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Data / Nursing homes / Minnesota / The Estates at Twin Rivers LLC

The Estates at Twin Rivers LLC, Anoka, MN: 2 star rating, no fines

The Estates at Twin Rivers LLC in Anoka, MN is owned by Spartan Healthcare LLC, Yazoma Holdings, LLC and 1 more, is rated 2 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 41 health citations from inspections in that time, the latest survey on July 2, 2026, and 1 of them found actual harm or immediate jeopardy.

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Address
305 Fremont Street, Anoka, MN 55303
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
3 of 5
Certified beds
50
Residents per day
33 on average
Ownership type
For profit, corporation
Legal business name
The Estates at Anoka LLC
Chain
Monarch Healthcare Management, 45 facilities
Fines
$0 across 0 fines, three years to October 1, 2026
Payment denials
0
Health citations
41, of which 1 with actual harm or immediate jeopardy
Latest survey
July 2, 2026
CMS Certification Number
245298
On Care Compare
Medicare Care Compare

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 2, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
July 2, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
July 2, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
July 2, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
July 2, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
July 2, 2026F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
July 2, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2026data.cms.gov
March 27, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 15, 2026data.cms.gov
November 13, 2025F760Ensure that residents are free from significant medication errors.J: isolated, immediate jeopardyPast noncomplianceNovember 10, 2025data.cms.gov
May 23, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.F: widespread, no actual harm, potential for more than minimal harmNo plan of correctiondata.cms.gov
May 23, 2025F880Provide and implement an infection prevention and control program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F688Provide 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: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 4, 2025data.cms.gov
May 23, 2025F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C: widespread, minimal harm potentialCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 23, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 3, 2025data.cms.gov
May 1, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2025data.cms.gov
May 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2025data.cms.gov
January 21, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
January 21, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 7, 2025data.cms.gov
January 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2025data.cms.gov
January 9, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2025data.cms.gov
October 17, 2024F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
October 17, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
October 17, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2024data.cms.gov
April 24, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E: pattern, no actual harm, potential for more than minimal harmWaiver granteddata.cms.gov
April 24, 2024F727Have 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: widespread, no actual harm, potential for more than minimal harmWaiver granteddata.cms.gov
April 24, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrecteddata.cms.gov
April 24, 2024F554Allow residents to self-administer drugs if determined clinically appropriate.D: isolated, no actual harm, potential for more than minimal harmCorrecteddata.cms.gov
March 15, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov
March 15, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 12, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (5 owners, 1 managers, 2 officers, directors or trustees). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Spartan Healthcare LLCDirect owner30%March 1, 2017data.cms.gov
Yazoma Holdings, LLCDirect owner30%March 1, 2017data.cms.gov
Nij LLCDirect owner7%March 1, 2017data.cms.gov
Monarch Healthcare Operating IV LLCOperational or managerial controlNot listedMarch 1, 2017data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.