The Estates At Twin Rivers Llc – ANOKA, MN

CMS Verified | 2026-03-01

The Estates At Twin Rivers LLC

305 FREMONT STREET, Anoka, MN 55303
(763) 421-5660
50 beds
All Anoka facilities
1.0*
Overall
1.0*
Health Inspection
1.0*
Quality Care
1.0*
Staffing
51.13
Score /100
#13887
National Rank

#13887
of 14703 facilities
National
5.6% position
#330
of 338 in MN
State Rank
#6
of 6 in Anoka
County Rank
#2
of 2 in Anoka
City Rank
#2
of 2 in ZIP 55303
ZIP Rank






About The Estates At Twin Rivers LLCThe Estates At Twin Rivers Llc is located at 305 Fremont Street, Anoka, MN, reachable at (763) 421-5660. This For profit – Corporation facility operates 50.0 certified beds and serves an average of 37 residents per day. It is part of the Monarch Healthcare Management network (45 facilities nationwide). Medicare and Medicaid services have been provided since 1985-10-01. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

The Estates At Twin Rivers LLC

Address

305 Fremont Street, Anoka, MN 55303

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 50 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Both
  • Automatic Sprinklers: Yes
  • Network: MONARCH HEALTHCARE MANAGEMENT

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
❌ Poor (1★) quality of care
Compliance
❌ 24 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
51.13
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#13887 of 14703 nationally – #330 of 338 in Minnesota

Who Is This Facility Best For?

The Estates At Twin Rivers Llc may be considered for families with limited options in Anoka, MN, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

1 / 5
Long-Stay QM Rating

1 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightThe Estates At Twin Rivers Llc currently provides 3 hours 28 minutes of total nurse staffing per resident per day, including 25 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 51.1%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 28 minutes
Nurse Aide Hours2 hours
Licensed Practical Nurse (LPN) Hours1 hour 4 minutes
Registered Nurse (RN) Hours25 minutes
Physical Therapist Hours2 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 6 minutes
Weekend Registered Nurse (RN) Hours17 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 24 fine(s) over the 5-year period, totaling $325,941. 24 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 120.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#13,887
of 14,703
National
Bottom 10%
#330
of 338
MN State
Bottom 5% in MN
#6
of 6
️ Anoka County
#6 of 6
#2
of 2
️ Anoka
#2 of 2
#2
of 2
ZIP 55303
#2 of 2

Nationally, The Estates At Twin Rivers Llc ranks 13887th out of 14,703 facilities (composite score: 51.1/100), placing it in the bottom 25% nationwide. Within MN, it ranks 330th out of 338 nursing homes. In Anoka, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,331 nationally and RN hours rank #10,678 nationally (#313 in MN).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MN State Rank Note
2022 3.77 #5,863 / 14,703 #218 / 338 Above average
2023 3.42 #8,502 / 14,703 #266 / 338 Below average
2024 3.80 #5,663 / 14,703 #191 / 338 Above average
2025 3.60 #7,845 / 14,703 #255 / 338 Below average
2026 3.47 #9,331 / 14,703 #280 / 338 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MN State Rank Note
2022 0.67 #5,589 / 14,703 #286 / 338 Above average
2023 0.92 #2,315 / 14,703 #155 / 338 Top 25%
2024 0.46 #9,157 / 14,703 #314 / 338 Below average
2025 0.43 #10,126 / 14,703 #324 / 338 Below average
2026 0.41 #10,678 / 14,703 #313 / 338 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

The Estates At Twin Rivers Llc is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1985-10-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (763) 421-5660 or your local Medicaid office to verify current eligibility.

The Estates At Twin Rivers Llc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 51.1/100, placing it #13887 of 14703 facilities nationally and #330 of 338 in Minnesota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Estates At Twin Rivers Llc receives a reported average of 3 hours 28 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 25 minutes; Licensed Practical Nurse (LPN) — 1 hour 4 minutes; Nurse Aide — 2 hours. On weekends, total nurse staffing is 3 hours 6 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 51.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 24 fine(s) over the 5-year period, totaling $325,941. 24 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 120.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Estates At Twin Rivers Llc ranks 13887th out of 14,703 facilities (composite score: 51.1/100), placing it in the bottom 25% nationwide. Within MN, it ranks 330th out of 338 nursing homes. In Anoka, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,331 nationally and RN hours rank #10,678 nationally (#313 in MN). Our composite quality score of 51.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Anoka, visit: https://nursinghomesnearme.org/minnesota/anoka/

Contact and Location

ADR
Address

305 FREMONT STREET, Anoka, MN 55303
Get directions on Google Maps

TEL
LLC
Legal Name

THE ESTATES AT ANOKA LLC

MAP
Browse by Location

All Minnesota ·
Anoka County ·
Anoka ·
ZIP 55303

Facility Details

Number of Certified Beds 50
Average Residents / Day 37 (74% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Anoka County, MN
City Anoka, MN
ZIP Code 55303
Approved Since October 1, 1985
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 245298
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org