EDENBROOK ROCHESTER WEST

ROCHESTER, MN · 48 beds · For profit - Limited Liability company

12 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm

Green Flags

  • 5-star staffing rating
  • Above-average RN staffing (1.89 hrs vs 1.18 state avg)

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
12
1.5x state avg
Deficiencies
$14,518
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

November 19, 2025

11 deficiencyies
F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0691 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

F0710 Potential Harm Scope/Severity: D

Nursing and Physician Services Deficiencies

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

F0726 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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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.

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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

F0801 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0921 Potential Harm Scope/Severity: D

Environmental Deficiencies

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

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

September 7, 2025

1 deficiency
F0684 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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

December 9, 2024

1 deficiency
F0692 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

October 22, 2024

4 deficiencyies
F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0760 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

November 29, 2023

3 deficiencyies
F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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

F0636 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0694 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

See full violation history →

Staffing

1.89
RN hrs/res/day
0.25
LPN hrs/res/day
2.47
CNA hrs/res/day
4.24
Weekend hrs/res/day
53%
Total nurse turnover
40%
RN turnover

A nurse checks on each resident roughly every 5.2 hours on average.

Fines & Penalties

  • Fine Oct 23, 2023
    $14,518
Total $14,518

Ownership

For profit - Limited Liability company Chain: EDEN SENIOR CARE
  • NSHC WISCONSIN LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/30/2016

    NO PERCENTAGE PROVIDED Organization
  • BAUMANN, TROY

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/30/2016

    NO PERCENTAGE PROVIDED Individual
  • HOEHN, JEFFREY

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 12/30/2016

    NO PERCENTAGE PROVIDED Individual
  • NORTH SHORE HEALTHCARE LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/30/2016

    100% Organization
  • NORTH SHORE HEALTHCARE LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/30/2016

    Organization
  • NSHC WISCONSIN LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/30/2016

    Organization
  • BAUMANN, TROY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/30/2016

    Individual
  • HOEHN, JEFFREY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 12/30/2016

    Individual
  • BAUMANN, TROY

    CORPORATE OFFICER

    Since since 12/30/2016

    Individual
  • HOEHN, JEFFREY

    CORPORATE OFFICER

    Since since 12/30/2016

    Individual

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