Home›Arkansas›Marion County›TWIN LAKES THERAPY AND LIVING
C
Below Standard

TWIN LAKES THERAPY AND LIVING

6152 HIGHWAY 202 EAST · FLIPPIN, AR 72634

8704534603 · For profit - Corporation

80 beds51.6 residents68 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

TWIN LAKES THERAPY AND LIVING receives an overall staffing grade of C (Below Standard). With 3.6386 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4002 HPRD, below the recommended 0.75. It is 0.26 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.47% compared to weekdays. The facility has low agency staff usage (0.59% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4002 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.59%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6386hrs/resident/day▼ 0.26
CMS benchmark: 3.48
RN HPRD
0.4002hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
19.47%
3.8505 weekday → 3.1008 weekend
Agency Staff
0.59%
5.3% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1661hrs/resident/day
Direct care aides
LPN HPRD
0.8786hrs/resident/day
Licensed practical nurses
Consistency
0.4796std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Marion County Average+0.04 HPRD
3.59
03.64 HPRD
vs. Arkansas State Average-0.45 HPRD
4.09
03.64 HPRD
vs. National Average-0.26 HPRD
3.90
03.64 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
TWIN LAKES THERAPY AND LIVING ★
FLIPPIN · This facility
—
C
3.63860.4002★★☆☆☆
Creekside at the Springs
Yellville
5.7 mi
B
3.54870.6321★★★★☆
GASSVILLE THERAPY AND LIVING
GASSVILLE
6.3 mi
B
3.73170.7873★★★☆☆
CARE MANOR NURSING AND REHAB
MOUNTAIN HOME
12.5 mi
D
3.91290.3912★★★★☆
LAKE FOREST SENIOR LIVING AT MOUNTAIN HOME
MOUNTAIN HOME
14.6 mi
C
4.12880.5338★★★☆☆
HIGHLAND COURT, A REHABILITATION AND RESIDENT CARE
MARSHALL
26 mi
A
4.16060.8291★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
28
Total Deficiencies
$25,678
Fines Assessed
Jun 12, 2025Health
4 deficiencies cited
▼
Nov 1, 2024Health
2 deficiencies cited· Includes actual harm
▼
Mar 15, 2024Health
17 deficiencies cited· Includes actual harm
▼
Jun 21, 2023Health
1 deficiency cited
▼
Jan 27, 2023Health
4 deficiencies cited
▼

Penalty History

Nov 1, 2024Fine
$12,844
Nov 1, 2024Payment Denial
Mar 15, 2024Fine
$12,834
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.