Nursing Homes · Anoka, MN
Nursing Homes · Medicare certified
The Estates at Twin Rivers LLC
305 Fremont Street · Anoka, MN 55303 · 50 certified beds
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About The Estates at Twin Rivers LLC
The Estates at Twin Rivers LLC is a nursing home in Anoka, Minnesota. Its capacity is 50 beds, below the Anoka County median of 98 for nursing homes. It is run by a for-profit operator and is part of Monarch Healthcare Management. It is Medicare certified. Its public inspection record shows 38 citations, the most recent on March 27, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.66 hours per resident per day. It is one of 2 nursing homes listed in Anoka. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
4.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (38)
Records from April 2023 to March 2026.
May 1, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2025.
January 21, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.
January 21, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.
January 9, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 31, 2025.
January 9, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 31, 2025.
October 17, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
October 17, 2024
Tag F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
October 17, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2024.
April 24, 2024
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm.
April 24, 2024
Tag F0554Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm.
April 24, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm.
April 24, 2024
Tag F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity E: pattern, no actual harm, potential for more than minimal harm.
March 15, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 12, 2024.
March 15, 2024
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 12, 2024.
April 13, 2023
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2023.
April 13, 2023
Tag F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 30, 2023.
April 13, 2023
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2023.
April 13, 2023
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 30, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.66 nurse hours per resident per day in Q2 2026, up from 3.56 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Monarch Healthcare Management, a chain of 45 nursing homes.
Average CMS star ratings across the chain: 2.1 overall, 2.1 for health inspections, 3.7 for staffing, 3.0 for quality measures.
- Parent company: Monarch Healthcare Operating IV LLC
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Minnesota.
Nearby alternatives
Other licensed providers in Anoka.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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