The Estates At Twin Rivers Llc

305 FREMONT STREET, ANOKA, MN 55303 · CCN 245298 · 50 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-11-13 IMMEDIATE JEOPARDY (tag F0760, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.

Staffing, from payroll records

Nursing hours / resident / day

2.94

state median 3.48

Weekend staffing gap

+2%

more nursing hours on weekends · state median −4%

RN hours / resident / day

0.45

registered nurses only

Contract (agency) staff

9%

share of all nursing hours

Days with zero RN hours reported

4

with residents present

Nursing staff turnover

46%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation. Part of the MONARCH HEALTHCARE MANAGEMENT chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 36 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-03-27F0880Infection Control DeficienciesDnot recorded
2025-11-13F0760Pharmacy Service DeficienciesJnot recorded
2025-05-23F0550Resident Rights DeficienciesDnot recorded
2025-05-23F0552Resident Rights DeficienciesDnot recorded
2025-05-23F0561Resident Rights DeficienciesDnot recorded
2025-05-23F0577Resident Rights DeficienciesCnot recorded
2025-05-23F0584Resident Rights DeficienciesDnot recorded
2025-05-23F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-23F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-23F0677Quality of Life and Care DeficienciesDnot recorded
2025-05-23F0684Quality of Life and Care DeficienciesDnot recorded
2025-05-23F0688Quality of Life and Care DeficienciesDnot recorded
2025-05-23F0689Quality of Life and Care DeficienciesDnot recorded
2025-05-23F0757Pharmacy Service DeficienciesDnot recorded
2025-05-23F0761Pharmacy Service DeficienciesEnot recorded
2025-05-23F0804Nutrition and Dietary DeficienciesEnot recorded
2025-05-23F0812Nutrition and Dietary DeficienciesFnot recorded
2025-05-23F0880Infection Control DeficienciesFnot recorded
2025-05-23F0912Environmental DeficienciesFnot recorded
2025-05-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-01F0689Quality of Life and Care DeficienciesDnot recorded
2025-01-21F0580Resident Rights DeficienciesDnot recorded
2025-01-21F0760Pharmacy Service DeficienciesDnot recorded
2025-01-09F0580Resident Rights DeficienciesDnot recorded
2025-01-09F0689Quality of Life and Care DeficienciesDnot recorded
2024-10-17F0550Resident Rights DeficienciesDnot recorded
2024-10-17F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-10-17F0694Quality of Life and Care DeficienciesDnot recorded
2024-04-24F0554Resident Rights DeficienciesDnot recorded
2024-04-24F0558Resident Rights DeficienciesDnot recorded
2024-04-24F0727Nursing and Physician Services DeficienciesFnot recorded
2024-04-24F0912Environmental DeficienciesEnot recorded
2024-03-15F0812Nutrition and Dietary DeficienciesFnot recorded
2024-03-15F0921Environmental DeficienciesFnot recorded
2023-04-13F0677Quality of Life and Care DeficienciesDnot recorded
2023-04-13F0690Quality of Life and Care DeficienciesDnot recorded
2023-04-13F0759Pharmacy Service DeficienciesDnot recorded
2023-04-13F0912Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “The Estates At Twin Rivers Llc, ANOKA” at medicare.gov/care-compare.

The Estates At Twin Rivers Llc (ANOKA, MN) — Inspection Record, Staffing & Penalties | NursingHomeLens