• CMS rates this facility 1/5 stars (below average)
• Has 50 certified beds with an average of 37 residents per day (74% occupancy)
• Last health inspection found 20 deficiencies (inspected May 23, 2025)
• No fines on record
• Total nursing staff: 3.47 hours per resident per day
• Staff turnover rate: 51.1% (high)
• Part of the Monarch Healthcare Management chain (45 facilities)
The Estates At Twin Rivers Llc is a 1-star Medicare and Medicaid certified nursing home in Anoka, Minnesota with 50 certified beds. It has been operating since 1985. The facility scored below average compared to Minnesota facilities.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
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.
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.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
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.
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.
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.
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.
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.
Allow residents to self-administer drugs if determined clinically appropriate.
+ 8 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| NIJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 7% | Mar 1, 2017 |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 30% | Mar 1, 2017 |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 30% | Mar 1, 2017 |
| AREM, JEFFREY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 7% | Mar 1, 2017 |
| STERN, WILLIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 20% | Mar 1, 2017 |
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | Mar 1, 2017 |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 7% | Mar 1, 2017 |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 30% | Mar 1, 2017 |
| MONARCH HEALTHCARE OPERATING IV LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 1, 2017 |
| HALPERT, MARC | CORPORATE DIRECTOR | Individual | N/A | Mar 1, 2017 |
| STERN, WILLIAM | CORPORATE OFFICER | Individual | N/A | Mar 1, 2017 |
| LEGUM, JOSHUA | W-2 MANAGING EMPLOYEE | Individual | N/A | Mar 1, 2017 |
This chain operates 45 facilities. View all →