The Estates at Twin Rivers LLC: Staffing, Turnover, and Inspection Record
The Estates at Twin Rivers LLC is a 50-bed for-profit nursing home in Anoka, Minnesota, part of Monarch Healthcare Management. In the CMS August 2026 release it reported 1.97 nurse aide hours per resident per day, 22% below the Minnesota average of 2.52, and 45.5% nursing staff turnover (Minnesota average 42.2%).
The Estates at Twin Rivers LLC
305 Fremont StreetAnoka, MN 55303
Anoka County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Estates at Twin Rivers LLC, nurse aides logged 1.97 hours per resident per day, 22% below the Minnesota average. With about 39 residents a day, that works out to roughly 76 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Minnesota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.97 | 2.52 | 2.32 |
| Licensed practical nurses | 0.68 | 0.61 | 0.86 |
| Registered nurses | 0.83 | 1.06 | 0.69 |
| All nursing staff | 3.48 | 4.19 | 3.86 |
| All nursing staff, weekends | 3.10 | 3.71 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
45.5% of nursing staff at The Estates at Twin Rivers LLC left over the year CMS measured, against a Minnesota average of 42.2% and a US average of 45.8%. Registered nurse turnover was 85.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 2, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Minnesota average 7.0). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Estates at Twin Rivers LLC holds 2 of 5 overall; the Minnesota average is 3.2.
About The Estates at Twin Rivers LLC
- Ownership: For profit - Corporation
- Chain: Monarch Healthcare Management, 45 homes
- Legal name: The Estates at Anoka LLC
- Medicare and Medicaid certified since: Oct 1, 1985
- Councils: resident and family councils
- Area: urban
Nursing homes near The Estates at Twin Rivers LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Anoka Rehabilitation and Living Center Anoka | 1.0 | 120 | 2.05 | 4.11 | 36.8% | 4 | $24,297 |
| Park River Healthcare and Rehabilitation Center LL Coon Rapids | 5.7 | 98 | 2.77 | 4.58 | 41.7% | 2 | None |
| The Villas at Osseo LLC Osseo · abuse citation | 5.8 | 100 | 1.84 | 3.59 | 46.8% | 1 | $48,399 |
| Saint Therese at Oxbow Lake Brooklyn Park | 6.5 | 64 | 2.49 | 4.73 | 26.6% | 3 | None |
| Maranatha Care Center Brooklyn Center | 8.4 | 97 | 2.50 | 4.24 | 25.0% | 4 | None |
| Woodlake Healthcare and Rehabilitation Center Crystal | 9.8 | 188 | 2.38 | 4.28 | 28.2% | 3 | None |
| North Ridge Health and Rehab New Hope · SFF candidate | 10.1 | 320 | 2.12 | 4.23 | 27.5% | 1 | $25,480 |
| The Birches at Trillium Woods Plymouth | 10.1 | 44 | 3.19 | 5.48 | 21.1% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.