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Nursing Home in Ramsey

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Estates at Twin Rivers

Nursing Home in Ramsey

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Estates at Twin Rivers

305 Fremont St, Anoka, MN 55303 View map
Overview of The Estates at Twin Rivers

The Estates at Twin Rivers is a nursing home in Anoka, MN, offering long-term care, skilled nursing, and rehabilitation. Promoting a supportive and inviting environment, the community ensures older adults can live comfortably in retirement. 24-hour care, healthy meals, and therapies are among the exceptional services provided to enrich residents’ living experiences. Through a holistic approach to care, residents receive high-quality care to help them recover and return to their routines with ease.

Games, recreational activities, and exercises provide residents with more opportunities to try out new hobbies and make friends. Residents can also rest comfortably, with thoughtfully furnished, private, and semi-private rooms. Situated near bus stops, leisure sites, and parks in Anoka, the community ensures residents have easy access to their necessities and leisure. This nursing home has exceptional standards of care, making it a good option for senior living in Minnesota.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
1/5
Minnesota average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
1/5
Minnesota average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
1/5
Minnesota average: 4.1/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
2/5
Minnesota average: 3.1/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 49m per day

This home provides 20% less nursing time per resident than the Minnesota average.

Minnesota average: 4h 46m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 25m per day 1h 4m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 0m per day 2h 33m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 6m per day 3h 41m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 4m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 17m per day 41m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 45

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Minnesota average
Occupancy rate 73.4%
Residents per day (avg) 36
Occupancy rate
73.4%
Residents per day (avg)
36

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 19 days

Private pay

57% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Privately-owned community
Home revenue
$5.4M
Profit
$156.8K
Privately-owned community
Home revenue
$5,417,449.00
Profit
$156,809.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
39.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.1M
Total costs $5.3M

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Types of Care at The Estates at Twin Rivers

Nursing Home
Contact The Estates at Twin Rivers

Compare Nursing Homes around Ramsey The information below is reported by the Minnesota Department of Health, Health Regulation Division.

1 facility compared · CMS & MN Dept. of Health data · Updated Apr 2026

Filter by care type
The Estates at Twin Rivers
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Anoka
73.4%
-8%
3.82
-20%
0
0
0.0
0
36
$5.1M
$2.1M
42.1%
245298
Private / Semi-Private Rooms

Places of interest near The Estates at Twin Rivers

Address 0.6 miles from city center

Address 305 Fremont St, Anoka, MN 55303

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Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Short-stay resident measures
Below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 30.9%
34% worse than Minnesota average

Minnesota average: 23.1%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.2%
41% better than Minnesota average

Minnesota average: 14.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Minnesota average

Minnesota average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 28.6%
47% worse than Minnesota average

Minnesota average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 50.5%
In line with Minnesota average

Minnesota average: 50.6%

Guides for Better Senior Living

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Financial Aid for Minnesota Seniors

Get financial aid guidance

Elderly Waiver

Minnesota Medicaid EW

Age 65+, Minnesota resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$3,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Essential Community Supports (ECS)

Minnesota ECS

Age 65+, Minnesota resident, at risk of decline but not nursing home level.

~$1,732/month (individual, varies).

$3,000 (individual).

Bridges gap for those ineligible for waivers.

Alternative Care (AC) Program

Minnesota Alternative Care Program

Age 65+, Minnesota resident, NFLOC, not MA-eligible.

~$1,255-$2,829/month (100%-300% FPL); sliding scale copays.

$3,000 (individual); home equity limit $713,000.

CDCS option; statewide via counties.

Minnesota Senior Health Options (MSHO)

Minnesota Senior Health Options

Age 65+, Minnesota resident, eligible for MA and Medicare Parts A/B.

~$1,255/month (100% FPL for MA); spenddown allowed.

$3,000 (individual), $6,000 (couple).

7 health plans (e.g., UCare, HealthPartners); care coordinator assigned.

Minnesota Senior Care Plus (MSC+)

Minnesota Senior Care Plus

Age 65+, Minnesota resident, MA-eligible, not on Medicare.

~$1,255/month (100% FPL); spenddown allowed.

$3,000 (individual), $6,000 (couple).

Includes EW services; 7 health plans available.

Consumer Support Grant (CSG)

Minnesota Consumer Support Grant

Age 65+ or disabled, Minnesota resident, eligible for MA personal care but opts for grant.

~$1,255/month (MA-eligible); spenddown allowed.

$3,000 (individual).

Can hire family; statewide via counties.

Medicare Savings Program (MSP)

Minnesota Medicare Savings Program

Age 65+ or disabled, Minnesota resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

VA Aid and Attendance (A&A) and Housebound Benefits

Minnesota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Minnesota resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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