CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2452982026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

The Estates At Twin Rivers Llc

CMS lists this provider in Anoka, MN, with 50 certified beds, an overall rating of 2/5, and 46 citation rows in the current August 2026 release.

305 Fremont Street · Anoka, MN 55303 · Anoka County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds50CMS provider file
Recent citation rows46current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

The Estates At Twin Rivers Llc survey cycles in this release

CMS supplies 3 survey-cycle rows for The Estates At Twin Rivers Llc in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-07-0292026-07-021
Cycle 22025-05-23262025-05-231
Cycle 32024-04-2462024-04-243
02 / CITATION DETAIL

The Estates At Twin Rivers Llc citations in the current release

CMS reports 46 citation rows, including 1 with G–L codes and 1 with J–L codes.

1 row carry G–L scope/severity codes; 1 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-07-02 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has plan of correction · 2026-08-03
2026-07-02 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has plan of correction · 2026-08-03 · complaint
2026-07-02 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Correction field: Deficient, Provider has plan of correction · 2026-08-03
2026-07-02 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has plan of correction · 2026-08-03 · complaint
2026-07-02 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has plan of correction · 2026-08-03
2026-07-02 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has plan of correction · 2026-08-03
2026-07-02 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Correction field: Deficient, Provider has plan of correction · 2026-08-03
2026-07-02 · FIREK0914Severity C · widespread; potential for minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has no plan of correction
2026-03-27 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-04-15 · complaint
2025-11-13 · HEALTHF0760Severity J · isolated immediate jeopardy

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Past Non-Compliance · 2025-11-10 · complaint
2025-05-23 · FIREE0015Severity C · widespread; potential for minimal harm

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0552Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0561Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Correction field: Deficient, Provider has date of correction · 2025-07-03 · complaint
2025-05-23 · HEALTHF0577Severity C · widespread; potential for minimal harm

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2025-07-04
2025-05-23 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2025-07-03 · complaint
2025-05-23 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2025-07-03 · complaint
2025-05-23 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0688Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0757Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Correction field: Deficient, Provider has date of correction · 2025-07-03
2025-05-23 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-07-03 · complaint
03 / ENFORCEMENT FILE

CMS penalties reported for The Estates At Twin Rivers Llc

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for The Estates At Twin Rivers Llc

CMS matched 12 ownership disclosure rows to The Estates At Twin Rivers Llc; names and roles are reported fields, not independently verified identities.

  • NIJ LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    7% · since 03/01/2017
  • SPARTAN HEALTHCARE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    30% · since 03/01/2017
  • YAZOMA HOLDINGS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    30% · since 03/01/2017
  • AREM, JEFFREYIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    7% · since 03/01/2017
  • STERN, WILLIAMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 03/01/2017
  • HALPERT, MARCIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 03/01/2017
  • JAFFA, NOAMIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    7% · since 03/01/2017
  • LEGUM, JOSHUAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    30% · since 03/01/2017
  • LEGUM, JOSHUAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 03/01/2017
  • HALPERT, MARCIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 03/01/2017
  • STERN, WILLIAMIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2017
  • MONARCH HEALTHCARE OPERATING IV LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2017

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for The Estates At Twin Rivers Llc

CMS reports 3.48 total nurse hours and 0.83 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.48per resident day
RN hours0.83per resident day
Weekend nurse hours3.10per resident day
Staff turnover45.5%CMS reported field
06 / LOCAL RECORDS

Facilities published near The Estates At Twin Rivers Llc

The local peer set contains 1 other published facility record near Anoka, MN, with separate bed, rating, and citation-row fields.

Open the Anoka ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.