Anoka · 55303
Anoka Rehabilitation and Living Center
3000 4th Avenue
Anoka, MN 55303
The Estates at Twin Rivers
⌖ Anoka, MN · Anoka County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds50
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About The Estates at Twin Rivers
The Estates at Twin Rivers is a 50-bed for-profit nursing home in Anoka, MN. Medicare rates it 2 out of 5 stars overall (below average); the average in Minnesota is 3.2. At its last full inspection (Jul 2026), inspectors found 9 problems, more than the Minnesota average of 7.1. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 3 hr 29 min a day with each resident, less than the Minnesota average of 4 hr 12 min. About 46% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (3 of 5) and long-term care (2 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameThe Estates At Twin Rivers LLC
LocationAnoka County, Minnesota
Phone(763) 421-5660
Address305 Fremont Street, Anoka, MN 55303 · Anoka County
CMS provider number245298
Ownership typeFor-profit (corporation)
Operating companyMonarch Healthcare Management · 45 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 1, 1985 (40 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 4 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
About average
- Nursing staff turnover46% a yearMinnesota average: 42%About average
Things to ask about
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- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Nov 2025 (within the past year). All 1 were later corrected.Ask about this
- Health citations at last inspection9 (Jul 2026)Minnesota average: 7.1. Most citations are minor and corrected within weeks.Worse than state average
- Nurse staffing per resident3 hr 29 min a dayMinnesota average: 4 hr 12 minWorse than state average
- Registered nurse time per resident50 min a dayMinnesota average: 1 hr 04 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Minnesota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital32.4%State average: 23.5%Worse than average
- Needed an emergency room visit6.7%State average: 14.8%Better than average
- Newly given antipsychotic drugs3.2%State average: 1.9%Worse than average
Physical therapist time: about 3 minutes per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury0.0%State average: 4.0%Better than average
- Pressure sores (bedsores)10.2%State average: 5.2%Worse than average
- Given antipsychotic drugs21.4%State average: 17.1%Worse than average
Source: Medicare (CMS) quality measures, compared with the Minnesota average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Minnesota, Medicaid pays for 51% of resident days at a typical home.
- 58% Medicaid
- 6% Medicare
- 36% Private pay, insurance and other
Beds in use, on average76%Minnesota typical: 84%
Cost of care per resident day$394Minnesota typical: $449
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, the same as 2 stars in January 2019. It has ranged from 1 to 3 stars and changed 15 times.
Overall rating2★
Health inspections2★
Staffing4★
Quality of care2★
Nurse hours per resident per day3.5
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 1 | 5 | 4 | 4.6 |
| Jan 2020 | 2 | 1 | 4 | 3 | 3.8 |
| Jan 2021 | 2 | 1 | 4 | 4 | 3.7 |
| Jan 2022 | 1 | 1 | 3 | 2 | 3.8 |
| Jan 2023 | 2 | 2 | 4 | 3 | 3.4 |
| Jan 2024 | 1 | 3 | 1 | 1 | 3.8 |
| Feb 2025 | 2 | 3 | 1 | 3 | 3.6 |
| Feb 2026 | 1 | 1 | 1 | 1 | 3.5 |
| Sep 2026 | 2 | 2 | 4 | 2 | 3.5 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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