Edenbrook Rochester West faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 27th percentile among Minnesota nursing homes, suggesting significant room for improvement.
Staffing levels at Edenbrook Rochester West exceed national averages, with 4.38 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.79 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 40 deficiencies at Edenbrook Rochester West, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.38 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.79 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.24 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.35 | 2.4 | Average |
| Weekend Total Nursing | 4.02 | 3.8 | Average |
| Weekend RN Hours | 1.26 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0691 Severity GProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Nov 19, 2025 · Quality of Life and Care Deficiencies
- Tag 0726 Severity EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nov 19, 2025 · Nursing and Physician Services Deficiencies
- Tag 0801 Severity EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quNov 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nov 19, 2025 · Nutrition and Dietary Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Nov 19, 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 | 1.2% | 4.5% | Better |
| Falls with major injury | 3.4% | 3.0% | Worse |
| On antipsychotic medication | 13.2% | 14.5% | Average |
| Urinary tract infections | 3.4% | 2.5% | Worse |
| ADL decline (daily activities) | 17.1% | 14.0% | Worse |
| Excessive weight loss | 2.5% | 7.5% | Better |
| New/worsened incontinence | 32.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,518
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 5★ → 20 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
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