Twin Lakes Therapy and Living

Nursing Home, Memory Care, Respite Care & Skilled Nursing · Flippin, AR

CMS overall rating

6152 Highway 202 East, Flippin, AR 72634 View map

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Twin Lakes Therapy and Living accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Twin Lakes Therapy and Living accepts Medicare, Medicaid, and private pay.

Overview of Twin Lakes Therapy and Living

Twin Lakes Therapy and Living has been operating on Highway 202 in Flippin, Arkansas for 31 years. Owned by Marcus Jimerson and run by FPNC, Inc., this 80-bed nursing home currently has 45 residents, leaving 35 rooms open for new admissions. Stays here are usually a mix of short-term rehab and long-term residential care, and the front office processes payments through traditional Medicare, state Medicaid, and standard private funds.

On the floor, residents get about 4 hours and 24 minutes of direct, hands-on attention every day from the nursing crew. This 24-hour team of registered nurses, practical nurses, and assistants provides care for daily medical needs, temporary respite stays, and physical therapy in the building’s gym.

For day-to-day life, the facility has an outdoor courtyard with a gazebo and a regular calendar of social activities. The kitchen crew is run by a certified dietary manager who makes sure to accommodate personal food preferences and allergies. The property is in a quiet area with a 28 walk score, so visiting families will definitely need a car to get around town easily.

Families evaluating care options can contact the administrative office to check on room choices or to ask about the intake process. The staff can also explain how the team has adjusted daily operations following state health inspections that previously flagged compliance issues here regarding resident supervision, monitoring systems, staffing levels, and specific clinical care protocols.

Facility Direct Line (870) 453-4603

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Arkansas state averages

Total nursing care / resident

4h 24m per day

This facility Arkansas avg (4h 40m per day)

vs Arkansas avg

-6%

4 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
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.	23m per day	▼ 4% State avg: 24m per day · National avg: 41m per day
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.	57m per day	■ Avg State avg: 57m per day · National avg: 52m per day
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.	2h 33m per day	▼ 6% State avg: 2h 43m per day · National avg: 2h 20m per day
Weekend Total Nursing 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.	3h 13m per day	▼ 8% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 83% State avg: 2m per day · National avg: 4m per day
Weekend RN 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.	16m per day	■ Avg State avg: 16m per day · National avg: 28m per day

Capacity and availability

228 days

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.

Walk Score: 28 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

56%

Lower than the Arkansas average: 71.3%

Occupied beds

45 / 80

Average occupied beds in Arkansas homes 77 beds

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid / Medicare)

CountyMarion

CMS Certification Number045280

Certification TypeMedicaid / Medicare

Twin Lakes Therapy and Living is legally operated by FPNC, Inc., and administered by Stephanie Sullins.

Owner NameFpnc, Inc

Profit StatusFor-profit

Medicaid and Medicare

80 units

Total beds

80 units

Staffing

Key information about the people who lead and staff this community.

ContactMr. Danny Luncsford, Administrator (per BBB, record updated Jul 2026)

Rehabilitation Services

Respite Care

24-Hour Staffing

Fax870-453-1900

Pets not allowed

Large Communal Dining Space

Dedicated Activity Area

Therapy Gym

Outdoor Courtyard With Gazebo

Salon Services

Engaging Social Activities

Activities

Since 2023 · 3 years of data 39 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Arkansas state average

Overall vs. AR average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	AR Average	vs. AR Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	39	21	This facility has 86% more total deficiencies than a typical Arkansas nursing home (39 vs. AR avg 21).↑ 86% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The June 12, 2025 complaint investigation substantiated neglect for Resident #5’s incontinent care and found insufficient staffing due to lack of facility-wide resource assessments.
The November 1, 2024 complaint investigation found immediate jeopardy from failure to prevent elopement and inadequate monitoring, with a resident injured off-site and a malfunctioning wander management system.
The March 15, 2024 routine inspection cited 18 deficiencies including inadequate supervision causing elopements with immediate jeopardy, poor wound and foot care, medication errors, and multiple environmental safety hazards.

Show Inspection Reports

Inspections since 2022

Total health inspections 7

State average 4.2

Last Health inspection on Jun 2025

Total health citations

State average 21.8

Citations per inspection

4.86

State 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 4 years)

Critical health citations

400% worse than State average

State average: 0.4

Serious health citations

100% better than State average

State average: 0.2

2 critical citations State average: 0.4

0 serious citations State average: 0.2

31 moderate citations State average: 20.9

1 minor citation State average: 0.4

Citations history (last 4 years)

Abuse/Neglect moderate citation Jun 12, 2025

Corrected

Administration moderate citation Jun 12, 2025

Corrected

Infection Control moderate citation Jun 12, 2025

Corrected

Nutrition moderate citation Jun 12, 2025

Corrected

Total staff 67

Employees 51

Contractors 16

Staff to resident ratio 1.24 : 1

22% fewer staff per resident than Arkansas average

Avg staff/day 24

Average shift 8.2 hours

0% compared with Arkansas average

Total staff hours (quarter) 18,105

Nursing staff breakdown

8.3 hours

9.5 hours

8.8 hours

Contractor staffing

470 contractor hours this quarter

Clinical Nurse Specialist: 5 Physical Therapy Assistant: 4 Respiratory Therapy Technician: 3 Speech Language Pathologist: 1 Physical Therapy Aide: 1 Qualified Social Worker: 1 Feeding Assistant: 1

Staff by category


Certified Nursing Assistant	28	0	28	9,755	92	100%	8.8
Licensed Practical Nurse	10	0	10	3,329	92	100%	9.5
Medication Aide/Technician	2	0	2	897	80	87%	8.5
Clinical Nurse Specialist	2	5	7	751	80	87%	6
RN Director of Nursing	2	0	2	644	64	70%	7.1
Nurse Practitioner	1	0	1	528	69	75%	7.7
Dietitian	1	0	1	512	64	70%	8
Administrator	1	0	1	504	63	68%	8
Mental Health Service Worker	1	0	1	486	62	67%	7.8
Registered Nurse	2	0	2	333	40	43%	8.3
Speech Language Pathologist	0	1	1	136	57	62%	2.4
Physical Therapy Aide	0	1	1	114	55	60%	2.1
Nurse Aide in Training	1	0	1	64	9	10%	7.1
Respiratory Therapy Technician	0	3	3	24	17	18%	1.4
Physical Therapy Assistant	0	4	4	20	17	18%	1.2
Qualified Social Worker	0	1	1	7	9	10%	0.7
Feeding Assistant	0	1	1	2	1	1%	2

28 Certified Nursing Assistant

% of Days 100%

10 Licensed Practical Nurse

% of Days 100%

2 Medication Aide/Technician

% of Days 87%

7 Clinical Nurse Specialist

% of Days 87%

2 RN Director of Nursing

% of Days 70%

1 Nurse Practitioner

% of Days 75%

1 Dietitian

% of Days 70%

1 Administrator

% of Days 68%

1 Mental Health Service Worker

% of Days 67%

2 Registered Nurse

% of Days 43%

1 Speech Language Pathologist

% of Days 62%

1 Physical Therapy Aide

% of Days 60%

1 Nurse Aide in Training

% of Days 10%

3 Respiratory Therapy Technician

% of Days 18%

4 Physical Therapy Assistant

% of Days 18%

1 Qualified Social Worker

% of Days 10%

1 Feeding Assistant

% of Days 1%

View All Staffing Data

Total fines amount $26K

In line with Arkansas average

Arkansas average: $26K

Number of fines 2

36% more fines than Arkansas average

Arkansas average: 1.5

Payment Denials 1

429% more payment denials than Arkansas average

Arkansas average: 0.2

Fines amount comparison

This facility $26K

Arkansas average $26K

Penalty History

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.

Civil Money Penalty Nov 1, 2024

$13K

Payment Denial Nov 1, 2024

16 days

Civil Money Penalty Mar 15, 2024

$13K

Last updated: Jan 2026

High-risk clinical events score 7.1

8% better than Arkansas average

Arkansas average: 7.7

Functional decline score 12.4

7% better than Arkansas average

Arkansas average: 13.3

Long-stay resident measures

Significantly above average Arkansas avg: 4.2

Need for Help with Daily Activities Increased 10.5%

9% better than Arkansas average

Arkansas average: 11.5%

Walking Ability Worsened 12.6%

6% better than Arkansas average

Arkansas average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence 14.3%

6% better than Arkansas average

Arkansas average: 15.1%

Falls with Major Injury 7.5%

91% worse than Arkansas average

Arkansas average: 3.9%

High Risk Residents with Pressure Ulcers 4.1%

14% better than Arkansas average

Arkansas average: 4.7%

Urinary Tract Infection 1.3%

In line with Arkansas average

Arkansas average: 1.3%

Lost Too Much Weight 0.7%

86% better than Arkansas average

Arkansas average: 5.0%

Depressive Symptoms 0.0%

100% better than Arkansas average

Arkansas average: 1.5%

Antipsychotic Use 3.1%

70% better than Arkansas average

Arkansas average: 10.5%

Pneumococcal Vaccine 97.5%

In line with Arkansas average

Arkansas average: 94.4%

Influenza Vaccine 97.7%

In line with Arkansas average

Arkansas average: 96.2%

Short-stay resident measures

Average Arkansas avg: 2.7

Pneumococcal Vaccine 93.2%

15% better than Arkansas average

Arkansas average: 80.9%

Antipsychotic medication increase 1.3%

16% better than Arkansas average

Arkansas average: 1.5%

Influenza Vaccine 69.8%

10% worse than Arkansas average

Arkansas average: 77.7%

Re-hospitalized after SNF stay 41.0%

63% worse than Arkansas average

Arkansas average: 25.2%

Emergency department visits 10.0%

28% better than Arkansas average

Arkansas average: 13.8%

Falls with major injury 0.0%

100% better than Arkansas average

Arkansas average: 0.8%

Successful return to home or community 58.1%

15% better than Arkansas average

Arkansas average: 50.6%

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

Total residents 54

Medicare

9.3% of residents

Medicaid

70.4% of residents

Private pay or other

20.4% of residents

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.

Financial Trends

Historical financial and operational data for Twin Lakes Therapy and Living from 2013–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 58.6% ↓ 6.2pp vs 2022

Net Patient Income $362.6K ↑ ~$201.1K vs 2022

Payroll Costs $2.1M ↓ ~$150.9K vs 2022

Operating Margin 7.3% ↑ 4.1pp vs 2022

Metric	2013	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	80.8%	78.1%	78.8%	87.6%	89.1%	88.5%	78.3%	63.5%	64.8%	58.6%
Beds	80	80	80	80	80	80	80	80	80	80
Net Income	$247,480	-$13,785	-$63,693	$293,017	-$45,497	-$12,583	-$68,077	$227,072	$170,591	$371,130
Gross Revenue	$4,909,156	$5,796,193	$6,377,401	$6,560,503	$6,624,985	$6,960,214	$6,321,459	$5,549,969	$5,694,337	$5,252,072
Operating Expenses	$4,665,745	$4,560,720	$4,784,385	$5,031,373	$5,297,307	$5,426,228	$5,344,831	$4,561,068	$4,841,299	$4,613,272
Net Patient Income	$243,411	-$14,677	-$71,680	$292,033	-$46,785	-$13,555	-$69,793	$224,974	$161,479	$362,622
Net Patient Revenue	$4,909,156	$4,546,043	$4,712,705	$5,323,406	$5,250,522	$5,412,673	$5,275,038	$4,786,042	$5,002,778	$4,975,894
Payroll Costs	$2,162,650	$2,067,405	$2,239,118	$2,317,249	$2,404,165	$2,504,864	$2,586,589	$2,144,091	$2,276,029	$2,125,174
Operating Margin %	5.0%	-0.3%	-1.5%	5.5%	-0.9%	-0.3%	-1.3%	4.7%	3.2%	7.3%
Medicare %	10.3%	8.4%	9.3%	6.6%	5.8%	7.0%	8.9%	8.7%	7.0%	3.9%
Medicaid %	0.0%	65.0%	66.1%	68.5%	69.2%	66.5%	60.8%	62.6%	62.6%	77.5%
Private %	89.7%	26.6%	24.6%	25.0%	25.0%	26.5%	30.3%	28.7%	30.4%	18.7%
Net Patient Revenue/Day	$208	$199	$204	$208	$202	$209	$230	$258	$264	$291
Cost/Day	$198	$200	$207	$197	$204	$210	$233	$246	$256	$270
Avg Length of Stay	167.2 days	154.0 days	168.3 days	224.5 days	179.3 days	145.3 days	148.8 days	123.7 days	169.0 days	228.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$5.0M

Net patient income

$362.6K

For-profit Corporation

Net patient revenue

$5.0M

Net patient income

$362.6K

Other income

$8.5K

Payroll costs

$2.1M 42.7% of net patient revenue

Other operating costs

$2.5M

Total costs

$4.6M

TYPE OF STAY

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.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 35%

Private pay 53%

Medicaid 13%

Coverage residents most often leave under.

Medicare 37%

Private pay 56%

Medicaid 7%

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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Info below is compiled from CMS reports & the AR Dept. of Human Services (DHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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Bear Creek Healthcare LLC	NH	De Queen	131 Facility 131 AR AVG 84 Rank #46 / 329	36.2% Facility 36.2% AR AVG 65.7 Rank #150 / 165	-45%	5.15 Facility 5.15 AR AVG 4.67 Rank #38 / 184	-23%	+10%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	20 Facility 20 AR AVG 21.8 Rank #86 / 188	6.7 Facility 6.7 AR AVG 5.3 Rank #150 / 188	-	47	-	35 Facility 35 AR AVG 34 Rank #193 / 416	Cathy Parsons	$5.5MFiscal year ending 12/2023 Facility $5.5MFiscal year ending 12/2023 AR AVG $9.4M Rank #92 / 184	$3.0MFiscal year ending 12/2023 Facility $3.0MFiscal year ending 12/2023 AR AVG $3.4M Rank #156 / 184	55.1%Fiscal year ending 12/2023 Facility 55.1%Fiscal year ending 12/2023 AR AVG 37.9% Rank #175 / 184	45287
Greenhurst Nursing Center	NH RC SNF	Charleston	113 Facility 113 AR AVG 84 Rank #87 / 329	51.3% Facility 51.3% AR AVG 65.7 Rank #131 / 165	-22%	4.57 Facility 4.57 AR AVG 4.67 Rank #83 / 184	-36%	-2%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	10 Facility 10 AR AVG 21.8 Rank #10 / 188	3.3 Facility 3.3 AR AVG 5.3 Rank #23 / 188	-	58	A+	44 Facility 44 AR AVG 34 Rank #137 / 416	Jonas Schaffer	$9.6MFiscal year ending 06/2024 Facility $9.6MFiscal year ending 06/2024 AR AVG $9.4M Rank #82 / 184	$4.9MFiscal year ending 06/2024 Facility $4.9MFiscal year ending 06/2024 AR AVG $3.4M Rank #49 / 184	51.6%Fiscal year ending 06/2024 Facility 51.6%Fiscal year ending 06/2024 AR AVG 37.9% Rank #32 / 184	45447
Greystone Nursing and Rehab, LLC	NH RC SNF	Cabot	80 Facility 80 AR AVG 84 Rank #185 / 329	85.0% Facility 85.0% AR AVG 65.7 Rank #25 / 165	+29%	4.81 Facility 4.81 AR AVG 4.67 Rank #58 / 184	+10%	+3%	$0 Facility $0 AR AVG $27.3k Rank #1 / 189	6 Facility 6 AR AVG 21.8 Rank #2 / 188	3.0 Facility 3.0 AR AVG 5.3 Rank #13 / 188	-	68	-	67 Facility 67 AR AVG 34 Rank #24 / 416	Austin Wright	$9.3MFiscal year ending 12/2023 Facility $9.3MFiscal year ending 12/2023 AR AVG $9.4M Rank #50 / 184	$3.9MFiscal year ending 12/2023 Facility $3.9MFiscal year ending 12/2023 AR AVG $3.4M Rank #90 / 184	41.6%Fiscal year ending 12/2023 Facility 41.6%Fiscal year ending 12/2023 AR AVG 37.9% Rank #161 / 184	45453
Twin Lakes Therapy and Living	NH MC RC SNF	East Flippin	80 Facility 80 AR AVG 84 Rank #185 / 329	56.3% Facility 56.3% AR AVG 65.7 Rank #121 / 165	-14%	4.40 Facility 4.40 AR AVG 4.67 Rank #112 / 184	-45%	-6%	$25.7k Facility $25.7k AR AVG $27.3k Rank #172 / 189	34 Facility 34 AR AVG 21.8 Rank #165 / 188	4.9 Facility 4.9 AR AVG 5.3 Rank #85 / 188	2	45	A+	28 Facility 28 AR AVG 34 Rank #246 / 416	Marcus Jimerson	$5.0MFiscal year ending 12/2023 Facility $5.0MFiscal year ending 12/2023 AR AVG $9.4M Rank #170 / 184	$2.1MFiscal year ending 12/2023 Facility $2.1MFiscal year ending 12/2023 AR AVG $3.4M Rank #179 / 184	42.7%Fiscal year ending 12/2023 Facility 42.7%Fiscal year ending 12/2023 AR AVG 37.9% Rank #123 / 184	45280

Nursing Home Explorer

Who is the owner of Twin Lakes Therapy and Living?

Twin Lakes Therapy and Living is legally operated by FPNC, Inc., and administered by Stephanie Sullins.

Is Twin Lakes Therapy and Living in a walkable area?

Twin Lakes Therapy and Living has a walk score of 28. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Twin Lakes Therapy and Living?

Twin Lakes Therapy and Living's occupancy is 56%.

How long has Twin Lakes Therapy and Living been in business?

Twin Lakes Therapy and Living has been operating for approximately 31 years, based on available licensing and registration records.

Are pets allowed at Twin Lakes Therapy and Living?

No, Twin Lakes Therapy and Living has a no-pet policy.

Does Twin Lakes Therapy and Living operate as a for-profit or non-profit?

Twin Lakes Therapy and Living is registered as a for-profit in AR.

Who is the administrator of Twin Lakes Therapy and Living?

Stephanie Sullins is the administrator of Twin Lakes Therapy and Living.

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Twin Lakes Therapy and Living

Overview of Twin Lakes Therapy and Living

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Twin Lakes Therapy and Living

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

28 Certified Nursing Assistant

10 Licensed Practical Nurse

2 Medication Aide/Technician

7 Clinical Nurse Specialist

2 RN Director of Nursing

1 Nurse Practitioner

1 Dietitian

1 Administrator

1 Mental Health Service Worker

2 Registered Nurse

1 Speech Language Pathologist

1 Physical Therapy Aide

1 Nurse Aide in Training

3 Respiratory Therapy Technician

4 Physical Therapy Assistant

1 Qualified Social Worker

1 Feeding Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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