Occupancy rate
59%
In line with Arkansas averageMix 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.
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Nursing Home in Arkansas
CMS overall rating
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.
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.
Twin Lakes Therapy and Living
Nursing Home in Arkansas
CMS overall rating
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.
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.
Twin Lakes Therapy and Living
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$5.3M
Profit
$371.1K
Privately-owned community
Operated by a business 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.
31 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Arkansas averageOccupied beds
47 / 80
Average residents
77 per day
Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid / Medicare)
CountyMarion
CMS Certification Number045280
Certification TypeXIX/XVIII
Twin Lakes Therapy and Living is administrated by Stephanie Sullins.
Owner NameFPNC, Inc.
Profit StatusCorporation
Staffing
Key information about the people who lead and staff this community.
ContactDanny Luncsford
Rehabilitation Services
Respite Care
Skilled Nursing
24-Hour Staffing
Fax870-453-1900
Private Rooms
Large Communal Dining Space
Dedicated Activity Area
Therapy Gym
Outdoor Courtyard With Gazebo
Salon Services
Engaging Social Activities
ActivitiesDaily opportunities for entertainment and socialization, with a diverse and engaging calendar of activities.
Specific ProgramsShort-Term Rehab, Long-Term Care, Memory Care, Respite Care, Additional Services
Food DescriptionNutritious meals crafted by a certified dietary manager and cooks, accommodating food allergies and preferences.
Health Inspection History
Inspections
Total health inspections
7
Arkansas average 4.2
Last Health inspection on Jun 2025
Total health citations
34
Arkansas average 21.8
Citations per inspection
4.86
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
400% worse than Arkansas averageArkansas average: 0.4
Serious Health citations
0
0
100% better than Arkansas averageArkansas average: 0.2
2 critical citations
0 serious citations
31 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 12, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 12, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 12, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Jun 12, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 12, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jun 12, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jun 12, 2025
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.
Compare Nursing Homes around Arkansas The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.
Filter by care type
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
+4%
0
18
6.0
0
53
-
French, Misty
$6.3M
$2.1M
33.6%
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
+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
-3%
2
25
3.6
1
91
A+
Edala, Arpana
$11.7M
$3.7M
31.5%
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
-6%
2
34
4.9
2
50
A+
Jimerson, Marcus
$5.3M
$1.9M
35.5%
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
-
-
-
-
-
-
-
Places of interest near Twin Lakes Therapy and Living
0.0 miles from city center
6152 Highway 202 East, Flippin, AR 72634
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
62
Employees
55
Contractors
7
Staff to resident ratio
1.15:1
29% worse than Arkansas averageArkansas average ratio: 1.61:1
Avg staff/day
26
Average shift
8.3 hours
0% compared with Arkansas averageArkansas average: 8 hours
Total staff hours (quarter)
19,553
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2%
400 contractor hours this quarter
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Qualified Social Worker: 1
Staff by category
| 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 |
31 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
3 Registered Nurse
% of Days
87%
2 RN Director of Nursing
% of Days
68%
1 Dietitian
% of Days
73%
1 Nurse Practitioner
% of Days
71%
1 Administrator
% of Days
70%
1 Mental Health Service Worker
% of Days
67%
1 Physical Therapy Aide
% of Days
69%
1 Speech Language Pathologist
% of Days
64%
5 Clinical Nurse Specialist
% of Days
37%
2 Respiratory Therapy Technician
% of Days
23%
2 Physical Therapy Assistant
% of Days
19%
1 Qualified Social Worker
% of Days
23%
1 Medication Aide/Technician
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
54 residents
Residents by payment source
Medicare
5 residents (9.3%)
Medicaid
38 residents (70.4%)
Private pay or other
11 residents (20.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.1
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 averageArkansas average: 7.7
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.4
7% better than Arkansas averageArkansas average: 13.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
9% better than Arkansas averageArkansas average: 11.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.6%
Percent of long-stay residents whose ability to move independently worsened
12.6%
6% better than Arkansas averageArkansas average: 13.4%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
6% better than Arkansas averageArkansas average: 15.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
91% worse than Arkansas averageArkansas average: 3.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.1%
Percent of long-stay high risk residents with pressure ulcers
4.1%
14% better than Arkansas averageArkansas average: 4.7%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.3%
Percent of long-stay residents with a urinary tract infection
1.3%
In line with Arkansas averageArkansas average: 1.3%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.7%
Percent of long-stay residents who lose too much weight
0.7%
86% better than Arkansas averageArkansas average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Arkansas averageArkansas average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.1%
Percent of long-stay residents who received an antipsychotic medication
3.1%
70% better than Arkansas averageArkansas average: 10.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.5%
In line with Arkansas averageArkansas average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Arkansas averageArkansas average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
15% better than Arkansas averageArkansas average: 80.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
16% better than Arkansas averageArkansas average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.8%
10% worse than Arkansas averageArkansas average: 77.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and 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 amount
$26K
In line with Arkansas averageArkansas average: $26K
Number of fines
2
36% more fines than Arkansas averageArkansas average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
429% more payment denials than Arkansas averageArkansas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$26K
Arkansas average
$26K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 1, 2024
$13K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 1, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Nov 1, 2024
16 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 15, 2024
$13K
Last updated: Jan 2026
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...
Guides for Better Senior Living
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Financial Aid for Arkansas Seniors
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