Twin Lakes Therapy and Living: Staffing, Turnover, and Inspection Record
Twin Lakes Therapy and Living is a 80-bed for-profit nursing home in Flippin, Arkansas, part of Anthony & Bryan Adams. In the CMS August 2026 release it reported 2.46 nurse aide hours per resident per day, 8% below the Arkansas average of 2.67, and 57.6% nursing staff turnover (Arkansas average 49.5%).
Twin Lakes Therapy and Living
6152 Highway 202 EastFlippin, AR 72634
Marion County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Twin Lakes Therapy and Living, nurse aides logged 2.46 hours per resident per day, 8% below the Arkansas average. With about 43 residents a day, that works out to roughly 106 aide hours a day, or about 13 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Arkansas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.46 | 2.67 | 2.32 |
| Licensed practical nurses | 1.22 | 0.95 | 0.86 |
| Registered nurses | 0.56 | 0.41 | 0.69 |
| All nursing staff | 4.23 | 4.03 | 3.86 |
| All nursing staff, weekends | 3.39 | 3.46 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
57.6% of nursing staff at Twin Lakes Therapy and Living left over the year CMS measured, against a Arkansas average of 49.5% and a US average of 45.8%. Registered nurse turnover was 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 12, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Arkansas average 2.9). CMS lists 2 fines totaling $25,678 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 1, 2024 | Fine | $12,844 |
| Nov 1, 2024 | Payment Denial | 16 days from Nov 30, 2024 |
| Mar 15, 2024 | Fine | $12,834 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Twin Lakes Therapy and Living holds 2 of 5 overall; the Arkansas average is 3.4.
About Twin Lakes Therapy and Living
- Ownership: For profit - Corporation
- Chain: Anthony & Bryan Adams, 38 homes
- Legal name: FPNC, Inc.
- Medicare and Medicaid certified since: May 22, 1995
- Councils: resident council
- Area: rural
Nursing homes near Twin Lakes Therapy and Living
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Creekside at the Springs Yellville | 5.7 | 96 | 2.05 | 3.44 | 32.7% | 3 | $15,915 |
| Gassville Therapy and Living Gassville | 6.3 | 105 | 2.36 | 3.67 | 39.6% | 4 | None |
| Hiram Shaddox Health and Rehab Mountain Home | 12.4 | 140 | 1.87 | 3.08 | 57.8% | 4 | None |
| Care Manor Nursing and Rehab Mountain Home | 12.5 | 104 | 2.44 | 3.80 | 65.1% | 5 | None |
| Lake Forest Senior Living at Mountain Home Mountain Home | 14.6 | 70 | 2.49 | 3.91 | — | 3 | None |
| Gainesville Nursing Gainesville | 23.0 | 99 | 1.83 | 2.63 | 48.6% | 3 | None |
| Highland Court, a Rehabilitation and Resident Care Marshall | 26.1 | 78 | 2.59 | 3.93 | 38.8% | 5 | None |
| Hillcrest Home Harrison | 27.6 | 103 | 3.28 | 5.13 | 42.8% | 4 | $13,070 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.