MADONNA TOWERS OF ROCHESTER INC

ROCHESTER, MN · 62 beds · Non profit - Corporation

44 Trust Score
Grade: D HIGH Risk → Stable

Red Flags

  • 1 citation(s) at the highest severity level — immediate risk to residents

Green Flags

  • 4-star staffing rating

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
7
0.9x state avg
Deficiencies
$10,196
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

June 11, 2025

4 deficiencyies
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0732 No Harm Scope/Severity: C

Nursing and Physician Services Deficiencies

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Post nurse staffing information every day.

F0812 Potential Harm Scope/Severity: F

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.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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

February 11, 2025

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.

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.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

August 25, 2024

3 deficiencyies
F0689 Immediate Jeopardy Scope/Severity: J

Quality of Life and Care Deficiencies

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

F0700 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

F0909 Potential Harm Scope/Severity: F

Environmental Deficiencies

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Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

January 29, 2024

1 deficiency
F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

December 27, 2023

2 deficiencyies
F0623 No Harm Scope/Severity: B

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0684 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

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

June 21, 2023

1 deficiency
F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

May 24, 2023

2 deficiencyies
F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0699 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care or services that was trauma informed and/or culturally competent.

See full violation history →

Staffing

1.40
RN hrs/res/day
0.62
LPN hrs/res/day
2.84
CNA hrs/res/day
4.14
Weekend hrs/res/day
56%
Total nurse turnover
50%
RN turnover

A nurse checks on each resident roughly every 4.9 hours on average.

Fines & Penalties

  • Fine Aug 25, 2024
    $10,196
Total $10,196

Ownership

Non profit - Corporation Chain: BENEDICTINE HEALTH SYSTEM
  • BENEDICTINE HEALTH SYSTEM

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 05/25/1995

    100% Organization
  • BENEDICTINE HEALTH SYSTEM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 05/25/1995

    Organization
  • CARLEY, GERALD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/03/2018

    Individual
  • ANDERSON, JUSTIN

    CORPORATE DIRECTOR

    Since since 09/01/2012

    Individual
  • BOLDT, CHRISTINE

    CORPORATE DIRECTOR

    Since since 09/01/2005

    Individual
  • EUSTICE, DIANE

    CORPORATE DIRECTOR

    Since since 09/01/2014

    Individual
  • GEISLER, TIMOTHY

    CORPORATE DIRECTOR

    Since since 01/01/2013

    Individual
  • GRAHAM, BARBARA

    CORPORATE DIRECTOR

    Since since 08/31/2018

    Individual
  • KOSHIRE, LARRY

    CORPORATE DIRECTOR

    Since since 05/21/2015

    Individual
  • OBRIEN, MICHAEL

    CORPORATE DIRECTOR

    Since since 11/01/2012

    Individual
  • RUSSELL, JAMES

    CORPORATE DIRECTOR

    Since since 02/18/2016

    Individual
  • SCHWINGHAMMER, DIANE

    CORPORATE DIRECTOR

    Since since 09/01/2013

    Individual
  • SNYDER, BRUCE

    CORPORATE DIRECTOR

    Since since 09/01/2014

    Individual
  • TRUEMAN, BARBARA

    CORPORATE DIRECTOR

    Since since 09/01/2018

    Individual
  • WILLARD, MICHAEL

    CORPORATE DIRECTOR

    Since since 09/01/2014

    Individual
  • BERGIEN, TRICIA

    CORPORATE OFFICER

    Since since 01/01/2017

    Individual
  • RYMANOWSKI, KEVIN

    CORPORATE OFFICER

    Since since 01/01/2008

    Individual
  • BAKKE, CHRISTINE

    CONTRACTED MANAGING EMPLOYEE

    Since since 04/17/2017

    Individual

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