THE ESTATES AT TWIN RIVERS LLC
THE ESTATES AT TWIN RIVERS LLC is a 50-bed nursing home in ANOKA, Minnesota. CMS has certified it for Medicare and Medicaid since 1985-10-01. It averages 38.6 residents a day.
What harm was found in the violations cited at THE ESTATES AT TWIN RIVERS LLC?
CMS lists 41 health-inspection deficiencies for THE ESTATES AT TWIN RIVERS LLC, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-07-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-02 | F0550, F0584, F0605, F0677, F0690, F0880, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2026-03-27 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-11-13 | F0760 | Ensure that residents are free from significant medication errors. | J |
| 2025-05-23 | F0812, F0880, F0912 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F |
| 2025-05-23 | F0761, F0804 | 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-05-23 | F0550, F0552, F0561, F0584, F0655, F0657, F0677, F0684, F0688, F0689, F0757 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2025-05-23 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2025-05-01 | F0656, F0689 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-01-21 | F0580, F0760 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that residents are free from significant medication errors. | D |
| 2025-01-09 | F0580, F0689 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-10-17 | F0550, F0656, F0694 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2024-04-24 | F0727 | 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 |
| 2024-04-24 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E |
| 2024-04-24 | F0554, F0558 | Allow residents to self-administer drugs if determined clinically appropriate. / Reasonably accommodate the needs and preferences of each resident. | D |
| 2024-03-15 | F0812, F0921 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
How is THE ESTATES AT TWIN RIVERS LLC staffed relative to the MN average?
| Measure | This facility | MN average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.47747 | 4.19318 |
| Total nursing staff turnover (%) | 45.5 | 42.2 |
| Average number of residents per day | 38.6 | 60.3 |
Who owns THE ESTATES AT TWIN RIVERS LLC, and what chain is it in?
THE ESTATES AT TWIN RIVERS LLC is registered with CMS as For profit - Corporation, operates under the legal business name THE ESTATES AT ANOKA LLC and belongs to the MONARCH HEALTHCARE MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | NIJ LLC, SPARTAN HEALTHCARE LLC, YAZOMA HOLDINGS, LLC, AREM, JEFFREY, STERN, WILLIAM | since 03/01/2017 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | HALPERT, MARC, JAFFA, NOAM, LEGUM, JOSHUA | since 03/01/2017 |
| W-2 MANAGING EMPLOYEE | LEGUM, JOSHUA | since 03/01/2017 |
| CORPORATE DIRECTOR | HALPERT, MARC | since 03/01/2017 |
| CORPORATE OFFICER | STERN, WILLIAM | since 03/01/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | MONARCH HEALTHCARE OPERATING IV LLC | since 03/01/2017 |
Were you or a family member harmed at THE ESTATES AT TWIN RIVERS LLC?