Edenbrook Rochester West

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 22, 2026

• Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity G of L: actual harm, isolatedCorrected Dec 19, 2025

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 9, 2026

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 19, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 19, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 19, 2025

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2025

• Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 19, 2025

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 9, 2026

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 9, 2026

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 9, 2026

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 19, 2025

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity C of L: potential for minimal harm, widespreadCorrected Jan 9, 2026

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 19, 2025

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

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Sep 26, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2025

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 27, 2024

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 27, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 27, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 27, 2024

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadWaiver has been granted

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 27, 2024

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadWaiver has been granted

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 26, 2024

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 26, 2024

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 26, 2024

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 26, 2024

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity C of L: potential for minimal harm, widespreadCorrected Nov 27, 2024

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2024

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2024

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2024

• Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2024

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadWaiver has been granted

• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 20, 2023

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 20, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 20, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 20, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 20, 2023

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 20, 2023

• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 20, 2023

• Ensure that residents are free from significant medication errors.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Oct 9, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 21, 2023

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 21, 2023

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 21, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 18, 2023

Edenbrook Rochester West offers Skilled Nursing / Long Term Care.

Edenbrook Rochester West is located at 2215 Highway 52 North in Rochester, Minnesota.

Edenbrook Rochester West had 9 government inspection visits in the last three years, with 63 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Edenbrook Rochester West and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.