The Estates at Twin Rivers LLC
305 Fremont Street · Anoka, MN · 55303 · 7634215660
50 certified beds For profit - Corporation Chain: Monarch Healthcare Management
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.18 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (38 in the current record)
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Potential for harm · D March 27, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 15, 2026 · Infection Control
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Immediate jeopardy · J November 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 10, 2025 · Pharmacy Service
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Potential for harm · D May 23, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D May 23, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D May 23, 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.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D May 23, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 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.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 3, 2025 · Pharmacy Service
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Potential for harm · F May 23, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · F May 23, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Deficient, Provider has no plan of correction · Environmental
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Potential for harm · D May 23, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D May 23, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025 · found via complaint
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 July 3, 2025 · Pharmacy Service
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Potential for harm · E May 23, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 3, 2025 · Nutrition and Dietary
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Potential for harm · F May 23, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 3, 2025 · Infection Control
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No harm found · C May 23, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 3, 2025 · Resident Rights
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Potential for harm · D May 1, 2025 · found via complaint
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 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 16, 2025 · Quality of Life and Care
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Potential for harm · D January 21, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 7, 2025 · Resident Rights
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Potential for harm · D January 21, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 7, 2025 · Pharmacy Service
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Potential for harm · D January 9, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 31, 2025 · Resident Rights
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Potential for harm · D January 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 31, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245298 · certified since October 1, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.