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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 43 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. The latest standard survey recorded 9 findings, above the MN average of 8.0. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 45 analyzed
This facility responds to some reviews.
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.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
3
measures
11
measures
3
measures
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
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
Detailed Medicare record · up to 3-year lookback
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
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.
The Estates at Twin Rivers LLC
for profit
Monarch Healthcare Management
45 facilities nationwide
Chain avg rating: 2.3/5 · Rank 37 of 45 (Lowest rating)
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 this facility directly and verify the details that matter most to your family.
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