The Estates At Twin Rivers LLC
Nursing home · 305 FREMONT STREET, Anoka, MN 55303 · Anoka County
Prices
The Minnesota Department of Health publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Skilled Nursing Facility/Nursing Facilit · For-Profit Limited Liability Company
- Capacity
- 45
- State license
- 424564
- Medicare CCN
- 245298
- Licensed entity
- THE ESTATES AT ANOKA LLC
- Chain
- MONARCH HEALTHCARE MANAGEMENT
- Ownership
- For profit - Corporation
- Phone
- (763) 421-5660
- Nurse staffing
- 3.48 hours per resident per day; 45.5% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 4★ · Quality 2★
- Official record
- Minnesota Department of Health provider directory
- Official record
- Medicare Care Compare
Inspection findings
-
Jul 2, 2026 Health · 8 findings
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Aug 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0584 Resident Rights Deficiencies
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.
Corrected Aug 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Aug 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Aug 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Aug 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Aug 3, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0883 Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Aug 3, 2026 · CMS health inspection
-
Not serious
Scope/severity C
K0914 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS fire safety
-
Not serious
Scope/severity D
-
Mar 27, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 15, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 13, 2025 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Nov 10, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
May 23, 2025 Fire Safety · 18 findings
-
Not serious
Scope/severity C
E0015 Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Corrected Jul 3, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0552 Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0561 Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity C
F0577 Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0655 Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Jul 4, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0657 Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0688 Quality of Life and Care Deficiencies
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.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0761 Pharmacy Service Deficiencies
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.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 3, 2025 · CMS health inspection
-
Not serious
Scope/severity F
F0912 Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS health inspection
-
Not serious
Scope/severity C
-
May 9, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H52983736C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
May 1, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 30, 2025 MDH complaint investigation · 1 finding
-
Severity not stated
H52985165C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 21, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Feb 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0760 Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Corrected Feb 7, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 9, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Jan 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Nov 4, 2024 MDH complaint investigation · 1 finding
-
Severity not stated
H52989283C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Oct 17, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Nov 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Nov 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0694 Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected Nov 22, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 24, 2024 Fire Safety · 7 findings
-
Not serious
Scope/severity C
E0041 Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
CMS fire safety
-
Not serious
Scope/severity D
F0554 Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
CMS health inspection
-
Not serious
Scope/severity D
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS health inspection
-
Not serious
Scope/severity F
F0727 Nursing and Physician Services Deficiencies
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.
CMS health inspection
-
Not serious
Scope/severity E
F0912 Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS health inspection
-
Not serious
Scope/severity D
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected May 23, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected May 31, 2024 · CMS fire safety
-
Not serious
Scope/severity C
-
Mar 26, 2024 MDH complaint investigation · 2 findings
-
Severity not stated
H52981818C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H52981844C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Mar 15, 2024 Health · 2 findings
-
Not serious
Scope/severity F
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
-
May 9, 2023 MDH complaint investigation · 1 finding
-
Severity not stated
H52981882C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 8, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H52984190C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Jan 25, 2022 MDH complaint investigation · 1 finding
-
Severity not stated
H5298127C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 24, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5298116C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Aug 30, 2021 MDH complaint investigation · 2 findings
-
Severity not stated
H5298113C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5298115C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Apr 13, 2021 MDH complaint investigation · 1 finding
-
Severity not stated
H5298107C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Sep 28, 2020 MDH complaint investigation · 2 findings
-
Severity not stated
H5298091C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
H5298092C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
-
Mar 20, 2020 MDH complaint investigation · 1 finding
-
Severity not stated
H5298089C Substantiated complaint (MDH Office of Health Facility Complaints)
MDH substantiated this complaint. The finding and its severity are in MDH's investigation report (linked).
-
Severity not stated
Owners and managers (as published by CMS)
- AREM, JEFFREY — 5% or greater direct ownership interest, 7%, since 03/01/2017
- HALPERT, MARC — corporate director, NOT APPLICABLE, since 03/01/2017
- HALPERT, MARC — 5% or greater indirect ownership interest, since 03/01/2017
- JAFFA, NOAM — 5% or greater indirect ownership interest, 7%, since 03/01/2017
- LEGUM, JOSHUA — 5% or greater indirect ownership interest, 30%, since 03/01/2017
- LEGUM, JOSHUA — w-2 managing employee, NOT APPLICABLE, since 03/01/2017
- STERN, WILLIAM — 5% or greater direct ownership interest, 20%, since 03/01/2017
- STERN, WILLIAM — corporate officer, NOT APPLICABLE, since 03/01/2017
- MONARCH HEALTHCARE OPERATING IV LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2017
- NIJ LLC — 5% or greater direct ownership interest, 7%, since 03/01/2017
- SPARTAN HEALTHCARE LLC — 5% or greater direct ownership interest, 30%, since 03/01/2017
- YAZOMA HOLDINGS, LLC — 5% or greater direct ownership interest, 30%, since 03/01/2017
Sources: the MDH Health Care Provider Directory, MDH's evaluation and complaint findings, and CMS's list of certified Minnesota nursing homes and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.