Edenbrook Rochester: Resident Rights Violations - MN
The resident, identified in inspection records as R31, has a contracture of her right hand, a condition that stiffens and tightens the soft tissue until full range of motion is gone. She told inspectors she was right-handed but had to light her cigarettes with her left hand because her right hand couldn't manage it. The burns on the right forearm of her coat happened shortly after she got it, a couple months before the February 10 inspection visit.
Her care plan noted the contracture and that she needed help dressing and undressing. Her smoking care plan had no interventions for clothing protectors.
The nurse manager, when asked, said the facility's smoking safety process included providing protective equipment like aprons or blankets if needed. R31 had none. The nurse manager also said she hadn't known about the burn holes. The director of nursing said the same: she was unaware, and staff don't routinely check residents' clothing for burns.
Both said the right response to burn holes in a resident's clothing would be an immediate reassessment. That reassessment hadn't happened, because no one had looked.
R31's smoking assessments, completed at intervals stretching back to May 2024, consistently found her safe to smoke without supervision. The quarterly MDS assessment from December 2025 rated her cognitively intact, though her diagnoses also included vascular dementia.
R31 told inspectors that other than the burn holes, she felt mostly safe smoking outside alone. She was upset about the jacket. It was new, and it already had holes in it.
Inspectors cited the facility for failing to comprehensively assess and develop interventions to prevent the accident, a finding tagged at the level of minimal harm or potential for actual harm.
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 was right-handed but had to light her cigarettes with her left hand because her right hand couldn't manage it.
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.