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Establishment profile

TWIN LAKES THERAPY AND LIVING

6152 HIGHWAY 202 EAST, FLIPPIN, AR, 72634
Operated by ANTHONY & BRYAN ADAMS · 1 of 35 establishments

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OSHA inspections
0
Violations
0
Penalties
$0
Context
No OSHA inspections on record. This does not mean the employer is violation-free — OSHA inspects a small fraction of workplaces annually.

Summary

TWIN LAKES THERAPY AND LIVING has no OSHA inspection history on file. Federal records covering wage, environmental, labor relations, and other agencies are noted below where present.

The most recent federal enforcement activity was recorded 0 days ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

TWIN LAKES THERAPY AND LIVING appears in CMS nursing home enforcement record only. No matching records were found in OSHA workplace safety, WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls. Single-agency enforcement records typically indicate either a discrete incident-based inspection or a low-risk operational profile.

OSHA workplace safety

No OSHA inspections, citations, or accidents on file for TWIN LAKES THERAPY AND LIVING. Verify directly with Occupational Safety and Health Administration

Safety self-report (OSHA 300A)

No self-reported injury rates filed with OSHA's Injury Tracking Application for TWIN LAKES THERAPY AND LIVING. Verify directly with OSHA Injury Tracking Application

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for TWIN LAKES THERAPY AND LIVING. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
0 days ago

Most recent federal enforcement activity recorded 0 days ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for TWIN LAKES THERAPY AND LIVING. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for TWIN LAKES THERAPY AND LIVING. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for TWIN LAKES THERAPY AND LIVING. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for TWIN LAKES THERAPY AND LIVING. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for TWIN LAKES THERAPY AND LIVING. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 045280 · Chain: ANTHONY & BRYAN ADAMS

CMS abuse icon
Overall rating
2 of 5 stars
Certified beds
80
Deficiencies (3y)
23
CMS fines
$25,678

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 28 citations across 5 surveys · 2 immediate jeopardy · 14 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Jun 20250812F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Jun 20250838E
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.
Administration Deficiencies
Complaint
Jun 20250600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Jun 20250880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Nov 20240689J (IJ)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Nov 20240838E
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.
Administration Deficiencies
Complaint
Mar 20240689J (IJ)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
Mar 20240609E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Mar 20240657E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20240677E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint
Mar 20240687E
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Complaint
Mar 20240755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard
Mar 20240757E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Standard
Mar 20240759E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard
Mar 20240761E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard
Mar 20240809E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Complaint
Mar 20240880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Mar 20240921E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint
Mar 20240558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint
Mar 20240641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20240686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Mar 20240807D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies
Complaint
Mar 20240582B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Standard
Jun 20230760E
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint
Jan 20230695E
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard
Jan 20230656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Jan 20230657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Jan 20230689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for TWIN LAKES THERAPY AND LIVING. Verify directly with UVA Corporate Prosecution Registry

In the news

Part of a larger organization

TWIN LAKES THERAPY AND LIVING is one of 35 establishments rolled up under the parent organization ANTHONY & BRYAN ADAMS.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of ANTHONY & BRYAN ADAMS across all 35 of its tracked locations is viewable on the parent profile.

Other locations under this parent

Other establishments operated by ANTHONY & BRYAN ADAMS, ordered by federal enforcement volume:

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About this data

This profile aggregates federal enforcement records on TWIN LAKES THERAPY AND LIVING from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup ANTHONY & BRYAN ADAMS, which operates 35 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is TWIN LAKES THERAPY AND LIVING's OSHA violation history?
TWIN LAKES THERAPY AND LIVING has no OSHA inspections on record.