Nursing home
The Estates At Twin Rivers
305 Fremont Street, Anoka, MN 55303 · Map
For profit - Corporation · Part of Monarch Healthcare Management (45 facilities) · 50 certified beds
The Estates At Twin Rivers is a Medicare-certified nursing home in Anoka, Minnesota. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.47 hours per resident per day, below the Minnesota average of 4.23. Its most recent inspection on May 23, 2025 cited 20 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Estates At Twin Rivers compares
This facility vs. the Minnesota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Minnesota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.47 | 4.23 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.41 | 1.06 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.00 | 2.55 | 2.34 | below avg |
| Nursing staff turnover | 51.1% | 42.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 20.0 | 8.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at The Estates At Twin Rivers
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 27, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Nov 13, 2025 · Full report (PDF) - Potential for harm
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 23, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 305 Fremont Street
Anoka, MN 55303 - CMS certification #
- 245298
- Ownership
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 37.0
- Provider type
- Medicare and Medicaid
- First certified
- 1985-10-01
- Chain
- Monarch Healthcare Management (45 facilities)
- Setting
- Urban
Part of Monarch Healthcare Management
Monarch Healthcare Management operates 45 nursing facilities across the United States. View all Monarch Healthcare Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Estates At Twin Rivers using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What The Estates At Twin Rivers says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Residents are also offered housekeeping services, scheduled transportation to and from appointments, apartment maintenance, and a selection of social and recreational events.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Mercy Hospital, Coon Rapids. 1.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Anoka Rehabilitation and Living Center, Anoka. 1.0 mile away, straight line.
- Nearest home health agency office
- Mary T Home Health, Coon Rapids. 4.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 55303 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care - Champlin, Champlin, 1.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Mississippi Gateway Dialysis, Coon Rapids, 1.7 miles away, straight line (CMS rating 3 of 5 stars)
Fmc - Coon Rapids, Coon Rapids, 2.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 29 Medicare hospices tell CMS they serve ZIP code 55303.
Mary T Hospice, office in Coon Rapids, 4.6 miles away, straight line
Serenity Hospice Homes LLC, office in Brooklyn Park, 6.9 miles away, straight line
Triniti Hospice, office in Elk River, 10.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Group Health Inc, Coon Rapids. 4.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding very high, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is The Estates At Twin Rivers a good nursing home?
CMS gives The Estates At Twin Rivers an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Estates At Twin Rivers staffed?
The Estates At Twin Rivers reports 3.47 total nurse hours per resident per day, compared with the Minnesota average of 4.23.
Has The Estates At Twin Rivers had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does The Estates At Twin Rivers have?
The Estates At Twin Rivers is certified for 50 beds.