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C
Below Standard

The Estates At Twin Rivers Llc

305 FREMONT STREET · ANOKA, MN 55303

7634215660 · For profit - Corporation

50 beds37 residents154 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

The Estates At Twin Rivers Llc receives an overall staffing grade of C (Below Standard). With 3.4826 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4096 HPRD, below the recommended 0.75. It is 0.41 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.82% compared to weekdays. The facility has low agency staff usage (7.62% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Had 10 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.4096 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.4826hrs/resident/day▼ 0.41
CMS benchmark: 3.48
RN HPRD
0.4096hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
14.82%
3.6348 weekday → 3.0961 weekend
Agency Staff
7.62%
13.32% of RN hours from contractors
Days with Zero RN
10days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.5904hrs/resident/day
Direct care aides
LPN HPRD
1.0744hrs/resident/day
Licensed practical nurses
Consistency
0.343std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Anoka County Average-0.79 HPRD
4.28
03.48 HPRD
vs. Minnesota State Average-0.76 HPRD
4.24
03.48 HPRD
vs. National Average-0.41 HPRD
3.90
03.48 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
The Estates At Twin Rivers Llc ★
ANOKA · This facility
—
C
3.48260.4096★☆☆☆☆
ANOKA REHABILITATION AND LIVING CENTER
ANOKA
1 mi
A
4.29341.2325★★★★☆
PARK RIVER ESTATES CARE CENTER
COON RAPIDS
5.7 mi
A
4.89660.7561★★★★☆
North Ridge Health And Rehab
NEW HOPE
10.1 mi
A
4.37111.2383★☆☆☆☆
The Estates at Fridley LLC
FRIDLEY
10.5 mi
B
3.51360.8231★★★☆☆
GUARDIAN ANGELS CARE CENTER
ELK RIVER
10.9 mi
A
4.89541.5033★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

10
Inspections
38
Total Deficiencies
$0
Fines Assessed
Nov 13, 2025Health
1 deficiency cited· Includes actual harm
▼
May 23, 2025Health
17 deficiencies cited
▼
May 1, 2025Health
2 deficiencies cited
▼
Jan 21, 2025Health
2 deficiencies cited
▼
Jan 9, 2025Health
2 deficiencies cited
▼
Oct 17, 2024Health
3 deficiencies cited
▼
Apr 24, 2024Health
4 deficiencies cited
▼
Mar 15, 2024Health
2 deficiencies cited
▼
May 5, 2023Health
1 deficiency cited
▼
Apr 13, 2023Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.