# Twin Lakes Therapy and Living

Twin Lakes Therapy and Living is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Flippin, AR, CMS Certification Number 045280, with 80 certified beds and about 48 residents per day. CMS rates it 2/5 overall (health inspections 1/5, staffing 4/5, quality measures 5/5).

## Key facts
- Status: Active CMS certification
- Address: 6152 Highway 202 East, Flippin, AR 72634 (Marion County)
- Ownership type: For profit - Corporation

- Operator (legal business name): [Fpnc, Inc](https://carefield.site/operator/op-fpnc-inc)
- CMS chain: [Anthony & Bryan Adams](https://carefield.site/chain/cms-chain-36) — 38 facilities

- Phone: 8704534603
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/045280

## Inspection record
7 inspections in the CMS window (latest 2025-06-12); 34 citations (27 health, 7 fire safety); 0 at actual harm and 2 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2024-11-01 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected; complaint survey
- 2024-03-15 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2025-06-12 — [K-0712](https://carefield.site/deficiency/cms-k0712) Have simulated fire drills held at unexpected times. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-12 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-06-12 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-12 — [F-0838](https://carefield.site/deficiency/cms-f0838) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-06-12 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-11-01 — [F-0838](https://carefield.site/deficiency/cms-f0838) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-03-15 — [K-0344](https://carefield.site/deficiency/cms-k0344) Have an alternate power supply for its alarm system. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-03-15 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-03-15 — [F-0558](https://carefield.site/deficiency/cms-f0558) Reasonably accommodate the needs and preferences of each resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-03-15 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-03-15 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-03-15 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-03-15 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-03-15 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-03-15 — [F-0687](https://carefield.site/deficiency/cms-f0687) Provide appropriate foot care. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2024-03-15 — [F-0755](https://carefield.site/deficiency/cms-f0755) Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-03-15 — [F-0757](https://carefield.site/deficiency/cms-f0757) Ensure each resident’s drug regimen must be free from unnecessary drugs. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2024-03-15 — [F-0759](https://carefield.site/deficiency/cms-f0759) Ensure medication error rates are not 5 percent or greater. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- …and 14 more on the source page.

## Penalties
- 2024-11-01 — Denial of payment for new admissions (16 days)
- 2024-11-01 — Civil money penalty (fine): $12,844
- 2024-03-15 — Civil money penalty (fine): $12,834

## Staffing (PBJ, hours per resident per day)
- Total nurse: 4.15794 (state avg 4.07811, US 3.90085)
- RN: 0.52579
- Nursing staff turnover: 49.1%

## Owners and managers of record (CMS disclosures)
- Jennifer Begley — Operational / managerial control, since 2024-10-30
- Nora Dvorak — Operational / managerial control, since 2017-01-01
- Kathy Speaks — Operational / managerial control, since 2024-01-01
- Jennifer Begley — Operational / managerial control, since 2024-10-30

## Nearby nursing homes
- [Creekside at the Springs](https://carefield.site/facility/cms-045451) — 9.2 km, CMS overall 3/5
- [Gassville Therapy and Living](https://carefield.site/facility/cms-045218) — 10.1 km, CMS overall 5/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045280&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045280&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045280&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045280&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045280&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045280&conditions%5B0%5D%5Boperator%5D=%3D

---
Source page: https://carefield.site/facility/cms-045280 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.