Inspection Report

Rochester Restorative Care: Medical Record Gaps - MN

June 29, 2026

Rochester, MN

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The inspection, completed September 10, centered on a single resident identified as R4, who had been discharged from a hospital and returned to the facility on August 27. The hospital's after-visit summary showed Augmentin, an antibiotic, had been prescribed. Two days later, a nurse practitioner at an outside clinic documented that R4 should instead receive intravenous cefepime with dialysis through September 5. The Augmentin was to be stopped.

That note never made it into the facility's own electronic health record.

When an inspector asked RN-D about the missing documentation on the evening of September 10, the nurse pulled up R4's file and searched. No physician order. No visit note. No record that the antibiotic had been discontinued. She said she did not know where such a record would be or where it came from.

Earlier that same day, the facility's health unit coordinator told inspectors she had access to the outside medical records system but was not aware of the process for pulling notes from it and getting them into the resident's file at the facility.

By 5:40 that evening, the director of nursing sat down with inspectors and confirmed the same thing: the discontinuation of Augmentin was not documented in R4's facility record. The director then logged into the outside system herself and located the nurse practitioner note within minutes. It had been there since August 29.

The director explained that only a small group of staff had access to the outside records system, including herself, nurse managers, and the health unit coordinator. During the interview, she did not describe any process for how documents from that system were supposed to be downloaded and transferred into the facility's own records.

A medical record policy dated November 2019 was on file at the facility. It addressed documentation requirements in general terms. It did not resolve the question of who was responsible for bridging the gap between the two systems, or how a critical medication change had gone unrecorded for nearly two weeks.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Rochester Restorative Care Center from 2025-09-10 including all violations, facility responses, and corrective action plans.

Download the official CMS inspection PDF from Medicare.gov

Additional Resources

Editorial Standards & Data Disclosure

Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.

Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.

Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.

Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: September 22, 2026 · Our methodology

Quick Answer

ROCHESTER RESTORATIVE CARE CENTER in ROCHESTER, MN was cited for violations during a health inspection on September 10, 2025.

The hospital's after-visit summary showed Augmentin, an antibiotic, had been prescribed.

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.

Frequently Asked Questions

What happened at ROCHESTER RESTORATIVE CARE CENTER?

The hospital's after-visit summary showed Augmentin, an antibiotic, had been prescribed.

How serious are these violations?

Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.

What should families do?

Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in ROCHESTER, MN, (5) Report any new concerns directly to state authorities.

Where can I see the full inspection report?

The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from ROCHESTER RESTORATIVE CARE CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 245184.

Has this facility had violations before?

To check ROCHESTER RESTORATIVE CARE CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.