The Estates At Twin Rivers Llc
The Estates At Twin Rivers Llc in ANOKA, MN — inspection on November 13, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
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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