Cycle 1
Health 2025-12-31 · Fire 2025-12-31
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Rochester, MN
Charter House Inc
5-star overall rating with 5-star inspections with $8,824 in total fines with 3 fire-safety deficiencies in the latest cycle
211 Northwest Second Street, Rochester, MN
(507) 266-7862
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
32
Certified beds
Average residents
11
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1985-07-01
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
3.00
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
2.19
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
3.71
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
8.90
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
5.19
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
7.12
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
1.95
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
3.02
CMS adjusted RN staffing hours
Adjusted total hours
8.96
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,717
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.12
Composite VBP score used to determine payment impact.
Payment multiplier
1.0018
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.60
Baseline 17.13% · Performance 19.76% · Measure score 3.60 · Achievement 3.60 · Improvement 0
Healthcare-associated infections
6.67
Baseline 4.84% · Performance 5.84% · Measure score 6.67 · Achievement 6.67 · Improvement 0
Total nurse turnover
4.16
Baseline 59.26% · Performance 46.67% · Measure score 4.16 · Achievement 4.16 · Improvement 3.16
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.48% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 7.14% · Lower 95% interval 6.6% |
| Discharge to community | 68.13% |
50.57%
17.6 pts better
|
Better than the National Rate · Eligible stays 114 · Observed rate 65.79% · Lower 95% interval 58.02% |
| Medicare spending per beneficiary | 0.65 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 114 · Denominator 114 |
| Falls with major injury | 0.88% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 114 |
| Discharge self-care score | 64.77% |
53.69%
11.1 pts better
|
Numerator 57 · Denominator 88 |
| Discharge mobility score | 40.91% |
50.94%
10 pts worse
|
Numerator 36 · Denominator 88 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 114 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.84% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 2.63% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 41.94% |
8.2%
33.7 pts better
|
Numerator 26 · Denominator 62 |
| Staff flu vaccination coverage | 56.25% |
42%
14.2 pts better
|
Numerator 36 · Denominator 64 |
| Discharge function score | 70.45% |
56.45%
14 pts better
|
Numerator 62 · Denominator 88 |
| Transfer of health information to provider | 86.96% |
95.95%
9 pts worse
|
Numerator 20 · Denominator 23 |
| Transfer of health information to patient | 94.67% |
96.28%
1.6 pts worse
|
Numerator 71 · Denominator 75 |
| Resident COVID-19 vaccinations up to date | 54.24% |
25.2%
29 pts better
|
Numerator 32 · Denominator 59 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.7% |
88.6%
9.1 pts better
|
81.7%
16 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 96.9% · Q4 96.6% · 4Q avg 97.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.8% |
14.0%
2.8 pts worse
|
12.0%
4.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 16.7% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.9%
0.4 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
82.7%
17.3 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.4% |
23.1%
8.3 pts worse
|
23.9%
7.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.4% · Observed 31.0% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-16 · Fire 2024-10-16
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-11-16 · Fire 2023-11-16
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-31
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-31
C · Minimal harm
2025-12-31
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-03-31
C · Minimal harm
2025-12-31
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2026-03-31
C · Minimal harm
2024-10-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-11-29
C · Minimal harm
2024-10-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-29
C · Minimal harm
2024-10-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-29
C · Minimal harm
2024-10-16
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-29
C · Minimal harm
2024-10-16
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-29
C · Minimal harm
2024-10-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-22
D · Potential for more than minimal harm
2024-10-16
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-22
D · Potential for more than minimal harm
2024-08-29
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-30
D · Potential for more than minimal harm
2024-08-29
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-30
C · Minimal harm
2024-08-29
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-09-30
G · Actual harm
2024-02-12
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-09
D · Potential for more than minimal harm
2023-11-16
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-01-02
D · Potential for more than minimal harm
2023-11-16
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-01-02
D · Potential for more than minimal harm
2023-11-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-02
Penalties and ownership
What sits behind the stars
$8,824
2024-02-12
Fine
Fine · fine $8,824
Fine
Ownership
Avikainen, Bridget
Corporate Director · Individual
Avikainen, Bridget
Corporate Officer · Individual
Bauer, Brent
Corporate Director · Individual
Buechler, Tamara
Corporate Director · Individual
Lebrasseur, Nathan
Corporate Director · Individual
Life Care Services LLC
Operational/Managerial Control · Organization
Mayo Clinic
Operational/Managerial Control · Organization
Pignolo, Robert
Corporate Director · Individual
Poe, Johnathan
Corporate Director · Individual
Rustad, Christopher
Corporate Director · Individual
Rustad, Christopher
Corporate Officer · Individual
Verdoorn, Brandon
Operational/Managerial Control · Individual
Voll, Brittney
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Samaritan Bethany Home On Eighth
Rochester, MN
4-star overall rating with 4-star inspections with $42,502 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Rochester Restorative Care Center
Rochester, MN
2-star overall rating with 1-star inspections with $111,761 in total fines with 24 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
#3
Edenbrook Of Rochester
Rochester, MN
2-star overall rating with 2-star inspections with $56,756 in total fines with 11 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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