Rochester Restorative Care Center
Inspection Findings
F-Tag F0554
F 0554 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
had been aware Resident R1 had two inhalers (Ventolin and Dulera) in her pocket for the last couple of weeks and had been administering them herself, however, Resident R1 had not had a comprehensive assessment completed to determine if she was capable to administer the medications. During an interview on 9/10/25 at 1:43 p.m., director of nursing (DON) stated Resident R1 had not had a self-administer medication assessment completed due to her not being aware Resident R1 had the inhalers on her person and wanted to self-administer and keep at bedside. DON stated all residents who chose to self-administer medication should have a comprehensive assessment completed to determine if they are able to administer the medications safely and appropriately, however, Resident R1 had not had this completed. Review of the facility's Self-Administration by Resident Policy dated 1/23, identified residents who desire to self-administer medications are permitted to do so with a prescriber's order and if the nursing care center's interdisciplinary team (IDT) has determined that the practice would be safe and the medications are appropriate and safe for self-administration.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/10/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Rochester Restorative Care Center
501 Eighth Avenue Southeast Rochester, MN 55904
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the system as a verbal order dated 8/28/25 for Augmentin 500 mg-125 mg give one tablet twice daily for 28 administrations with a start date of 8/28/25. The order was updated on 8/29/25 to identify a stop date of 8/29/25. There was no further information regarding the stop date of the order. In review of Resident R4's record which included but was not limited to progress notes, physician's orders, and documents electronically scanned into the MISC tab of the facility's EHR system there was no corresponding written order and/or physician note that addressed the discontinuation of the antibiotic that was on the hospital AVS dated 8/27/25. During an interview on 9/10/25 at 5:30 p.m. RN-D reviewed Resident R4's facility electronic records and was unable to find a physician order and/or visit note that addressed the discontinuation of the Augmentin on 8/29/25 and indicted she did not know where it would be or came from. During an interview on 9/10/25 at 9:06 a.m. health unit coordinator (HUC) stated she had access to the outside medical records but was not aware of the process on who was responsible for pulling the notes out of the outside EHR to make sure
they got into the resident's medical record at the facility. During an interview on 9/10/25 at 5:40 p.m., DON reviewed Resident R4's facility electronic records and confirmed the record did not address the discontinuation of Augmentin. DON referenced a clinic/hospital outside record system that the facility staff had access to so that they could retrieve clinic and/or hospital records. DON logged into the outside EHR system and was able to locate a nurse practitioner note dated 8/29/25 that identified Resident R4 was to receive intravenous cefepime (antibiotic) with dialysis through 9/5/25. DON explained there was only certain staff that had access to the clinic/hospital EHR; herself, nurse managers, and health unit coordinator. During the interview the DON did not specify a process/system pertaining to how the documents were downloaded from the outside EHR and uploaded to the facility's EHR. Review of the facility's Medical Record Policy dated 11/12/19, identified medical record documentation will be done according to the resident's level of care. Documentation will occur when an activity, event, or incident that is not usual for the resident or change in level of assistance occurs.
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Rochester Restorative Care Center in ROCHESTER, MN inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Rochester Restorative Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.