Edenbrook Rochester: Environment Safety Violations - MN
The resident, identified in inspection records as R31, has a contracture of her right hand, a condition that left her with limited range of motion. She is right-handed. When inspectors observed her on February 10, 2026, her coat had two burn holes on the right forearm. She told them the damage happened shortly after she got the coat, a couple of months earlier, when she was trying to light her cigarette with her left hand because her right hand wouldn't cooperate. She said she was upset. It was a new coat and it already had holes in it.
She had been assessed as safe to smoke independently, without supervision, in every smoking evaluation the facility conducted from May 2023 through December 2025. None of those assessments included a clothing protector, an apron, or any other safety equipment.
The nurse manager told inspectors that if staff saw burn holes in a resident's clothing, they would check for wounds and redo the smoking assessment. She said she had not been aware of the burn holes. The director of nursing said the same thing, then added that staff don't routinely check clothing for burns.
The director of nursing described what a safe independent smoker should look like: free of burn holes in clothing, able to extinguish cigarettes properly, knowledgeable about the facility's smoking policy. By those standards, R31 didn't qualify. But nobody had looked closely enough to notice.
The resident told inspectors that, aside from the holes, she felt mostly safe smoking outside on her own.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Edenbrook of Rochester from 2026-02-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
EDENBROOK OF ROCHESTER in ROCHESTER, MN was cited for violations during a health inspection on February 12, 2026.
The resident, identified in inspection records as R31, has a contracture of her right hand, a condition that left her with limited range of motion.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.