nursing home in Anoka, MN
The Estates at Twin Rivers LLC
305 Fremont Street, Anoka, MN 55303 · (763) 421-5660
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Estates at Twin Rivers LLC at a glance
The Estates at Twin Rivers LLC is a 50-bed for-profit nursing home in Anoka, Minnesota (Anoka County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Minnesota average of 3.2.
Residents receive about 3.5 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 4.2 hours.
Its most recent standard health inspection (July 2, 2026) found 9 health citations. The Minnesota average is 7.1.
It has not received a federal fine in the past three years.
Nursing staff turnover is 45.5% per year (state average 42.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Monarch Healthcare Management
- Medicare-certified since
- October 1, 1985
- Resident/family council
- Both
- County
- Anoka County
- CMS Certification Number
- 245298
Ratings
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.48 hrs | 4.19 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.83 hrs | 1.06 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.97 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.10 hrs | 3.71 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 45.5% | 42.2% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 38.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 9 | 7 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 83 | 63.9 | 80.6 | Average |
Penalties
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $24,507 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 71 | 107 | |
| Average residents per day | 39 | 60 | 86 | |
| Occupancy | 77.2% | 84.1% | 80.9% |
Long-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 4% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 10.2% | 5.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 21.4% | 17.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.7% | 2.6% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 4.9% | 1.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 11.7% | 18.2% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 19.3% | 20.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9% | 4.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7.1% | 4.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.4% | 12.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 21% | 24.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 76.9% | 96.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 87.7% | 97.4% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Minnesota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.2% | 1.9% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 28.1% | 82.7% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 33.7% | 88.1% | 82% | Worse |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 2, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | C No harm, widespread | Corrected August 3, 2026 |
| July 2, 2026 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 2, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 2, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 2, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 2, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 2, 2026 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 3, 2026 |
| July 2, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected August 3, 2026 |
| March 27, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 15, 2026 |
| November 13, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected November 10, 2025 |
| May 23, 2025 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected July 3, 2025 |
| May 23, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 3, 2025 |
| May 23, 2025 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 23, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 3, 2025 |
| May 23, 2025 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected July 3, 2025 |
| May 23, 2025 Complaint | 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 · Tag F0761 | E Potential harm, pattern | Corrected July 3, 2025 |
| May 23, 2025 Complaint | 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 · Tag F0657 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 4, 2025 |
| May 23, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 3, 2025 |
| May 23, 2025 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected July 3, 2025 |
| May 1, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 16, 2025 |
| May 1, 2025 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected May 16, 2025 |
| January 21, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 21, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected February 7, 2025 |
| January 9, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 31, 2025 |
| January 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 31, 2025 |
| October 17, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 17, 2024 Complaint | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 17, 2024 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected November 22, 2024 |
| April 24, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 31, 2024 |
| April 24, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected May 23, 2024 |
| April 24, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | C No harm, widespread | Deficient, Provider has date of correction |
| April 24, 2024 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Waiver has been granted |
| April 24, 2024 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | E Potential harm, pattern | Waiver has been granted |
| April 24, 2024 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Deficient, Provider has date of correction |
| April 24, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Deficient, Provider has date of correction |
| March 15, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected April 12, 2024 |
| March 15, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 12, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AREM, JEFFREY Individual | 5% or greater direct ownership interest | 7% | 03/01/2017 |
| NIJ LLC Organization | 5% or greater direct ownership interest | 7% | 03/01/2017 |
| SPARTAN HEALTHCARE LLC Organization | 5% or greater direct ownership interest | 30% | 03/01/2017 |
| STERN, WILLIAM Individual | 5% or greater direct ownership interest | 20% | 03/01/2017 |
| YAZOMA HOLDINGS, LLC Organization | 5% or greater direct ownership interest | 30% | 03/01/2017 |
| HALPERT, MARC Individual | 5% or greater indirect ownership interest | — | 03/01/2017 |
| JAFFA, NOAM Individual | 5% or greater indirect ownership interest | 7% | 03/01/2017 |
| LEGUM, JOSHUA Individual | 5% or greater indirect ownership interest | 30% | 03/01/2017 |
| HALPERT, MARC Individual | corporate director | NOT APPLICABLE | 03/01/2017 |
| STERN, WILLIAM Individual | corporate officer | NOT APPLICABLE | 03/01/2017 |
| MONARCH HEALTHCARE OPERATING IV LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2017 |
| LEGUM, JOSHUA Individual | w-2 managing employee | NOT APPLICABLE | 03/01/2017 |
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Frequently asked questions
What is The Estates at Twin Rivers LLC's rating?
The Estates at Twin Rivers LLC has 2 out of 5 stars on the CMS overall star rating. The average for Minnesota nursing homes is 3.2 stars.
How many inspection citations did The Estates at Twin Rivers LLC receive?
Its most recent standard health inspection found 9 citations, compared with a Minnesota average of 7.1. Every citation is listed on this page with its severity.
Does The Estates at Twin Rivers LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns The Estates at Twin Rivers LLC?
It is for profit - corporation and part of Monarch Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Estates at Twin Rivers LLC and how do I contact it?
The Estates at Twin Rivers LLC is at 305 Fremont Street, Anoka, MN 55303. Phone: (763) 421-5660.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.