EDENBROOK OF ROCHESTER
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-01-13 — IMMEDIATE JEOPARDY (tag F0803, severity J)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
2024-07-30 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-03-28 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.54
state median 3.48
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −4%
RN hours / resident / day
0.74
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
43%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $53,260 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-01-13 | Fine | $12,444 |
| 2024-07-10 | Fine | $14,063 |
| 2024-03-28 | Fine | $26,753 |
Ownership
Ownership type: For profit - Corporation. Part of the EDEN SENIOR CARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- EDENBROOK OF EDINA (MINNEAPOLIS, MN) —
- EDENBROOK ROCHESTER WEST (ROCHESTER, MN) —
- Edenbrook of St Cloud (SAINT CLOUD, MN) —
- Fair Oaks Lodge (WADENA, MN) —
- EDENBROOK AT HAMPTON (WILKES BARRE, PA) —
- EDENBROOK NORTH (WILLIAMSPORT, PA) —
- EDENBROOK OF YEADON (YEADON, PA) —
- EDENBROOK ON SECOND AVE (KINGSTON, PA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-12 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-12 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-12 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-12 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-12 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-12 | F0659 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-12 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-05-01 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-01 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-01 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-01 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-01 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-03-12 | F0838 | Administration Deficiencies | D | not recorded |
| 2025-03-12 | F0867 | Administration Deficiencies | F | not recorded |
| 2025-03-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-01-13 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-01-13 | F0803 | Nutrition and Dietary Deficiencies | J | not recorded |
| 2024-07-30 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-30 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-30 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-30 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-30 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-30 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-30 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-10 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-10 | F0624 | Resident Rights Deficiencies | D | not recorded |
| 2024-03-28 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-03-28 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-28 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-03-28 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2023-11-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-07-20 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |