Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
76
57 employees · 19 contractors · 27 on an average day Twin Lakes Therapy and Living
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Flippin, AR
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Twin Lakes Therapy and Living
Nursing Home, Memory Care, Respite Care & Skilled Nursing · Flippin, AR
ALM Inspection Grade
C-
ALM's inspection grade is 70 / 100, a C- — 13 points below the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 70 / 100, a C- — 13 points below the Arkansas average for CMS-certified facilities (83/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Twin Lakes Therapy and Living accepts Medicare, Medicaid, and private pay.
Overview of Twin Lakes Therapy and Living
In Flippin, AR, Twin Lakes Therapy and Living is licensed for respite care, nursing home care, skilled nursing, and memory care. Nursing here covers the whole day, so those hours are already on somebody’s timetable before a family thinks to ask about them. Memory care is what a household turns to once its own arrangements have stopped working.
That care type supplies supervision and a setting secured against a resident wandering off. Respite points the other way; a short stay taken while the usual caregiver travels or recovers, which makes that recovery a second one happening in a different building. The three together suit somebody who needs nursing oversight, memory support, or cover for a stretch.
The building holds 80 beds. Medicare, Medicaid, and private pay each work here, which gives families more than one way to meet what is owed. Across a day, one resident receives 4h 43m of nursing time.
Rehabilitation services are named too, so therapy belongs to the stay rather than to an appointment somewhere else. A courtyard gives residents an outdoor option, and a salon is on the same list. FPNC, Inc operates the community, with Stephanie Sullings as administrator.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 86th out of 183 nursing homes we track in Arkansas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 43m
This nursing home is ranked 86th out of 183 nursing homes we track in Arkansas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 43mStandout metric: Registered nurse (RN) is +49% above Arkansas average
2 of 6 metrics below Arkansas average
Daily care time per resident, by role
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. All 2 are the facility's own employees; no agency contractors work in this role.
2 staff · 8.8-hour shifts
36m
↑ 49% · AR 24mThis facility: 36m per resident per day, 49% above the Arkansas average of 24m (among Arkansas facilities reporting a recent figure).
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. All 2 are the facility's own employees; no agency contractors work in this role.
2 staff · 8.8-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 9.5-hour shifts
1h 17m
↑ 34% · AR 57mThis facility: 1h 17m per resident per day, 34% above the Arkansas average of 57m (among Arkansas facilities reporting a recent figure).
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. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 9.5-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 28 are the facility's own employees; no agency contractors work in this role.
28 staff · 9.1-hour shifts
2h 51m
↑ 5% · AR 2h 43mThis facility: 2h 51m per resident per day, 5% above the Arkansas average of 2h 43m (among Arkansas facilities reporting a recent figure).
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. All 28 are the facility's own employees; no agency contractors work in this role.
28 staff · 9.1-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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
↓ 83% · AR 2mThis facility: 0m per resident per day, 83% below the Arkansas average of 2m (among Arkansas facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 44m
↑ 7% · AR 3h 29mThis facility: 3h 44m per resident per day, 7% above the Arkansas average of 3h 29m (among Arkansas facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
15m
↓ 9% · AR 16mThis facility: 15m per resident per day, 9% below the Arkansas average of 16m (among Arkansas facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
76
57 employees · 19 contractors · 27 on an average day
76 total staff / 54 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.41 : 1
↓ 13% · AR 1.62This facility: 1.41 staff per resident, 13% below the Arkansas average of 1.62 (among Arkansas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
76 staff ÷ 54 residents
See full Arkansas ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.1 h
↑ 1% · AR 8 hThis facility: 8.1 h, 1% above the Arkansas average of 8 h (among Arkansas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
19,862 staff hours this quarter
See full Arkansas ranking →96.4% of staff hours were worked by the facility's own employees
Arkansas average: 94.5% · Contractors this quarter: Clinical Nurse Specialist (7), Physical Therapy Assistant (5), Respiratory Therapy Technician (3), Physical Therapy Aide (2), Speech Language Pathologist (1), Qualified Social Worker (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
80
Rank #164 / 204Bed count — State benchmarked This nursing home is ranked 164th out of 204 nursing homes we track in Arkansas for bed count. Shows this facility's certified or reported bed count compared to other Arkansas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
80
Rank #164 / 204Bed count — State benchmarked This nursing home is ranked 164th out of 204 nursing homes we track in Arkansas for bed count. Shows this facility's certified or reported bed count compared to other Arkansas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #13 / 43Years in operation — State benchmarked This nursing home is ranked 13th out of 43 nursing homes we track in Arkansas for years in operation. Shows how long this facility has been in operation compared to other Arkansas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care. This is the number of years in operation under current management.
Rank #13 / 43Years in operation — State benchmarked This nursing home is ranked 13th out of 43 nursing homes we track in Arkansas for years in operation. Shows how long this facility has been in operation compared to other Arkansas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
31
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #136 / 202Walk Score — State benchmarked This nursing home is ranked 136th out of 202 nursing homes we track in Arkansas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Arkansas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #136 / 202Walk Score — State benchmarked This nursing home is ranked 136th out of 202 nursing homes we track in Arkansas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Arkansas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
28
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #116 / 150Occupancy rate — State benchmarked This nursing home is ranked 116th out of 150 nursing homes we track in Arkansas for occupancy. Shows this facility's occupancy rate versus the Arkansas average, with its Statewide rank out of 150. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #116 / 150Occupancy rate — State benchmarked This nursing home is ranked 116th out of 150 nursing homes we track in Arkansas for occupancy. Shows this facility's occupancy rate versus the Arkansas average, with its Statewide rank out of 150. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
59.5%
This home usually has availability
Based on 47.6 residents and 80 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Lower than the Arkansas average: 71.7%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
173
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
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.
Medicaid and Medicare
80 units
Total beds
80 units
Resident Council
Short-Term Rehabilitation
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Fax870-453-1900
Pets not allowed
Courtyard
Beauty Salon
Room Types
Private Room
CMS Health Inspection History
ALM Inspection Grade
70 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
13 points below the Arkansas average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
76 severity-weighted points (27 deficiencies) · 2× higher than the typical CMS-certified AR facility (median: 41)
Enforcement
Concern
$25,678 in fines · 3 enforcement actions
Persistence
Typical
25 days to fix issues · faster than the typical CMS-certified AR facility (median: 28)
Total health inspections
4
↑ 8% · AR 3.7This facility: 4, 8% above the AR average of 3.7 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
27
Rank #162 / 184Health citations — State benchmarked This nursing home is ranked 162nd out of 184 nursing homes we track in Arkansas for health citations. Shows this facility's total health deficiency citations benchmarked to the Arkansas State average, with a ranking across all 184 AR facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 51% · AR 17.9This facility: 27, 51% above the AR average of 17.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
6.75
Rank #145 / 184Citations per inspection — State benchmarked This nursing home is ranked 145th out of 184 nursing homes we track in Arkansas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Arkansas mean across 184 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 35% · AR 5.01This facility: 6.75, 35% above the AR average of 5.01 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
27 of 27 citations corrected
Critical
J–L
2
↑ 400% · AR 0.4This facility: 2, 400% above the AR average of 0.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · AR 0.1This facility: 0, 100% below the AR average of 0.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
24
↑ 40% · AR 17.1This facility: 24, 40% above the AR average of 17.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 233% · AR 0.3This facility: 1, 233% above the AR average of 0.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Jun 12, 2025 · 4 citations, all corrected
Most cited category: Quality of Life & Care, 7 of 27 citations · 9 categories in total
Citations history
Most recent first
Jun 12, 2025
4 citations
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Nov 01, 2024
2 citations
Quality of Care critical citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Mar 15, 2024
17 citations
Quality of Care critical citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Environmental moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights minor citation
Corrected
Corrected
Jan 27, 2023
4 citations
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Top deficiency categories
Share of 27 citations
Quality of Life & Care
7 deficiencies (26%)
Resident Assessment & Care Planning
4 deficiencies (15%)
Pharmacy Services
4 deficiencies (15%)
Nutrition & Dietary
3 deficiencies (11%)
Infection Control
2 deficiencies (7%)
Resident Rights
2 deficiencies (7%)
Administration
2 deficiencies (7%)
Abuse, Neglect & Exploitation
2 deficiencies (7%)
Environmental
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 27 citations resulted from standard inspections; 4 of 27 resulted from complaint investigations; and 9 of 27 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
3 penalties in the past 3 years
Latest: Nov 1, 2024 · $12,844 civil money penalty
Nov 1, 2024 · $12,844 civil money penalty
Mar 15, 2024 · $12,834 civil money penalty
Nov 1, 2024 · 16-day payment denial
Total fines
$25,678
↓ 2% · AR $26KThis facility: $25,678, 2% below the Arkansas average of $26,098. Average among the 73 Arkansas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #166 / 185Federal fines — State benchmarked This nursing home is ranked 166th out of 185 nursing homes we track in Arkansas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Arkansas average among facilities with fines, and where it ranks among 185 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↑ 45% · AR 1.38This facility: 2, 45% above the Arkansas average of 1.38. Average among the 73 Arkansas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
16 days
AR avg 0.15Arkansas average: 0.15. Average among the 73 Arkansas facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Nov 1, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,844
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,844
Nov 1, 2024
Payment denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
16 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
New admissions not paid
16 days
Mar 15, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,834
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$12,834Fine amount comparison
This facility
$25,678
Arkansas average
$26,098
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Arkansas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Arkansas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 19% · AR 4.2This facility: 5.0, 19% above the AR average of 4.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 84% · AR 2.7This facility: 5.0, 84% above the AR average of 2.7 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
3.8
Score · lower is better
↓ 37% · AR 6.1This facility: 3.8, 37% below the AR average of 6.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
8.1
Score · lower is better
↓ 23% · AR 10.4This facility: 8.1, 23% below the AR average of 10.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 10 better, 1 worse
7 short-stay measures: 4 better, 1 worse, 2 compared with US only
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
↓ 40% · AR 9.1This facility: 5.5, 40% below the AR average of 9.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
↓ 40% · AR 9.1This facility: 5.5, 40% below the AR average of 9.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
10.5%
↑ 14% · AR 9.2This facility: 10.5, 14% above the AR average of 9.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
10.5%
↑ 14% · AR 9.2This facility: 10.5, 14% above the AR average of 9.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.2%
↓ 37% · AR 12.9This facility: 8.2, 37% below the AR average of 12.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.2%
↓ 37% · AR 12.9This facility: 8.2, 37% below the AR average of 12.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · AR 1.1This facility: 0.0, 100% below the AR average of 1.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · AR 1.1This facility: 0.0, 100% below the AR average of 1.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
↓ 38% · AR 3.9This facility: 2.4, 38% below the AR average of 3.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
↓ 38% · AR 3.9This facility: 2.4, 38% below the AR average of 3.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
0.8%
↓ 82% · AR 4.2This facility: 0.8, 82% below the AR average of 4.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
0.8%
↓ 82% · AR 4.2This facility: 0.8, 82% below the AR average of 4.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
0.0%
↓ 100% · AR 4.1This facility: 0.0, 100% below the AR average of 4.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
0.0%
↓ 100% · AR 4.1This facility: 0.0, 100% below the AR average of 4.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · AR 1.4This facility: 0.0, 100% below the AR average of 1.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · AR 1.4This facility: 0.0, 100% below the AR average of 1.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
1.7%
↓ 84% · AR 10.9This facility: 1.7, 84% below the AR average of 10.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
1.7%
↓ 84% · AR 10.9This facility: 1.7, 84% below the AR average of 10.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · AR 95.1This facility: 100.0, 5% above the AR average of 95.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · AR 95.1This facility: 100.0, 5% above the AR average of 95.1 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · AR 95.3This facility: 100.0, 5% above the AR average of 95.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · AR 95.3This facility: 100.0, 5% above the AR average of 95.3 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
58.1%
↑ 15% · US 50.6This facility: 58.1, 15% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
58.1%
↑ 15% · US 50.6This facility: 58.1, 15% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · AR 1.4This facility: 0.0, 100% below the AR average of 1.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · AR 1.4This facility: 0.0, 100% below the AR average of 1.4 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 22% · AR 81.9This facility: 100.0, 22% above the AR average of 81.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 22% · AR 81.9This facility: 100.0, 22% above the AR average of 81.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 32% · AR 75.9This facility: 100.0, 32% above the AR average of 75.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 32% · AR 75.9This facility: 100.0, 32% above the AR average of 75.9 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
41.0%
↑ 63% · AR 25.2This facility: 41.0, 63% above the AR average of 25.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
41.0%
↑ 63% · AR 25.2This facility: 41.0, 63% above the AR average of 25.2 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
10.0%
↓ 28% · AR 13.8This facility: 10.0, 28% below the AR average of 13.8 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
10.0%
↓ 28% · AR 13.8This facility: 10.0, 28% below the AR average of 13.8 (among AR facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Twin Lakes Therapy and Living’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 173 Arkansas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, and more than last year
−12.6% operating margin
−19.9 pts vs prior year
An operating loss in 4 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$0.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Arkansas homes
52.0% payroll share of revenue
AR average 47.7%Rank #36 / 173Payroll % of net patient revenue — State benchmarked This nursing home is ranked 36th out of 173 nursing homes we track in Arkansas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Arkansas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue fell $0.5M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Arkansas homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | AR median | Compared with AR homesRank in AR | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $4.5M | −$0.5M | Trend 20172024 | AR median $9.1M | Rank in AR Rank #168 / 173Net patient revenue — State benchmarked This nursing home is ranked 168th out of 173 nursing homes we track in Arkansas for net patient revenue. Shows this facility's net patient revenue compared to the Arkansas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 3% of homes | Below AR median Higher net patient revenue than 3% of AR homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $5.0M | +$0.4M | Trend 20172024 | AR median $8.7M | Rank in AR Rank #163 / 173Operating expenses — State benchmarked This nursing home is ranked 163rd out of 173 nursing homes we track in Arkansas for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Arkansas homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 6% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.6M | −$0.9M | Trend 20172024 | AR median $0.2M | Rank in AR Rank #153 / 173Net patient income — State benchmarked This nursing home is ranked 153rd out of 173 nursing homes we track in Arkansas for net patient income. Shows net patient revenue minus operating expenses, compared with other Arkansas homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 12% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −12.6% | −19.9 pts | Trend 20172024 | AR median 3.0% | Rank in AR Rank #159 / 173Operating margin — State benchmarked This nursing home is ranked 159th out of 173 nursing homes we track in Arkansas for operating margin. Shows net patient income as a share of net patient revenue, compared with other Arkansas homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 8% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | AR median $0.0M | Rank in AR Rank #125 / 169Other income — State benchmarked This nursing home is ranked 125th out of 169 nursing homes we track in Arkansas for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Arkansas homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 26% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.6M | −$0.9M | Trend — | AR median $0.4M | Rank in AR Rank #158 / 173Net income — State benchmarked This nursing home is ranked 158th out of 173 nursing homes we track in Arkansas for net income. Shows the bottom line after other income, compared with other Arkansas homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 9% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Arkansas homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | AR median | Compared with AR homesRank in AR | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $2.3M | +$0.2M | Trend 20172024 | AR median $4.1M | Rank in AR Rank #166 / 173Payroll costs — State benchmarked This nursing home is ranked 166th out of 173 nursing homes we track in Arkansas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Arkansas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 4% of homes | Below AR median Higher payroll than 4% of AR homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 52.0% | +9.3 pts | Trend 20172024 | AR median 46.0% | Rank in AR Rank #36 / 173Payroll % of net patient revenue — State benchmarked This nursing home is ranked 36th out of 173 nursing homes we track in Arkansas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Arkansas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Arkansas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 80% of homes | 4.3 pts over AR average The AR average is 47.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · AR benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Arkansas payroll average.
% of net patient revenue
Payroll share Operating margin AR payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.3M | $5.3M | $5.4M | $5.3M | $4.8M | $5.0M | $5.0M | $4.5M |
| Operating expenses | $5.0M | $5.3M | $5.4M | $5.3M | $4.6M | $4.8M | $4.6M | $5.0M |
| Net patient income | $0.3M | −$0.0M | −$0.0M | −$0.1M | $0.2M | $0.2M | $0.4M | −$0.6M |
| Operating margin | 5.5% | −0.9% | −0.3% | −1.3% | 4.7% | 3.2% | 7.3% | −12.6% |
| Net income | $0.3M | −$0.0M | −$0.0M | −$0.1M | $0.2M | $0.2M | $0.4M | −$0.6M |
| Payroll costs | $2.3M | $2.4M | $2.5M | $2.6M | $2.1M | $2.3M | $2.1M | $2.3M |
| Payroll share of revenue | 43.5% | 45.8% | 46.3% | 49.0% | 44.8% | 45.5% | 42.7% | 52.0% |
| Beds | 80 | 80 | 80 | 80 | 80 | 80 | 80 | 80 |
| Gross revenue | $6.6M | $6.6M | $7.0M | $6.3M | $5.5M | $5.7M | $5.3M | $5.1M |
| Salaries | $2.0M | $2.1M | $2.2M | $2.2M | $1.9M | $2.0M | $1.9M | $2.1M |
| Wage-related costs | $0.3M | $0.3M | $0.3M | $0.4M | $0.3M | $0.3M | $0.3M | $0.3M |
| Contract labor | $0.3M | $0.3M | $0.3M | $0.3M | $0.2M | $0.1M | $0.1M | $0.1M |
| Other operating costs | $2.7M | $2.9M | $2.9M | $2.8M | $2.4M | $2.6M | $2.5M | $2.7M |
| Net patient revenue per day | $208 | $202 | $209 | $230 | $258 | $264 | $291 | $275 |
| Cost per day | $197 | $204 | $210 | $233 | $246 | $256 | $270 | $309 |
| Average length of stay | 224.5 days | 179.3 days | 145.3 days | 148.8 days | 123.7 days | 169.0 days | 228.0 days | 173.4 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
95 admissions · FY2024
Residents admitted during the year.
Medicare
30 · 32%
Medicaid
15 · 16%
Private pay & other
50 · 53%
Resident snapshot
54 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
5 · 9%
Medicaid
38 · 70%
Private pay & other
11 · 20%
Leaving
94 discharges · FY2024
Residents discharged during the year.
Medicare
30 · 32%
Medicaid
13 · 14%
Private pay & other
51 · 54%
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.
Places of interest near Twin Lakes Therapy and Living
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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Compare Nursing Homes around the area
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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Arkansas average is: 47.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Care Manor Nursing and Rehab | NH MC RC SNF | Mountain Home | 104
Facility
104
AR AVG
106
Rank
#111 / 204 | B+ |
64.8%
Facility
64.8%
AR AVG
71.7%
Rank
#100 / 150 | -10% | 4.38
Facility
4.38
AR AVG
4.78
Rank
#117 / 183 | -31% | -8% | $0
Facility
$0
AR AVG
$26.1k
Rank
#1 / 185 | 15
Facility
15
AR AVG
17.9
Rank
#67 / 184 | 3.8
Facility
3.8
AR AVG
5.0
Rank
#56 / 184 | - | 67 | A+ |
60
Facility
60
AR AVG
38
Rank
#30 / 202 | Mhcnc, Inc | $7.2MFiscal year ending 12/2024
Facility
$7.2MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#130 / 173 | $3.3MFiscal year ending 12/2024
Facility
$3.3MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#128 / 173 | 45.7%Fiscal year ending 12/2024
Facility
45.7%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#89 / 173 | 045351 | ||||
| Twin Rivers Health and Rehabilitation | NH RC SNF | Arkadelphia | 112
Facility
112
AR AVG
106
Rank
#82 / 204 | B+ |
67.2%
Facility
67.2%
AR AVG
71.7%
Rank
#94 / 150 | -6% | 4.10
Facility
4.10
AR AVG
4.78
Rank
#162 / 183 | +50% | -14% | $12.3k
Facility
$12.3k
AR AVG
$26.1k
Rank
#142 / 185 | 15
Facility
15
AR AVG
17.9
Rank
#67 / 184 | 3.8
Facility
3.8
AR AVG
5.0
Rank
#56 / 184 | - | 75 | A+ |
75
Facility
75
AR AVG
38
Rank
#5 / 202 | 3P Partners, LLC | $8.8MFiscal year ending 12/2024
Facility
$8.8MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#93 / 173 | $3.8MFiscal year ending 12/2024
Facility
$3.8MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#103 / 173 | 43.2%Fiscal year ending 12/2024
Facility
43.2%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#122 / 173 | 045216 | ||||
| Chapel Woods Health and Rehabilitation | NH MC RC SNF | Warren | 140
Facility
140
AR AVG
106
Rank
#15 / 204 | C- |
46.7%
Facility
46.7%
AR AVG
71.7%
Rank
#143 / 150 | -35% | 4.55
Facility
4.55
AR AVG
4.78
Rank
#110 / 183 | -26% | -5% | $8.3k
Facility
$8.3k
AR AVG
$26.1k
Rank
#132 / 185 | 19
Facility
19
AR AVG
17.9
Rank
#107 / 184 | 3.8
Facility
3.8
AR AVG
5.0
Rank
#56 / 184 | 1 | 65 | A+ |
54
Facility
54
AR AVG
38
Rank
#51 / 202 | Wrnc, Inc | $8.0MFiscal year ending 12/2024
Facility
$8.0MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#110 / 173 | $4.0MFiscal year ending 12/2024
Facility
$4.0MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#91 / 173 | 49.9%Fiscal year ending 12/2024
Facility
49.9%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#50 / 173 | 045201 | ||||
| Twin Lakes Therapy and Living | NH MC RC SNF | East Flippin | 80
Facility
80
AR AVG
106
Rank
#164 / 204 | C- |
59.5%
Facility
59.5%
AR AVG
71.7%
Rank
#116 / 150 | -17% | 4.71
Facility
4.71
AR AVG
4.78
Rank
#86 / 183 | -55% | -1% | $25.7k
Facility
$25.7k
AR AVG
$26.1k
Rank
#166 / 185 | 27
Facility
27
AR AVG
17.9
Rank
#162 / 184 | 6.8
Facility
6.8
AR AVG
5.0
Rank
#145 / 184 | 2 | 48 | A+ |
28
Facility
28
AR AVG
38
Rank
#136 / 202 | Fpnc, Inc | $4.5MFiscal year ending 12/2024
Facility
$4.5MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#168 / 173 | $2.3MFiscal year ending 12/2024
Facility
$2.3MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#166 / 173 | 52%Fiscal year ending 12/2024
Facility
52%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#36 / 173 | 045280 | ||||
| Bailey Creek Health and Rehab | NH MC RC SNF | Texarkana | 115
Facility
115
AR AVG
106
Rank
#77 / 204 | ? | - | - | 4.81
Facility
4.81
AR AVG
4.78
Rank
#76 / 183 | -5% | +1% | $0
Facility
$0
AR AVG
$26.1k
Rank
#1 / 185 | 19
Facility
19
AR AVG
17.9
Rank
#107 / 184 | 3.2
Facility
3.2
AR AVG
5.0
Rank
#27 / 184 | - | 91 | A+ |
65
Facility
65
AR AVG
38
Rank
#19 / 202 | Txknc, Inc | $7.7MFiscal year ending 12/2024
Facility
$7.7MFiscal year ending 12/2024
AR AVG
$9.3M
Rank
#115 / 173 | $3.8MFiscal year ending 12/2024
Facility
$3.8MFiscal year ending 12/2024
AR AVG
$4.4M
Rank
#101 / 173 | 49.4%Fiscal year ending 12/2024
Facility
49.4%Fiscal year ending 12/2024
AR AVG
47.7%
Rank
#57 / 173 | 045241 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other AR nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Arkansas
Twin Lakes Therapy and Living is in East Flippin, Arkansas. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
Living Choices Assisted Living Waiver
Arkansas Medicaid Living Choices Assisted Living Waiver
- Income limit
- 2026 · $2,982/month per applicant under the published long-term-care standard; spouse and child income are disregarded under the chart rules.
- Asset limit
- $2,000 for an individual; the chart lists $3,000 for a couple. Community-spouse protections and exclusions require individual review.
Eligibility
- General
- Adults age 65+ or adults age 21+ who are blind or physically disabled and meet the program level-of-care and Medicaid criteria.
- AR specifics
- Assisted-living care is provided in eligible Level II assisted-living facilities.
What it provides
- Authorized assisted-living care and support services in participating Level II facilities.
ARChoices
Arkansas Medicaid ARChoices
- Income limit
- 2026 · $2,982/month per applicant under the published long-term-care standard; spouse and child income are disregarded under the chart rules.
- Asset limit
- $2,000 for an individual; the chart lists $3,000 for a couple. Community-spouse protections and exclusions require individual review.
Eligibility
- General
- Adults age 65+ or adults age 21–64 with physical disabilities who meet Medicaid and nursing-facility level-of-care criteria.
- AR specifics
- Functional assessment and authorization determine the home and community services in the care plan.
What it provides
- Authorized attendant care; home-delivered meals; personal emergency response systems; adult day services; respite and accessibility adaptations.
Arkansas State Plan Personal Care
Arkansas Medicaid Personal Care Program
- Income limit
- Must qualify for an applicable Arkansas Medicaid coverage category.
Eligibility
- General
- People in a qualifying Arkansas Medicaid category who require assessed assistance with at least one daily-living or instrumental activity.
- AR specifics
- Independent assessment and clinical authorization apply; the fact sheet excludes specified institutional settings including Level II assisted living.
What it provides
- Authorized assistance with personal tasks; hours depend on assessment and the approved plan.
Choices in Living Resource Center
Arkansas Choices in Living
- Income limit
- 2026 · No income test for contacting this information and referral resource.
- Asset limit
- No asset test for contacting this information and referral resource.
Eligibility
- General
- Anyone seeking long-term-services information, including older adults, people with disabilities, families, caregivers and professionals.
- AR specifics
- The resource center provides information and helps people explore long-term-services options.
What it provides
- Free information and options counseling about long-term services and supports.
Know before you visit
Frequently Asked Questions about Twin Lakes Therapy and Living
Quick answers from public records and the community's own listing.01 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.
02 Is Twin Lakes Therapy and Living in a walkable area?
Twin Lakes Therapy and Living has a walk score of 28. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
03 What is the occupancy rate at Twin Lakes Therapy and Living?
Twin Lakes Therapy and Living's occupancy is 59.5%.
04 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.
05 Are pets allowed at Twin Lakes Therapy and Living?
No, Twin Lakes Therapy and Living has a no-pet policy.
06 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.
07 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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