Skip to main content
Advertisement
Complaint Investigation

Edenbrook Rochester West

Inspection Date: September 8, 2025
Total Violations 1
Facility ID 245306
Location ROCHESTER, MN
Advertisement

Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

carbohydrates for blood sugar less than 70 mg/dl. ii. Half cup (4oz) juice OR 1 cup (8 oz) skim milk OR glucose gel/tablets OR four sugar packets. iii. Glucagon 1 mg (subcutaneously or I.M.) is given by a licensed staff if the patient cannot ingest a sugar treatment, per physician orders. iv. Repeat the Accu-Chek and report findings to the physician v. Repeat the protocol only once if the blood glucose level remains less than 70mg/dl and report findings to the physician. 3. If any of the above signs or symptoms, or other abnormal condition, are identified, report the diabetic resident's condition to the nurse and/or physician immediately.The immediate jeopardy that began on 8/29/25, was removed on 9/5/25, when it was verified,

the facility implemented the following corrective actions:-Educated licensed nursing staff and agency staff about diabetic management of hypoglycemia and hyperglycemia monitoring, assessing, treatments, physician notification and standards of documentation with competency testing.-Reviewed all current residents with diagnosis of diabetes to ensure blood glucose levels were within range, had diabetic protocols in place, care plans were accurate and provider orders were followed.-Reviewed facility Diabetic Monitoring and Change of Condition policies for accuracy

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

EDENBROOK ROCHESTER WEST in ROCHESTER, MN inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ROCHESTER, MN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EDENBROOK ROCHESTER WEST or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
« Back to Facility Page
Advertisement
Advertisement