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Edenbrook Rochester West: Discharge Documentation Failures - MN
The problems surfaced during a complaint inspection on November 20, 2025....
Latest reports, citations, and penalties from CMS data
The problems surfaced during a complaint inspection on November 20, 2025....
Federal inspectors visited Edenbrook Rochester West on November 20, 2025, responding to a complaint....
Inspectors cited Regency at Troy following a complaint investigation completed November 20, 2025....
The citation, tagged F0842, sits at the lower end of the severity scale....
That single administrative step, a notification slip passed from floor staff to the dietary department, did not happen....
The citation, recorded under F0804, covered the full arc of how food moves through a nursing home kitchen: holding, serving, delivery, cooling, and reheating....
The citation was one of 11 deficiencies documented during the complaint inspection at the facility....
Those entries now sit in medical charts attributed to someone who did not write them....
The violation was cited under federal tag F0695, which governs respiratory care procedures....
Federal inspectors cited the facility under Tag F0744, which covers the requirement that residents receive adequate and appropriate care....
Inspectors determined the facility had not done enough to ensure that protection was in place....
The resident, identified in inspection records only as Resident 1, fell on October 7, 2025....
Inspectors found the facility had fallen short of that obligation....
The inspection, conducted on November 20, 2025, was triggered by a complaint....
The violation affected more than one resident, according to the report....
Federal inspectors cited the facility on November 21, 2025, for starting residents on antipsychotic medication without first obtaining the required consent....
Inspectors visited the facility on November 25, 2025, responding to a complaint....
That was the finding from a complaint inspection completed November 21, 2025, at the Whittier, California nursing facility....
That admission came from the director herself....
The inspection, conducted November 20, 2025, was triggered by a complaint....