ANOKA REHABILITATION AND LIVING CENTER
3000 4TH AVENUE, ANOKA, MN 55303
Decent. ANOKA REHABILITATION AND LIVING CENTER brings a 4.0-star CMS rating, above-average staffing (5.0/5), high quality measure scores (4.0/5), 1.23 RN hours per resident daily, and low staff turnover (34%) — Palmelle trust score 63/100. There are 1 federal fine(s) on record — no date context, so worth asking about directly. Worth asking: This facility has received 1 federal fine(s) but still shows a 4.0-star overall rating. Federal penalties are serious — they indicate violations found during inspections. A high rating alongside recent penalties warrants extra scrutiny. Worth asking: Mobility-decline rate is 25.7% — meaning that share of long-stay residents lost ability to move between measurements (above the national median of about 17%). High decline suggests no PT/OT program or no daily walking — residents are being allowed to become bed-bound. Worth asking what the rehab and activities calendar actually looks like. Worth asking: Registered nurse coverage is 1.23 hours per resident per day — well above the recommended minimum of 0.75 and on par with high-end facilities. More RN time means complex medical changes get caught before they become emergency room trips. Worth asking: Annual nursing staff turnover is 34% — well below the industry average of 50-60%. The same caregivers are coming back week after week, which means residents see familiar faces who know their preferences and history. Continuity of care is one of the biggest invisible quality signals.
The Estates At Twin Rivers Llc
305 FREMONT STREET, ANOKA, MN 55303
Decent. The Estates At Twin Rivers Llc brings 0.68 RN hours per resident daily, and no federal fines on record — Palmelle trust score 42/100. Worth asking: Mobility-decline rate is 27.2% — meaning that share of long-stay residents lost ability to move between measurements (above the national median of about 17%). High decline suggests no PT/OT program or no daily walking — residents are being allowed to become bed-bound. Worth asking what the rehab and activities calendar actually looks like.
CREST VIEW LUTHERAN HOME
4444 RESERVOIR BOULEVARD NORTHEAST, COLUMBIA HEIGHTS, MN 55421
Decent. CREST VIEW LUTHERAN HOME brings no federal fines on record — Palmelle trust score 42/100. Worth asking: Mobility-decline rate is 32.3% — meaning that share of long-stay residents lost ability to move between measurements (above the national median of about 17%). High decline suggests no PT/OT program or no daily walking — residents are being allowed to become bed-bound. Worth asking what the rehab and activities calendar actually looks like.
The Estates at Fridley LLC
5700 EAST RIVER ROAD, FRIDLEY, MN 55432
Hmm. The Estates at Fridley LLC has a critical flag: cms has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. Palmelle trust score is 13/100. To be fair: above-average staffing (5.0/5). Worth asking: CMS has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. This is one of the most serious flags CMS assigns. Worth asking: Pressure ulcer (bedsore) rate is 15.6% — well above the national median of about 7%. Pressure ulcers form when staff don't reposition residents every two hours. This is a staffing-and-attention signal as much as a clinical one. Worth asking what the repositioning schedule looks like. Worth asking: Falls with major injury rate is 5.5% — above the national median of about 3%. A spike usually means call lights aren't getting answered fast enough or the facility is short on aides during transfer-heavy hours like mealtimes. Worth asking how long the call-light response window is during evening shifts. Worth asking: Registered nurse coverage is 1.03 hours per resident per day — well above the recommended minimum of 0.75 and on par with high-end facilities. More RN time means complex medical changes get caught before they become emergency room trips. Dig into the full report before visiting.
PARK RIVER ESTATES CARE CENTER
9899 AVOCET STREET NORTHWEST, COON RAPIDS, MN 55433
Decent. PARK RIVER ESTATES CARE CENTER brings a 4.0-star CMS rating, above-average staffing (5.0/5), high quality measure scores (5.0/5), 0.70 RN hours per resident daily, and no federal fines on record — Palmelle trust score 61/100. Worth asking: This facility's overall rating (4.0 stars) is 2.0 stars higher than what health inspectors actually found (2.0 stars). This gap often indicates the facility is performing well on self-reported metrics while inspectors found real problems. Worth asking: Pressure ulcer rate is 2.2% — under half the national median. Means the floor staff are repositioning residents on schedule and catching skin breakdown early. Hands-on attention shows up in this number.
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