Minnesota › Anoka County › Anoka
The Estates At Twin Rivers LLC
305 Fremont Street, Anoka, MN 55303
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 50 beds, The Estates At Twin Rivers LLC serves Anoka in Anoka County, Minnesota and has taken Medicare and Medicaid residents since 1985.
CMS gives it 2 of 5 stars overall, below the Minnesota median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (9, 26, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 82.0 per 100 beds, more than the state median of 30.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (0.8 RN), close to the Minnesota median of 4.2; nursing staff turnover is 45.5%.
Compared with county, state and nation
| Measure | This facility | Anoka Co. median | Minnesota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 41 | 20 | 28.7 |
| Citations per 100 beds | 82.0 | 44.3 | 30.0 | 26.8 |
| Total nurse hours per resident day | 3.5 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.8 | 1.0 | 1.0 | 0.7 |
| Nursing staff turnover | 45.5% | 42.5% | 40.0% | 45.8% |
| Fines listed | $0 | $10,203 | $0 | — |
County and state figures are medians across facilities (6 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Jul 2026, 23 May 2025.
Severity mix: J ×1 D ×30 E ×3 F ×6 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Aug 2026 |
| 2 Jul 2026 | F0584 | 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. | D | Complaint investigation | 3 Aug 2026 |
| 2 Jul 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 3 Aug 2026 |
| 2 Jul 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Aug 2026 |
| 2 Jul 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 3 Aug 2026 |
| 2 Jul 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Aug 2026 |
| 2 Jul 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 3 Aug 2026 |
| 27 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Apr 2026 |
| 13 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 10 Nov 2025 |
| 23 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 3 Jul 2025 |
| 23 May 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | Standard survey | Deficient, Provider has no plan of correction |
| 23 May 2025 | F0761 | 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. | E | Complaint investigation | 3 Jul 2025 |
| 23 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 3 Jul 2025 |
| 23 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 3 Jul 2025 |
| 23 May 2025 | F0584 | 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. | D | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 4 Jul 2025 |
| 23 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Jul 2025 |
| 23 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Jul 2025 |
| 23 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0688 | 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. | D | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 3 Jul 2025 |
| 23 May 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 3 Jul 2025 |
| 1 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 May 2025 |
| 1 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 May 2025 |
| 21 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 7 Feb 2025 |
| 21 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 7 Feb 2025 |
| 9 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 31 Jan 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Jan 2025 |
| 17 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Nov 2024 |
| 17 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Nov 2024 |
| 17 Oct 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 22 Nov 2024 |
| 24 Apr 2024 | F0727 | 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. | F | Standard survey | Waiver has been granted |
| 24 Apr 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard survey | Waiver has been granted |
| 24 Apr 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | Deficient, Provider has date of correction |
| 24 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | Deficient, Provider has date of correction |
| 15 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 12 Apr 2024 |
| 15 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 12 Apr 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 45.5%, RNs 85.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Minnesota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.7% | 18.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.9% | 1.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.7% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 1.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.3% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.2% | 4.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | 15.9% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: The Estates At Anoka Llc. Chain: Monarch Healthcare Management (45 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nij LLC | 5% or greater direct ownership interest | 7% | 03/01/2017 |
| Spartan Healthcare LLC | 5% or greater direct ownership interest | 30% | 03/01/2017 |
| Yazoma Holdings, LLC | 5% or greater direct ownership interest | 30% | 03/01/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Anoka County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Anoka Rehabilitation and Living Center | Anoka | 120 | 4 | 3 | 5 | 32 | 26.7 | $24K | 13 Nov 2025 |
| St Anthony Health & Rehabilitation | St Anthony | 110 | 4 | 3 | 5 | 32 | 29.1 | $10K | 18 Jun 2026 |
| Park River Healthcare and Rehabilitation Center Ll | Coon Rapids | 98 | 2 | 1 | 5 | 41 | 41.8 | — | 27 Apr 2026 |
| The Estates At Fridley LLCabuse icon | Fridley | 50 | 2 | 2 | 4 | 34 | 68.0 | — | 27 Mar 2026 |
| Crest View Lutheran Homeabuse icon | Columbia Heights | 106 | 1 | 1 | 3 | 47 | 44.3 | $17K | 19 Mar 2026 |
All 6 facilities in Anoka County
Questions and answers
How many deficiencies has The Estates At Twin Rivers LLC been cited for?
41 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.
Has The Estates At Twin Rivers LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Estates At Twin Rivers LLC compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.
Who operates The Estates At Twin Rivers LLC?
It is part of the Monarch Healthcare Management chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Nij LLC, Spartan Healthcare LLC and Yazoma Holdings, LLC. Individual owners and managers are not listed on this site.
When was The Estates At Twin Rivers LLC last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 2 Jul 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.