C

MADONNA TOWERS OF ROCHESTER INC

4001 19TH AVENUE NORTHWEST, ROCHESTER, MN 55901
Score: 55 / 100

Madonna Towers Of Rochester Inc is an average performer in CMS ratings, earning a C grade with a score of 55/100. Located in Rochester, Minnesota, the facility meets baseline standards across most quality metrics.

Staffing levels at Madonna Towers Of Rochester Inc exceed national averages, with 4.25 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.22 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 16 deficiencies at Madonna Towers Of Rochester Inc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.25 3.8 Above Average
Registered Nurses (RN) 1.22 0.7 Above Average
Licensed Practical Nurses (LPN) 0.54 0.7 Below Average
Certified Nursing Assistants (CNA) 2.48 2.4 Average
Weekend Total Nursing 3.62 3.8 Average
Weekend RN Hours 0.77 0.7 Above Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Jun 11, 2025
Most Recent Inspection
⚪ 2 Minor 🟠 13 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jun 11, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jun 11, 2025 · Quality of Life and Care Deficiencies
  • Tag 0883 Severity D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Jun 11, 2025 · Infection Control Deficiencies
  • Tag 0561 Severity D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    Feb 11, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Feb 11, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 10.7% 4.5% Worse
Falls with major injury 10.2% 3.0% Worse
On antipsychotic medication 7.5% 14.5% Better
Urinary tract infections 4.9% 2.5% Worse
ADL decline (daily activities) 11.2% 14.0% Better
Excessive weight loss 9.6% 7.5% Worse
New/worsened incontinence 23.6% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $10,196

How This Grade Was Calculated

This facility's grade of C is based on a score of 55 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
62
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 11, 2025
Deficiencies (Cycle 1)
4