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Complaint Investigation

Edenbrook Rochester West

Inspection Date: November 20, 2025
Total Violations 11
Facility ID 245306
Location ROCHESTER, MN
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Inspection Findings

F-Tag F0628

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0628 during a complaint investigation conducted on 2025-11-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0691

Quality of Life and Care Deficiencies
Harm Level: Actual Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0691 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Scope/Severity Level G: isolated, actual harm that is not immediate jeopardy.

Actual harm to residents was documented as a result of this deficiency.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0710

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0710 during a standard health inspection conducted on 2025-11-20.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0726

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0726 during a standard health inspection conducted on 2025-11-20.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0732

Nursing and Physician Services Deficiencies
Harm Level: Potential for Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0732 during a standard health inspection conducted on 2025-11-20.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Post nurse staffing information every day.

Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0756

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-11-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0801

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0801 during a standard health inspection conducted on 2025-11-20.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-11-20.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0921

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited EDENBROOK ROCHESTER WEST in ROCHESTER, MN for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-11-20.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of EDENBROOK ROCHESTER WEST.

Correction Status: Deficient, Provider has no plan of correction.

📋 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.
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