other Services ⓘ
1 staff
8.1hs shift avg
Contractor Analysis
2%
of total hours from contractors
400 contractor hours this quarter
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Qualified Social Worker: 1
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Source: CMS Health Citations (Dec 2022 – Jun 2025)
7
Inspections
34
Total Citations
2
Critical (J-L)
0
Serious (G-I)
4.86
Citations/Inspection
Jun 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
9
26% of total
Pharmacy Services
5
15% of total
Abuse, Neglect & Exploitation
4
12% of total
Resident Rights
3
9% of total
Infection Control
2
6% of total
Administration
2
6% of total
Citation Sources
Standard Inspections
23
Complaint Investigations
22
State Comparison (AR)
Citations
34
Arkansas average: 21.8
Critical Citations
2
Arkansas average: 0.4
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Jun 12, 2025 | D | Abuse/Neglect | F0600 | Corrected |
| Jun 12, 2025 | E | Administration | F0838 | Corrected |
| Jun 12, 2025 | D | Infection Control | F0880 | Corrected |
| Jun 12, 2025 | F | Nutrition | F0812 | Corrected |
| Nov 01, 2024 | E | Administration | F0838 | Corrected |
| Nov 01, 2024 | D | Nursing Services | F0712 | Corrected |
| Nov 01, 2024 | J | Quality of Care | F0689 | Corrected |
| May 14, 2024 | E | Quality of Care | F0690 | Corrected |
| Mar 15, 2024 | E | Abuse/Neglect | F0609 | Corrected |
| Mar 15, 2024 | E | Environmental | F0921 | Corrected |
| Mar 15, 2024 | E | Infection Control | F0880 | Corrected |
| Mar 15, 2024 | D | Nutrition | F0807 | Corrected |
| Mar 15, 2024 | E | Nutrition | F0809 | Corrected |
| Mar 15, 2024 | E | Pharmacy | F0755 | Corrected |
| Mar 15, 2024 | E | Pharmacy | F0757 | Corrected |
| Mar 15, 2024 | E | Pharmacy | F0759 | Corrected |
| Mar 15, 2024 | E | Pharmacy | F0761 | Corrected |
| Mar 15, 2024 | E | Quality of Care | F0677 | Corrected |
| Mar 15, 2024 | D | Quality of Care | F0686 | Corrected |
| Mar 15, 2024 | E | Quality of Care | F0687 | Corrected |
| Mar 15, 2024 | J | Quality of Care | F0689 | Corrected |
| Mar 15, 2024 | D | Care Planning | F0641 | Corrected |
| Mar 15, 2024 | E | Care Planning | F0657 | Corrected |
| Mar 15, 2024 | D | Resident Rights | F0558 | Corrected |
| Mar 15, 2024 | B | Resident Rights | F0582 | Corrected |
| Jun 21, 2023 | E | Pharmacy | F0760 | Corrected |
| Jan 27, 2023 | D | Quality of Care | F0684 | Corrected |
| Jan 27, 2023 | D | Quality of Care | F0689 | Corrected |
| Jan 27, 2023 | E | Quality of Care | F0695 | Corrected |
| Jan 27, 2023 | D | Care Planning | F0656 | Corrected |
| Jan 27, 2023 | D | Care Planning | F0657 | Corrected |
| Dec 22, 2022 | D | Abuse/Neglect | F0602 | Corrected |
| Dec 22, 2022 | D | Abuse/Neglect | F0609 | Corrected |
| Dec 22, 2022 | D | Resident Rights | F0557 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
54
Total Residents
Medicare
5
(9.3%)
ⓘ
Medicaid
38
(70.4%)
ⓘ
Private Pay/Other
11
(20.4%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
7.1
Score
8% better than avg
Arkansas avg: 7.7
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
12.4
Score
7% better than avg
Arkansas avg: 13.3
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
10.5%
Lost Too Much Weight
0.7%
Urinary Tract Infection
1.3%
Depressive Symptoms
0.0%
Falls with Major Injury
7.5%
Pneumococcal Vaccine
97.5%
Antipsychotic Use
3.1%
Walking Ability Worsened
12.6%
Influenza Vaccine
97.7%
High Risk Residents with Pressure Ulcers
4.1%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
14.3%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
93.2%
15% better than avg
Arkansas: 80.9%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.3%
16% better than avg
Arkansas: 1.5%
Influenza Vaccine
69.8%
10% worse than avg
Arkansas: 77.7%
Penalties & Fines
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)
Total Fines
$26K
Arkansas avg: $26K
Near average
Number of Fines
2
Arkansas avg: 1.5
Payment Denials
1
16 total days
Compared to Arkansas Average
Facility: $26K |
Arkansas Avg: $26K
Penalty History
Showing all 3 penalties (Mar 2024 - Nov 2024)
Nov 1, 2024
Civil Money Penalty
$13K
Nov 1, 2024
Payment Denial
16 days
Mar 15, 2024
Civil Money Penalty
$13K
Financial Trends
Historical financial and operational data for Twin Lakes Therapy and Living based on CMS SNF Cost Reports.
Occupancy Rate
58.6%
↓ 6.2pp vs 2022
Net Income
$371,130
↑ ~$201K vs 2022
Total Payroll
$2,222,516
↓ ~$200K vs 2022
Profit Margin
7.1%
↑ 4.1pp vs 2022
Loading trend charts...
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Claim What’s Yours: Financial Aid for Arkansas Seniors
Program
State Program Name
Eligibility
Benefits
ARChoices
Arkansas Medicaid ARChoices
- General: Age 65+ or 21+ with disability, Arkansas resident, Medicaid- eligible, nursing home-level care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- AR Specifics: Rural focus; possible waitlists.
- Services: Personal care (5-7 hours/day), meals ($7/meal), respite care (240 hours/year), adult day services ($60/day).
Choices in Living Resource Center
Arkansas Choices in Living
- General: Age 60+, Arkansas resident.
- Income Limits: No strict limit; prioritizes low-income.
- Asset Limits: Not applicable.
- AR Specifics: Limited direct funding; mostly referral-based.
- Services: Care coordination, limited respite (up to 5 days/year), transportation assistance (~5 trips/month).
Living Choices Assisted Living Waiver
Arkansas Medicaid Living Choices Assisted Living Waiver
- General: Age 65+, Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple); spousal rules apply.
- AR Specifics: Limited provider network; excludes Level I facilities (no nursing services).
- Services: Personal care (~5 hours/day), medication management, nursing, activities, transportation.
Program of All-Inclusive Care for the Elderly (PACE)
Arkansas Medicaid PACE
- General: Age 55+, Arkansas resident, nursing home-level care, safe with PACE support.
- Income Limits (2025): ~$2,829/month (300% FBR).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- AR Specifics: Limited geographic availability.
- Services: Primary/preventive care, personal care (5-7 hours/day), meals, transportation, therapy.
Arkansas State Plan Personal Care
Arkansas Medicaid Personal Care Program
- General: Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.
- Income Limits (2025): ~$1,004/month (individual).
- Asset Limits: $9,660 (individual), $14,470 (couple).
- AR Specifics: No nursing home-level care requirement.
- Services: Personal care (~4-6 hours/day), homemaker services (e.g., meal prep).
Senior Community Service Employment Program (SCSEP)
Arkansas SCSEP (federally funded, state-administered)
- General: Age 55+, unemployed, low-income, Arkansas resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified.
- AR Specifics: Priority for veterans, rural residents.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Claim What’s Yours Financial Aid for Arkansas Seniors
Arkansas Medicaid ARChoices
ARChoices
Requirements:
General:Age 65+ or 21+ with disability, Arkansas resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025):~$2,829/month (300% FBR, individual).- Asset Limits:$2,000 (individual), $3,000 (couple).
AR Specifics:Rural focus; possible waitlists.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), meals ($7/meal), respite care (240 hours/year), adult day services ($60/day).
Arkansas Choices in Living
Choices in Living Resource Center
Requirements:
- General:Age 60+, Arkansas resident.
- Income Limits:No strict limit; prioritizes low-income.
- Asset Limits:Not applicable.
- AR Specifics:Limited direct funding; mostly referral-based.
Benefits without Contact:
- Services: Care coordination, limited respite (up to 5 days/year), transportation assistance (~5 trips/month).
Arkansas Medicaid Living Choices Assisted Living Waiver
Living Choices Assisted Living Waiver
Requirements:
- General:Age 65+, Arkansas resident, requires nursing home-level care, lives in a Level II assisted living facility.
- Income Limits (2025):~$2,829/month (300% FBR, individual).
- Asset Limits:$2,000 (individual), $3,000 (couple); spousal rules apply.
- AR Specifics:Limited provider network; excludes Level I facilities (no nursing services).
Benefits without Contact:
- Services: Personal care (~5 hours/day), medication management, nursing, activities, transportation.
Arkansas Medicaid PACE
Program of All-Inclusive Care for the Elderly (PACE)
Requirements:
- General:Age 55+, Arkansas resident, nursing home-level care, safe with PACE support.
- Income Limits (2025):~$2,829/month (300% FBR).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- AR Specifics:Limited geographic availability.
Benefits without Contact:
- Services: Primary/preventive care, personal care (5-7 hours/day), meals, transportation, therapy.
Arkansas Medicaid Personal Care Program
Arkansas State Plan Personal Care
Requirements:
- General:Any age, Arkansas resident, needs ADL/IADL help, Medicaid-eligible.
- Income Limits (2025):~$1,004/month (individual).
- Asset Limits:$9,660 (individual), $14,470 (couple).
- AR Specifics:No nursing home-level care requirement.
Benefits without Contact:
- Services: Personal care (~4-6 hours/day), homemaker services (e.g., meal prep).
Arkansas SCSEP (federally funded, state-administered)
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, Arkansas resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified.
- AR Specifics:Priority for veterans, rural residents.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
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