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Complaint Investigation

The Estates At Twin Rivers Llc

Inspection Date: November 13, 2025
Total Violations 1
Facility ID 245298
Location ANOKA, MN
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Immediate Jeopardy

F 0760 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

medication dosage, notify the physician or pharmacy to follow-up. Notify physician, family, and nurse leadership immediately for medication errors and initiate orders to begin monitoring for adverse reactions to medication discrepancy. The PNC IJ that began on 10/21/25, was removed on 11/10/25, when it was verified, the facility implemented the following: -suspended on 11/7/25, and subsequently terminated LPN-A, the nurse who transcribed the order. -review of all residents on antipsychotic and psychotropic medications to ensure accuracy was completed on 11/7/25. -education provided to nursing staff on medication administration and transcription double check of orders completed on 11/10/25. -review by DON/designee daily of all orders discontinued and initiated into the order system began 11/7/25. -competency for psychotropic medications and side effects for nursing staff completed on 11/10/25. -reviewed policies and procedures related to medication administration and transcription double check, pharmacy, change of condition, and medication errors on 11/7/25.

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📋 Inspection Summary

The Estates At Twin Rivers Llc in ANOKA, MN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ANOKA, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Estates At Twin Rivers Llc or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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