Edenbrook Rochester West
Rochester, Minnesota · CCN 245306
28 surveys since 2011. The first finding at harm level was recorded in 2021.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 122
- Surveys
- 28
- Harm or worse
- 7
- Immediate jeopardy
- 5
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 48
- Ownership
- For profit - Limited Liability company
- Chain
- EDEN SENIOR CARE
- County
- Olmsted
- Medicare-certified since
- 1986
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 5
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 55 for-profit facilities with fewer than 66 beds in Minnesota.
Last survey on record
May 13, 2026
180 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.25 | 3.62 |
| Registered-nurse hours per resident day | 1.78 | — |
| Annual nurse turnover | 34.4% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $14,518 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J24.9% | K— | L— |
| Actual harm | G12.4% | H— | I— |
| No harm, potential for more than minimal | D2561.0% | E1024.4% | F24.9% |
| No harm, potential for minimal | A— | B— | C12.4% |
Most frequently cited here
In CMS’s current monthly file.
- F7603×
Ensure that residents are free from significant medication errors.
- F8803×
Provide and implement an infection prevention and control program.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7252×
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F7262×
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.
In the surveyor’s words
From the most serious findings on record at Edenbrook Rochester West, in the surveyor’s own words.
- Immediate jeopardy, patternF600Apr 27, 2022
Based on observation, interview and document review, the facility failed to thoroughly investigate allegations of abuse and neglect made by 4 residents (R9, R24, R5, and R17) about 1 nursing assistant (NA-A) and an unidentified NA. This resulted in an immediate jeopardy for R9, R24, R5 and R17 who expressed distress and psychosocial harm as they had not been protected from NA-A being verbally abusive towards them and rough with them. The IJ began on 4/20/22, when it was identified NA-A had multiple accusations of rough and verbally abusive behavior and neglectful behaviors made against her and the facility had not thoroughly investigated or protected residents during an investigation. […]
- Immediate jeopardy, patternF880Apr 27, 2022
Based on observation, interview and document review the facility failed to ensure infection control procedures were implemented to reduce the risk and spread of an unknown gastrointestinal (GI) illness in the facility resulting in 10 of 28 residents (R82, R27, R1, R20, R18, R19, R26, R15, R13, and R9) developing GI symptoms and the facility lacked any investigation of causal factors and or testing for pathogen. In addition, the facility failed to implement timely isolation of symptomatic residents, and failed to perform hand hygiene following care of symptomatic residents, placing this vulnerable population of residents and health care workers at risk of serious illness. […]
- Immediate jeopardy, isolatedF684Sep 8, 2025
Based on interview and record review the facility failed to identify, assess, monitor, and follow physicians' orders for signs and symptoms of hypoglycemia (low blood sugar) for 1 of 3 residents (R1) who had diagnosis of diabetes. This resulted in an immediate jeopardy (IJ) situation for R1 who had continuous low blood sugars without treatment that resulted in hospitalization with hypoglycemia. The IJ began on 8/29/25 at 4:00 p.m., when interventions were not implemented to prevent hypoglycemia. The facility did not notify the provider and R1's blood sugars continued to drop until he was sent to the ED on 8/30/25 at 1:20 a.m. […]
- Immediate jeopardy, isolatedF760Oct 24, 2023
Based on observation, interview, and document review the facility failed to administer the right prescribed medications to right residents for 1 of 3 residents (R1). R1 had developed hypotension (low blood pressure) and bradycardia (low heart rate) that required emergency medical treatment and admitted to the hospital ICU (intensive care unit) to stabilize R1's condition which resulted in an immediate jeopardy (IJ). The immediate jeopardy (IJ) began on 10/9/23, when registered nurse (RN)-A failed to identity R1 prior to the administration of prescribed medications. The director of nursing (DON) and vice president of success (VPOS) were notified of the IJ on 10/24/23, at 6:30 p.m. […]
- Immediate jeopardy, isolatedF684Jul 14, 2021
Based on observation, interview, and document review the facility failed to ensure safe diabetic management for 1 of 1 residents (R1) admitted to the facility with an insulin pump. This resulted in an immediate jeopardy (IJ) and had the potential to cause serious harm, or death to R1 and all future residents admitted to the facility with insulin pumps. The IJ began on 6/18/21, when R1 was admitted to the facility with an insulin pump in which the facility failed to identify, educate staff on the pump, transcribe physician orders for insulin and blood sugar monitoring, and develop an individualized diabetic care plan which resulted in R1 self-administering a bolus (a single dose of a drug or other medicinal preparation given all at once) of insulin that caused a hypoglycemic (a condition… […]
Read 25 findings in full →The most serious and the most recent: 25 of 122 on record.
Every survey on record
FindingsAt actual harm or above
- May 13, 2026Complaint1 finding
- Nov 20, 2025Standard and complaint11 findings · 1 harm
- Sep 8, 2025Complaint1 finding · 1 harm
- Dec 10, 2024Complaint1 finding
- Oct 23, 2024Standard4 findings
- Nov 30, 2023Complaint4 findings
- Nov 2, 2023Standard and complaint14 findings
- Oct 24, 2023Complaint4 findings · 1 harm
Show the 20 earlier surveys
- Aug 22, 2023Complaint1 finding
- Nov 2, 2022Complaint1 finding · 1 harm
- Apr 27, 2022Standard and complaint10 findings · 2 harm
- Nov 4, 2021Complaint1 finding
- Aug 26, 2021Complaint1 finding
- Jul 14, 2021Complaint1 finding · 1 harm
- May 7, 2020Complaint1 finding
- Apr 1, 2020Infection control1 finding
- Jan 24, 2020Standard11 findings
- Mar 15, 2019Complaint3 findings
- Dec 13, 2018Standard15 findings
- Jan 19, 2018Standard8 findings
- Dec 22, 2016Standard3 findings
- Feb 11, 2016Standard6 findings
- May 21, 2015Standard3 findings
- Jul 16, 2014Complaint1 finding
- Apr 17, 2014Standard2 findings
- Mar 28, 2013—5 findings
- Apr 20, 2012—6 findings
- Jun 29, 2011—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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