Federal Nursing-Home Survey Record
EDENBROOK ROCHESTER WEST
Does EDENBROOK ROCHESTER WEST have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), EDENBROOK ROCHESTER WEST (CCN 245306), in ROCHESTER, MN, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 12 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2025-11-20. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $14,518 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
The Federal Record
At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Scope & Severity — current cycle
Civil money penalties on file
$14,518
CMS has $14,518 in civil money penalties on file against this facility.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 3.2
Deficiency timeline — full federal history
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Post nurse staffing information every day.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide enough food/fluids to maintain a resident's health.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure each resident receives an accurate assessment.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Ensure that residents are free from significant medication errors.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Provide and implement an infection prevention and control program.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Provide safe and appropriate respiratory care for a resident when needed.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Respond appropriately to all alleged violations.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Allow residents to self-administer drugs if determined clinically appropriate.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Document what happened
Were you or a loved one harmed at EDENBROOK ROCHESTER WEST?
Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.
Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.