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Nursing homeFAID #6513

The Estates At Twin Rivers

305 FREMONT STREET, ANOKA, MN, 55303
(763) 421-5660
50 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
CMS facility ID
245298
Care type
Nursing home
County
Anoka
Facility name
The Estates At Twin Rivers
Street address
305 FREMONT STREET
City / state / ZIP
Anoka, MN 55303
Phone
(763) 421-5660

About this facility — The Estates At Twin Rivers

The Estates At Twin Rivers is a Medicare/Medicaid-certified skilled nursing facility in Anoka, Minnesota. It is licensed for 50 beds — below the median for skilled nursing facilities in Minnesota (60 beds).

It is one of 24 senior care facilities in Anoka and 338 skilled nursing facilities across Minnesota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Estates At Twin Rivers 46 times across 15 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Monarch Healthcare Management
Ownership type
For profit - Corporation

Registered owners & officers

Legum, Joshua
Indirect owner · Managing employee — 30% stake — since 2017
Spartan Healthcare Llc
Direct owner — 30% stake — since 2017
Yazoma Holdings, Llc
Direct owner — 30% stake — since 2017
Stern, William
Direct owner · Officer — 20% stake — since 2017
Arem, Jeffrey
Direct owner — 7% stake — since 2017
Jaffa, Noam
Indirect owner — 7% stake — since 2017
Nij Llc
Direct owner — 7% stake — since 2017
Halpert, Marc
Indirect owner · Director — since 2017
Monarch Healthcare Operating Iv Llc
Operational control — since 2017

Regulatory standing

Federal court records
3 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-10-01
CMS overall rating
2 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-07-02
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$400 per day (≈ $12,160/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 6% Medicare · 28% private/other
Occupancy
73% (fiscal year 2023)
Vs. state median
2% below the MN median of $407/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-02Health inspectionComplaint-triggered7 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-08-03
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2026-08-03
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-08-03
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-08-03
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-08-03
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-08-03
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-08-03
2026-03-27Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-04-15
11 earlier / fire-safety inspections (38 citations)
2025-11-13Health inspectionComplaint-triggered1 citation
F-0760
J · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-11-10
2025-05-23Health inspectionComplaint-triggered17 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-03
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-07-03
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-07-03
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-07-03
F-0584
D · No harm found
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.
Corrected 2025-07-03
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-07-04
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-03
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-07-03
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-03
F-0688
D · No harm found
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.
Corrected 2025-07-03
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-03
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-07-03
F-0761
E · No harm foundFrom a complaint
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.
Corrected 2025-07-03
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-07-03
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-03
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-07-03
F-0912
F · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
2025-05-01Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-16
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-16
2025-01-21Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-02-07
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-02-07
2025-01-09Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-31
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-31
2024-10-17Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-22
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-22
F-0694
D · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-11-22
2024-04-24Health inspection4 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
F-0727
F · No harm found
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.
F-0912
E · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
2024-03-15Health inspectionComplaint-triggered2 citations
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-12
F-0921
F · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-12
2026-07-02Fire-safety inspection1 citation
K-0914
C · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
2025-05-23Fire-safety inspection1 citation
E-0015
C · No harm found
Address subsistence needs for staff and patients.
Corrected 2025-07-03
2024-04-24Fire-safety inspection3 citations
E-0041
C · No harm found
Implement emergency and standby power systems.
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-05-23
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-31
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 245298.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered