Edenbrook of Rochester: Infection Control Failures - MN
The resident, identified in inspection records only as R31, has a contracture of her right hand, a condition that limits range of motion in the muscles, tendons, and skin. She told inspectors she is right-handed but had to light her cigarettes with her left hand because her right hand doesn't move well enough. The burn holes appeared on the right forearm of her coat, and she said they happened shortly after she got it. She was upset. It was brand new.
Her smoking care plan had no interventions for clothing protectors, despite the facility's own process allowing for aprons or blankets as safety equipment. Her smoking assessments, completed from May 2024 through December 2025, listed her as safe to smoke without supervision. None of those assessments appear to have accounted for the worsening difficulty she had using her dominant hand.
When inspectors raised the burn holes with the nurse manager on February 10, the nurse manager said she wasn't aware of them. She also said staff would only conduct a new smoking assessment if they observed burn damage in a resident's clothing. Nobody had.
The director of nursing said the same thing: she didn't know. She added that staff don't routinely check residents' clothing for burns.
The resident herself told inspectors she feels mostly safe smoking outside alone. She was more bothered by the holes in her jacket than by the risk.
Inspectors observed the coat during a visit on the morning of February 10. The two burn holes were visible on the right forearm. The resident was wearing it.
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.
She told inspectors she is right-handed but had to light her cigarettes with her left hand because her right hand doesn't move well enough.
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.