Deficiency Index

Rochester Rehabilitation and Living Center

Rochester, Minnesota · CCN 245626

30 surveys since 2015. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
102
Surveys
30
Harm or worse
7
Immediate jeopardy
4
The record, 2015–2026
’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/30

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
56
Ownership
Non profit - Corporation
Chain
VOLUNTEERS OF AMERICA SENIOR LIVING
County
Olmsted
Medicare-certified since
2015

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
2

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 123 not-for-profit facilities with fewer than 66 beds in Minnesota.

Last survey on record

Jun 24, 2026

138 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.094.22
Registered-nurse hours per resident day2.09—
Annual nurse turnover73.5%42.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ25.4%K—L—
Actual harmG38.1%H—I—
No harm, potential for more than minimalD2670.3%E38.1%F38.1%
No harm, potential for minimalA—B—C—
CMS’s current file: 37 of the 102 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6844×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8804×

    Provide and implement an infection prevention and control program.

  • F6092×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Rochester Rehabilitation and Living Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF760Aug 22, 2025

    Based on observations, interviews, and record reviews, the facility failed to ensure the safe and accurate administration of prescribed medications to residents, resulting in Immediate Jeopardy. Systemic Failures were identified across multiple areas, including transcription errors, incorrect dosing, and medication omissions. The facility did not consistently follow the five rights of medication administration, nor did it implement effective systems to identify, prevent, investigate, or track medication errors. These failures directly impacted two residents. Resident R1 did not receive two prescribed diuretic (manage fluid overload) medications, resulting in ongoing congestive heart failure. […]

  • Immediate jeopardy, isolatedF684Apr 22, 2025

    Based on interview, observation, and document review, the facility failed to follow physician orders, complete assessments, monitor or input appropriate interventions and recognize changes in condition, for 6 of 6 residents (R31, R201, R21, R194, R6, R18) reviewed for quality of care. As a result of the facility's failures, an immediate jeopardy (IJ) situation was identified for R31 who had displayed respiratory distress with labored breathing, increased anxiety and required additional medication, R201 who had displayed signs of a UTI and was transferred to the ER for treatment, R21 who had displayed signs of a urinary tract infection (UTI) and was transferred to the hospital ER for treatment. […]

  • Immediate jeopardy, isolatedF760Nov 4, 2022

    Based on interview and document review the facility failed to administer the right prescribed medications to right residents for 2 of 3 residents (R1, R2). R1 had a sudden change in cardiac status and required hospitalized . This resulted in an immediate jeopardy (IJ) for R1, the facility immediately implemented correction and is being issued at past non compliance. The immediate jeopardy (IJ) began on [DATE], when registered nurse (RN)-A failed to verify identity of R1 prior to the administration of prescribed medications on the morning of [DATE]. The administrator and director of nursing were notified of the IJ on [DATE], at 3:30 p.m. The IJ was removed on [DATE], and the deficient practice was corrected on [DATE], prior to the start of the survey and was therefore Past Noncompliance. […]

  • Immediate jeopardy, isolatedF684Sep 22, 2022

    Based on interviews and document reviews, the facility failed to assess a change in condition when family member (FM)-A approached facility staff to report increased secretions for 1 of 1 residents (R1). Furthermore, a nurse handed a medication to FM-A to administer to R 1 without a nursing assessment. This resulted in an immediate jeopardy (IJ) when the facility failed to assess change in condition during end of life. R1 died shortly after. The IJ began on [DATE] when FM-A reported concerns of R1's increasing secretions to licensed practical nurse (LPN)-A. LPN-A failed to complete an in person assessment of R1's condition, instead, gave FM-A a medication to administer to R1 and left the unit. […]

  • Actual harm, isolatedF686Mar 27, 2026

    Based on observation, interview, and document review the facility failed to monitor, comprehensively assess, develop, and implement individualized interventions to prevent/mitigate the risk of pressure ulcers and/or deterioration for 3 of 4 residents (R1, R4, R5) reviewed for pressure ulcers. This caused actual harm to R1 who developed an avoidable unstageable pressure ulcer on her coccyx which needed surgical debridement and hospitalization. Findings include: Pressure Ulcer/Injury (PU/PI) is localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury occurs because of intense and/or prolonged pressure or pressure in combination with shear. […]

Read 23 findings in full →The most serious and the most recent: 23 of 102 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 24, 2026Standard2 findings
  • Mar 27, 2026Complaint4 findings · 1 harm
  • Aug 22, 2025Complaint3 findings · 1 harm
  • Jun 27, 2025Complaint2 findings · 1 harm
  • Apr 22, 2025Standard and complaint12 findings · 1 harm
  • Oct 29, 2024Complaint1 finding
  • Oct 10, 2024Complaint2 findings
  • Sep 9, 2024Complaint2 findings · 1 harm
Show the 22 earlier surveys
  • Jul 3, 2024Complaint1 finding
  • Jun 28, 2024Complaint1 finding
  • Mar 6, 2024Standard2 findings
  • May 4, 2023Standard5 findings
  • Apr 4, 2023Complaint2 findings
  • Mar 1, 2023Complaint1 finding
  • Nov 4, 2022Complaint1 finding · 1 harm
  • Sep 22, 2022Complaint1 finding · 1 harm
  • Aug 30, 2022Complaint1 finding
  • Aug 11, 2022Complaint1 finding
  • Jun 29, 2022Complaint1 finding
  • Jan 21, 2022Standard9 findings
  • Jul 30, 2021Complaint1 finding
  • Jun 15, 2021Complaint1 finding
  • Apr 26, 2021Complaint2 findings
  • Feb 18, 2021Complaint5 findings
  • May 5, 2020Infection control1 finding
  • May 3, 2019Standard and complaint16 findings
  • Mar 22, 2018Standard6 findings
  • Feb 10, 2017Standard8 findings
  • Apr 20, 2016Standard4 findings
  • May 28, 2015Standard4 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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