The Estates at Twin Rivers LLC

CMS star ratings

Overall★★★★★ 2/5

State avg 3.2

Health inspections★★★★★ 2/5

State avg 2.8

Staffing★★★★★ 4/5

State avg 4.1

Quality measures★★★★★ 2/5

State avg 3.1

Long-stay quality★★★★★ 2/5

Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.48 (state 4.19 · U.S. 3.86)
Registered nurses (RN): 0.83 (state 1.06 · U.S. 0.69)
Licensed practical nurses: 0.68 (state 0.61 · U.S. 0.86)
Nurse aides: 1.97 (state 2.52 · U.S. 2.32)
Weekend total: 3.10 (state 3.71 · U.S. 3.42)
Nursing staff turnover: 45.5 (state 42.2 · U.S. 45.8)%
RN turnover: 85.7 (state 38.6 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: July 2, 2026
Health deficiencies (last cycle): 9.0 (state 7.0 · U.S. 9.3)
From complaints: 4
Citations on record (3 years): 41 health · 5 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-07-02	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-08-03
2026-07-02	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. F0584 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-08-03
2026-07-02	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-08-03
2026-07-02	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-08-03
2026-07-02	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-08-03
2026-07-02	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-08-03
2026-07-02	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-08-03
2026-03-27	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-04-15
2025-11-13	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	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. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-07-03
2025-05-23	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	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. F0912 · Environmental Deficiencies	F No actual harm, potential for more than minimal harm	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. F0761 · Pharmacy Service Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-07-03
2025-05-23	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	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. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-03
2025-05-23	Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	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. F0561 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0584 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	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 F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	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. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-07-03
2025-05-23	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-07-03
2025-05-23	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	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. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	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. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-03
2025-05-23	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-07-03
2025-05-23	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	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. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-02-07
2025-01-21	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0689 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-11-22
2024-10-17	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	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. F0727 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	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. F0912 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Waiver has been granted
2024-04-24	Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Deficient, Provider has date of correction
2024-04-24	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	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. F0812 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	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. F0921 · Environmental Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2024-04-12

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Arem, Jeffrey (individual)	5%+ Direct Ownership Interest · 7%
Nij LLC (organization)	5%+ Direct Ownership Interest · 7%
Spartan Healthcare LLC (organization)	5%+ Direct Ownership Interest · 30%
Stern, William (individual)	5%+ Direct Ownership Interest · 20%
Yazoma Holdings, LLC (organization)	5%+ Direct Ownership Interest · 30%
Halpert, Marc (individual)	5%+ Indirect Ownership Interest
Jaffa, Noam (individual)	5%+ Indirect Ownership Interest · 7%
Legum, Joshua (individual)	5%+ Indirect Ownership Interest · 30%
Halpert, Marc (individual)	Corporate Director · NOT APPLICABLE
Stern, William (individual)	Corporate Officer · NOT APPLICABLE
Monarch Healthcare Operating IV LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Legum, Joshua (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of The Estates at Twin Rivers LLC?

The Estates at Twin Rivers LLC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Minnesota.

How many beds does The Estates at Twin Rivers LLC have?

It has 50 certified beds and cares for about 39 residents per day.

Has The Estates at Twin Rivers LLC been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns The Estates at Twin Rivers LLC?

It is part of Monarch Healthcare Management and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Estates at Twin Rivers LLC?

(763) 421-5660. The facility is located at 305 Fremont Street, Anoka, MN 55303.

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Contact & location

Facility details