Nursing HomeInspections

The Estates at Twin Rivers LLC

Nursing home in Anoka, MN

Medicare & Medicaid certified2★ overall (CMS)

Call (763) 421-5660Send a messageMap ↗

Public-record details

Address
305 Fremont Street, Anoka, MN 55303
Phone
(763) 421-5660
Listed under
For-profit, No fines in 3 years
Medicare CCN
245298
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
50
Average residents per day
39
Ownership
For-profit, corporation
Legal business name
The Estates at Anoka LLC
Chain
Monarch Healthcare Management (45 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 245298. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 2, 2026. CMS lists 41 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 15, 2024 to Jul 2, 2026): 21 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 2, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 2, 2026Honor 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.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 2, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 2, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jul 2, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 27, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 13, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		J
Immediate jeopardy, isolated
May 23, 2025Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights		C
Potential for minimal harm, widespread
May 23, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 23, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 41. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.48 hours
Registered nurse (RN) time per resident per day
0.83 hours
Nurse aide time per resident per day
1.97 hours
Total nurse staffing on weekends
3.10 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
86%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Anoka

Anoka Rehabilitation and Living Center3000 4th Avenue · Anoka, MN 55303 · (763) 528-6400 · Nonprofit32 health citations in 3 inspection cycles · last standard inspection Aug 21, 2025 · $24,297 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)

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