The Estates At Twin Rivers Llc
305 Fremont Street, Anoka, MN, 55303
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Monarch Healthcare Management
- Certified beds
- 50 · avg 38 residents/day
- Total nursing staff turnover
- 50% — higher than most Minnesota nursing homesMinnesota avg: 42.5% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Minnesota nursing homesMinnesota avg: 38.5% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Minnesota averageMinnesota avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Medicare certification
- CMS Certification Number
- 245298
- Certified beds
- 50 beds · avg 38 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- The Estates At Anoka Llc
- Chain affiliation
- Monarch Healthcare Management
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Monarch Healthcare Management chain — 45 facilities. Chain-wide average overall rating 2.2 / 5.
Disclosed owners (9 on record)
- Jeffrey Arem
5% or Greater Direct Ownership Interest · 7% · since 2017
- Joshua Legum
5% or Greater Indirect Ownership Interest · 30% · since 2017
- Marc Halpert
5% or Greater Indirect Ownership Interest · since 2017
- Monarch Healthcare Operating iv Llc
Operational/managerial Control · 100% · since 2017
- Nij Llc
5% or Greater Direct Ownership Interest · 7% · since 2017
- Noam Jaffa
5% or Greater Indirect Ownership Interest · 7% · since 2017
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 38)
- D0880·Mar 27, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- J0760·Nov 13, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- F0880·May 23, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0804·May 23, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·May 23, 2025Complaint
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.
- D0677·May 23, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0657·May 23, 2025Complaint
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.
- D0561·May 23, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: May 23, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Estates At Twin Rivers Llcinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.