The Estates At Twin Rivers Llc
305 FREMONT STREET, ANOKA, MN 55303 · CCN 245298
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 37.0
- Phone
- 7634215660
Inspection history vs Minnesota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Minnesota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-23 | 20 | 8.1 | 9.5 | +11.9 worse |
| 2 | 2024-04-24 | 13 | 7.8 | 9.8 | +5.2 worse |
| 3 | 2023-04-13 | 5 | 7.4 | 9.3 | -2.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 3 |
| Resident rights | 5 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.47 | 51.1% |
| RN staffing (reported) | 0.41 | 77.8% |
| Total nurse staffing (adjusted) | 3.80 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- MONARCH HEALTHCARE MANAGEMENT
- Facilities in chain
- 45
- Chain avg overall
- 2.30 / 5
Inspection citations (38)1 immediate jeopardy
- JF0760Ensure that residents are free from significant medication errors.2025-11-13 · Health · corrected 2025-11-10
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-05-23 · Health · corrected 2025-07-03
Potential for minimal harm
- DF0584Honor 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.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-05-23 · Health · corrected 2025-07-04
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0688Provide 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.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- EF0761Ensure 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.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-05-23 · Health · corrected 2025-07-03
Potential for more than minimal harm
- FF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-05-23 · Health
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-01 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-21 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-01-21 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-09 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-09 · Health · corrected 2025-01-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-17 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-17 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-10-17 · Health · corrected 2024-11-22
Potential for more than minimal harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2024-04-24 · Health
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-24 · Health
Potential for more than minimal harm
- FF0727Have 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.2024-04-24 · Health
Potential for more than minimal harm
- EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-04-24 · Health
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-15 · Health · corrected 2024-04-12
Potential for more than minimal harm
- FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-03-15 · Health · corrected 2024-04-12
Potential for more than minimal harm
- DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2023-05-05 · Health · corrected 2023-05-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-13 · Health · corrected 2023-05-30
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-13 · Health · corrected 2023-05-30
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-04-13 · Health · corrected 2023-05-30
Potential for more than minimal harm
- EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-04-13 · Health · corrected 2023-05-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LEGUM, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2017-03-01 |
| YAZOMA HOLDINGS, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2017-03-01 |
| SPARTAN HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2017-03-01 |
| STERN, WILLIAM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2017-03-01 |
| NIJ LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2017-03-01 |
| AREM, JEFFREY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2017-03-01 |
| JAFFA, NOAM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-03-01 |
| HALPERT, MARC | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-03-01 |
| MONARCH HEALTHCARE OPERATING IV LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-01 |
| HALPERT, MARC | Individual | CORPORATE DIRECTOR | — | 2017-03-01 |
| STERN, WILLIAM | Individual | CORPORATE OFFICER | — | 2017-03-01 |
| LEGUM, JOSHUA | Individual | W-2 MANAGING EMPLOYEE | — | 2017-03-01 |
Other facilities in ANOKA
| Name | Overall | Beds |
|---|---|---|
| ANOKA REHABILITATION AND LIVING CENTER | ★★★★☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.