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Medicare-certifiedSkilled Nursing

The Estates At Twin Rivers Llc

(763) 421-5660

About The Estates At Twin Rivers Llc

The Estates At Twin Rivers provides compassionate skilled nursing and rehabilitation services to Anoka, Minnesota residents who need temporary recovery support or ongoing medical care. Our nursing staff works closely with each person to restore independence and support their wellness goals during this important chapter.

Community at a glance

Capacity

50 residents

Location

Anoka, MN

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

305 FREMONT STREET, Anoka, Minnesota 55303

(763) 421-5660

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on July 2, 2026, state inspectors cited 9 health deficiencies (the Minnesota average is 7.1).

Nurses and nurse aides spend 3 hours 29 minutes with each resident a day, below the Minnesota average of 4 hours 11 minutes.

Medicare has not fined The Estates At Twin Rivers Llc in the last three years.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 29 minutesBelow the Minnesota average
Registered nurse time per resident, per day50 minutesBelow the Minnesota average
Nursing staff who left in the past year46%Above the Minnesota average

Inspections

41 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 2, 2026 · Standard inspection · 7 citations

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 3, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 3, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 3, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 3, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 3, 2026
  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Aug 3, 2026
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 3, 2026

March 27, 2026 · Complaint investigation · 1 citation

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Apr 15, 2026
November 13, 2025 · Complaint investigation · 1 citation+
  • Ensure that residents are free from significant medication errors.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintAlready fixed by Nov 10, 2025
May 23, 2025 · Standard inspection · 16 citations+
  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalPlan to fix it accepted
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 3, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 3, 2025
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 3, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 4, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 3, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 3, 2025
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 3, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 3, 2025
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 3, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 3, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 3, 2025
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 3, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 3, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 3, 2025
  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Minimal harm or risk, widespread (level C)Resident RightsCorrected Jul 3, 2025
May 23, 2025 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Jul 3, 2025
May 1, 2025 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 16, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 16, 2025
January 21, 2025 · Complaint investigation · 2 citations+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 7, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 7, 2025
January 9, 2025 · Complaint investigation · 2 citations+
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 31, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 31, 2025
October 17, 2024 · Complaint investigation · 3 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 22, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 22, 2024
  • Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 22, 2024
April 24, 2024 · Standard inspection · 4 citations+
  • 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.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesWaived by the state
  • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalWaived by the state
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected
  • Allow residents to self-administer drugs if determined clinically appropriate.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected
March 15, 2024 · Complaint investigation · 2 citations+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Apr 12, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Apr 12, 2024

Fines and payment denials

No fines or Medicare payment denials in the last three years.

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
The Estates at Anoka LLC
Medicare-certified beds
50
Average residents per day
39
Accepts
Medicare and Medicaid
First certified
October 1, 1985
Part of a chain
Monarch Healthcare Management, 45 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
245298

Location

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305 FREMONT STREETAnoka, MN 55303

12 other communities within 10 miles

Senior living near Anoka

Questions about The Estates At Twin Rivers Llc

How did The Estates At Twin Rivers Llc do on its last inspection?+

State inspectors visited on July 2, 2026 and cited 9 health deficiencies, 4 of them from complaint investigations. The Minnesota average is 7.1.

How much nursing care does each resident get at The Estates At Twin Rivers Llc?+

Nurses and aides spend 3 hours 29 minutes with each resident per day, including 50 minutes from registered nurses. 46% of nursing staff left over the past year.

Has The Estates At Twin Rivers Llc been fined by Medicare?+

Medicare's records show no fines against The Estates At Twin Rivers Llc in the last three years.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Anoka Skilled Nursing in Minnesota Skilled Nursing guide Information last updated October 2026