51.4/100
Below average
6152 Highway 202 East, Flippin, AR 72634
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$25,678 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: June 12, 2025 (1 year ago).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
Part of ANTHONY & BRYAN ADAMS, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BEGLEY, JENNIFER | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| DVORAK, NORA | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SPEAKS, KATHY | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| ADAMS, ANTHONY | Individual | CORPORATE OFFICER | — |
| ADAMS, BRYAN | Individual | CORPORATE OFFICER | — |
| KOEHLER, TOBEY | Individual | CORPORATE OFFICER | — |
| BEGLEY, JENNIFER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HEALTH CARE SOLUTIONS, LLC | Organization | ADP OF THE SNF | — |
| INCITE REHAB, LLC | Organization | ADP OF THE SNF | — |
| LTC SYSTEMS/RX, LLC | Organization | ADP OF THE SNF | — |
| PHARMACY CONSULTS, LLC | Organization | ADP OF THE SNF | — |
| RELIANCE HEALTH CARE, INC. | Organization | ADP OF THE SNF | — |
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Twin Lakes Therapy And Living holds an ElderGrade of D (51.4 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.23 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 27 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Twin Lakes Therapy And Living is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.