The nursing home failed to ensure residents were free from significant medication errors. Cited November 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
The Estates At Twin Rivers Llc
ANOKA, MN · Medicare-certified · 50 beds
Needs attention
For-profitChain member
1 of 5 overall
The Estates At Twin Rivers LLC in Anoka, MN has a 1-star overall rating, with a 1-star health inspection rating and a lowest-overall-rating attention flag. Staffing is 3 stars, but reported nurse staffing is 3.56 hours per resident per day, below the federal benchmark of 4.1; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5589 hrs/resident/day
Quality measures
Last inspection: March 27, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5589.
Staffing detail
- Registered nurses
- 0.68
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.00
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—24.6%—
Residents with a fall causing major injury
4.2%0%Improving
Residents with pressure ulcers (bedsores)
12.1%13.1%Worsening
Residents with a urinary tract infection
12.5%0%Improving
Residents who lost too much weight
10%7.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25%8.7%Improving
Residents whose ability to walk got worse
—23.6%—
Long-stay residents on antianxiety or sleep medication
14.3%15.4%Worsening
Short-stay residents newly given an antipsychotic
0%5.7%Worsening
Residents with a long-term catheter
3.8%2.4%Improving
Residents with new or worsening incontinence
22.1%4%Improving
Residents with depressive symptoms
16%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—76.9%—
Long-stay residents given the pneumonia vaccine
83.3%89.7%Improving
Short-stay residents given the seasonal flu vaccine
—28.1%—
Short-stay residents given the pneumonia vaccine
30.4%27.4%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure resident rooms were large enough for each person to have enough personal space. Cited May 2025 — widespread issue, potential for harm.
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F-Tag 912 — 42 CFR §483.90 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of MONARCH HEALTHCARE MANAGEMENT · 45 homes · 2.2 stars avg
- Occupancy
- 38.1 residents on an average day (76% of 50 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.