Edenbrook of Rochester: Resident Rights Violations - MN
The resident, identified in inspection records as R31, has a contracture of her right hand, a condition that stiffened the soft tissues and left her with severely limited range of motion. She is right-handed. Her smoking assessments, completed as recently as December 2025, cleared her to smoke outside without supervision. Her care plan addressed the contracture and noted she needed help dressing and undressing. It said nothing about a clothing protector while smoking.
When an inspector observed her on the morning of February 10, 2026, the burn holes were visible on the right forearm of her coat. R31 said they happened shortly after she got the jacket, a couple of months earlier, when she was struggling to light her cigarette with her left hand because her right hand couldn't do it anymore. She said she was upset. The coat was brand new and already had holes in it. Other than that, she said, she mostly felt safe smoking alone outside.
The nurse manager told the inspector that residents with burn holes in their clothing should be reassessed immediately, and that safety equipment like aprons or blankets was available. She said she had no idea R31's jacket had burn holes. The director of nursing said the same thing. Staff, she explained, don't routinely check clothing for burns.
The director of nursing said a resident with burned clothing should be reassessed immediately for whether they can still smoke independently. That reassessment hadn't happened, because no one had noticed the coat.
R31's smoking assessments ran from May 2024 through December 2025. None of them resulted in a clothing protector. None of them caught what the resident herself could describe in detail to an inspector: that her hand had changed, that lighting a cigarette had become a struggle, and that her new coat already showed the evidence.
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 3, 2026 · Our methodology
EDENBROOK OF ROCHESTER in ROCHESTER, MN was cited for violations during a health inspection on February 12, 2026.
Her smoking assessments, completed as recently as December 2025, cleared her to smoke outside without supervision.
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.