The Estates at Twin Rivers LLC
Cost data not yet available
Nursing Homes · Medicare certified
3000 4th Avenue · Anoka, MN 55303 · 120 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1326069642. Look this up in the CMS NPPES registry (opens in a new tab)
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In Anoka, Minnesota, Anoka Rehabilitation and Living Center is listed as a nursing home. Public records list 120 beds. It is Medicare certified. Ownership records list a nonprofit operator and tie the listing to Volunteers of America Senior Living. We hold 32 inspection citations for this listing, the most recent dated 13 November 2025. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 4.11 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
5.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
25
Staffing rating
5.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
25
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
5.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
25
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Records from May 2023 to November 2025.
November 13, 2025 · D
Citation F0697Federal surveyors cited this nursing home on 2025-11-13 under CMS tag F0697 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2026-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · D
Citation F0605Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2025-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 21, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-09-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 22, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-01-22 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-02-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 22, 2025 · F
Citation F0880Federal surveyors cited this nursing home on 2025-01-22 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-02-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 17, 2024 · D
Citation F0661Federal surveyors cited this nursing home on 2024-12-17 under CMS tag F0661 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. The deficiency was recorded as corrected on 2025-01-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 3, 2024 · E
Citation F0812Federal surveyors cited this nursing home on 2024-10-03 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-10-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · C
Citation F0732Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · E
Citation F0883Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0883 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · D
Citation F0698Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · D
Citation F0623Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · E
Citation F0554Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0554 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · D
Citation F0791Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0791 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or obtain dental services for each resident. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · E
Citation F0657Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · D
Citation F0758Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 18, 2024 · D
Citation F0582Federal surveyors cited this nursing home on 2024-07-18 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2024-08-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $24,297
March 26, 2024 · Fine
Citation FINE-53810CMS recorded a civil money penalty of $24,297 against this nursing home on 2024-03-26 (Fine ID: 53810). Source: CMS Care Compare Penalties (as of 2026-07-01).
March 26, 2024 · Payment Denial
Citation PAYDEN-2024-04-27CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-04-27, lasting 5 days (triggered by inspection on 2024-03-26). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 4.11 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.09 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Non profit
CMS Care Compare chain: Volunteers of America Senior Living
Chain ID 554 · 6 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit - Corporation".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical MN range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MN$10,646/moOther licensed providers in Anoka, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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