Nursing homes › Minnesota › The Estates at Twin Rivers LLC
305 Fremont Street, Anoka, MN 55303 · 7634215660 · 50 certified beds
Per CMS filings, this facility is affiliated with Monarch Healthcare Management, a group operating 45 facilities in 1 states. Group record: average rating 2.3/5, 5 abuse citation icons, 0 facilities on the Special Focus list, $1,559,048 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.48 (Minnesota median: 4.16). RN hours: 0.83. Weekend total: 3.10. Nursing staff turnover: 46%.
All-time on record: 38 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-27 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-04-15 |
| 2025-11-13 | Ensure that residents are free from significant medication errors. | J | complaint | corrected 2025-11-10 |
| 2025-05-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-07-03 |
| 2025-05-23 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | Health | Deficient, Provider has no plan of correction |
| 2025-05-23 | 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. | E | complaint | corrected 2025-07-03 |
| 2025-05-23 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | complaint | corrected 2025-07-03 |
| 2025-05-23 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-07-03 |
| 2025-05-23 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-07-03 |
| 2025-05-23 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2025-07-03 |
| 2025-05-23 | 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. | D | Health | corrected 2025-07-03 |
| 2025-05-23 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-07-04 |
| 2025-05-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-07-03 |
| 2025-05-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-07-03 |
| 2025-05-23 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-07-03 |
| 2025-05-23 | 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. | D | Health | corrected 2025-07-03 |
| 2025-05-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-07-03 |
| 2025-05-23 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-07-03 |
| 2025-05-23 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Health | corrected 2025-07-03 |
| 2025-05-23 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2025-07-03 |
| 2025-05-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-05-16 |
| 2025-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-05-16 |
| 2025-01-21 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-02-07 |
| 2025-01-21 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-02-07 |
| 2025-01-09 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-01-31 |
| 2025-01-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-01-31 |
| 2024-10-17 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-11-22 |
| 2024-10-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-11-22 |
| 2024-10-17 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | complaint | corrected 2024-11-22 |
| 2024-04-24 | 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. | F | Health | Waiver has been granted |
| 2024-04-24 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Health | Waiver has been granted |
| 2024-04-24 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | Deficient, Provider has date of correction |
| 2024-04-24 | Reasonably accommodate the needs and preferences of each resident. | D | Health | Deficient, Provider has date of correction |
| 2024-03-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-04-12 |
| 2024-03-15 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | complaint | corrected 2024-04-12 |
| 2023-04-13 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Health | corrected 2023-05-30 |
| 2023-04-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-05-30 |
| 2023-04-13 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-05-30 |
| 2023-04-13 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-05-30 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| NIJ LLC | 5% Or Greater Direct Ownership Interest | Organization | 7% | since 03/01/2017 |
| SPARTAN HEALTHCARE LLC | 5% Or Greater Direct Ownership Interest | Organization | 30% | since 03/01/2017 |
| YAZOMA HOLDINGS, LLC | 5% Or Greater Direct Ownership Interest | Organization | 30% | since 03/01/2017 |
| AREM, JEFFREY | 5% Or Greater Direct Ownership Interest | Individual | 7% | since 03/01/2017 |
| STERN, WILLIAM | 5% Or Greater Direct Ownership Interest | Individual | 20% | since 03/01/2017 |
| HALPERT, MARC | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 03/01/2017 |
| JAFFA, NOAM | 5% Or Greater Indirect Ownership Interest | Individual | 7% | since 03/01/2017 |
| LEGUM, JOSHUA | 5% Or Greater Indirect Ownership Interest | Individual | 30% | since 03/01/2017 |
| HALPERT, MARC | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2017 |
| STERN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2017 |
| MONARCH HEALTHCARE OPERATING IV LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 245298. Corrections: data@carerecords.org.