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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

The Estates at Twin Rivers LLC

305 Fremont Street · Anoka, MN 55303 · 50 certified beds

7634215660

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1013455856. Look this up in the CMS NPPES registry (opens in a new tab)

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About The Estates at Twin Rivers LLC

The Estates at Twin Rivers LLC is a nursing home in Anoka, Minnesota. Public records list 50 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Monarch Healthcare Management. We hold 38 inspection citations for this listing, the most recent dated 27 March 2026. Public enforcement records list no fine or payment denial against it. Reported staffing works out to 3.48 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.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

4.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

32

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

4.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

37

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

2.0

Inspections on record

2

Cited deficiencies

32

Inspection history (38)

Records from April 2023 to March 2026.

  • May 1, 2025 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2025-05-01 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 2025-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-01.GOV

  • January 21, 2025 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2025-01-21 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-21.GOV

  • January 21, 2025 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2025-01-21 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-02-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-21.GOV

  • January 9, 2025 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2025-01-09 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 2025-01-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-09.GOV

  • January 9, 2025 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2025-01-09 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-01-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-09.GOV

  • October 17, 2024 · D

    Citation F0550

    Federal surveyors cited this nursing home on 2024-10-17 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 2024-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-17.GOV

  • October 17, 2024 · D

    Citation F0694

    Federal surveyors cited this nursing home on 2024-10-17 under CMS tag F0694 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2024-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-17.GOV

  • October 17, 2024 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2024-10-17 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-11-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-17.GOV

  • April 24, 2024 · F

    Citation F0727

    Federal surveyors cited this nursing home on 2024-04-24 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-24.GOV

  • April 24, 2024 · D

    Citation F0554

    Federal surveyors cited this nursing home on 2024-04-24 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-24.GOV

  • April 24, 2024 · D

    Citation F0558

    Federal surveyors cited this nursing home on 2024-04-24 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-24.GOV

  • April 24, 2024 · E

    Citation F0912

    Federal surveyors cited this nursing home on 2024-04-24 under CMS tag F0912 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-24.GOV

  • March 15, 2024 · F

    Citation F0812

    Federal surveyors cited this nursing home on 2024-03-15 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 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOV

  • March 15, 2024 · F

    Citation F0921

    Federal surveyors cited this nursing home on 2024-03-15 under CMS tag F0921 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-15.GOV

  • April 13, 2023 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2023-04-13 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-13.GOV

  • April 13, 2023 · E

    Citation F0912

    Federal surveyors cited this nursing home on 2023-04-13 under CMS tag F0912 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. The deficiency was recorded as corrected on 2023-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-13.GOV

  • April 13, 2023 · D

    Citation F0759

    Federal surveyors cited this nursing home on 2023-04-13 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2023-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-13.GOV

  • April 13, 2023 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2023-04-13 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2023-05-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-13.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.48 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.56 hrs/resident/day
  2. 2026-06-013.56 hrs/resident/day
  3. 2026-07-013.48 hrs/resident/day
  4. 2026-08-013.48 hrs/resident/day
  5. 2026Q13.48 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Monarch Healthcare Management

Chain ID 361 · 45 facilities in chain (CMS)

  • Chain average overall rating: 2.2
  • Chain average health inspection rating: 2.1
  • Chain average staffing rating: 3.7
  • Chain average quality measure rating: 3

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Monarch Healthcare Operating IV LLC

    parent · PAC 6204125933

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For 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.

Typical cost

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/mo
See full MN cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Anoka, with their own public records.

Compare side by side

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.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.