The Estates at Twin Rivers LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 40 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (20 vs median 6.5)
- High staff turnover (51%)
- High RN turnover (78%)
Bottom 25% in MN · Below recommended RN staffing · Worst in MONARCH HEALTHCARE MANAGEMENT chain · No penalties on record
What this means for your family
While the nursing and therapy teams are frequently praised for their compassion, the facility suffers from significant maintenance issues and inconsistent care standards. If you choose this facility, you must be prepared to be a highly active advocate for your loved one, as multiple families noted that the facility relies heavily on family presence to ensure basic needs are met.
Google Reviews
Google Reviews
40 reviews on Google“The Estates at Twin Rivers presents a stark contrast between its dedicated, compassionate staff and its deteriorating, poorly maintained physical facility. While many families praise the nursing and therapy teams for their kindness and attentiveness, numerous reviewers report severe neglect, including issues with hygiene, medication management, and facility cleanliness. Families should be prepared to be highly involved in their loved one's daily care, as the facility's aging infrastructure and staffing challenges often lead to inconsistent service.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing/aide staff
- Effective physical and occupational therapy
- Supportive social work and management
- Small, family-like atmosphere
Concerns
- Neglect and poor hygiene (soiled briefs, lack of bathing) (mentioned by 6 reviewers)
- Understaffing leading to slow response times (mentioned by 5 reviewers)
- Poor facility maintenance and cleanliness (pests, odors, dirty rooms) (mentioned by 6 reviewers)
- Medication management errors and delays (mentioned by 3 reviewers)
- Unprofessional or non-responsive communication (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 42 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Since many families appreciate the small, family-like atmosphere here, how do you ensure each resident receives personalized attention during mealtimes?
- 2What specific steps are being taken to ensure rooms and common areas are kept fresh and well-maintained for the residents?
- 3How does the nursing team manage medication schedules to ensure there are no delays or errors in care?
- 4Could you tell me more about the daily activities and social events available to keep residents engaged and active?
- 5In the event of a medical emergency after hours, what is the protocol for contacting the family and ensuring immediate care?
- 6How do you ensure that hygiene and personal care needs, like bathing and linen changes, are addressed promptly throughout the day?
Personalized based on this facility's data
Key Review Excerpts
“The staff, nurses, and social worker are outstanding. They care and are very attentive to the patients. When my mom pushes her call light someone is here in less than 8 minutes!!”
“The nurses took care of my father for 9 months here during his end of life. The place is a little old and doesn’t smell good but the staff and the assistant Opera is so nice! Family really has to be hands on in the care and you can’t rely solely on the care there.”
“Don’t let the appearance fool you. The building is old and not very inviting, But the staff are Amazing! My dad was very well cared for, and he loved it there.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
4
measures
11
measures
2
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Nearly half of these deficiencies stem from families filing complaints, signaling ongoing resident and family concerns about care quality. The facility shows persistent problems across multiple areas including medication management, resident rights violations, and safety hazards, with recurring issues in care planning and accident prevention appearing across multiple surveys. While most deficiencies show correction dates, the pattern of repeated violations in core care areas suggests systemic challenges that warrant careful investigation during any visit.
Mar 27, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 13, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
May 23, 2025Complaint6
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
May 23, 2025Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
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
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
May 1, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 21, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Ownership & Operations
Who Operates This Facility
The Estates at Twin Rivers LLC
for profit
Chain Affiliation
Monarch Healthcare Management
45 facilities nationwide
Chain avg rating: 2.3/5 · Rank 37 of 45 (Worst)
Ownership & Management
Owners
Nij LLC
Owner · Organization
Spartan Healthcare LLC
Owner · Organization
Yazoma Holdings, LLC
Owner · Organization
Arem, Jeffrey
Owner
Stern, William
Owner
Halpert, Marc
Owner (parent company)
Jaffa, Noam
Owner (parent company)
Legum, Joshua
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
40 reviews from families & visitors
Official Website
Visit monarchmn.com
Medicare data downloads
Original nursing home datasets
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