12 health deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Rochester, MN
2-star overall rating with 1-star inspections with $14,518 in total fines with 12 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
2215 Highway 52 North, Rochester, MN
(507) 288-1818
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
48
Certified beds
Average residents
27
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Eden Senior Care
Operator or chain grouping
Approved since
1986-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
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
RN hours / resident day
1.79
Registered nurse staffing · state 1.06 · national 0.68
LPN hours / resident day
0.24
Licensed practical nurse staffing · state 0.62 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.56 · national 2.35
Total nurse hours
4.38
All reported nurse hours · state 4.23 · national 3.89
Licensed hours
2.04
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.02
Weekend nurse staffing · state 3.68 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 0.68 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
1.89
CMS adjusted RN staffing hours
Adjusted total hours
4.62
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Program rank
10,381
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.40% · Performance 22.99% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.61% · Performance 8.43% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.09
Baseline 50.00% · Performance 42.86% · Measure score 5.09 · Achievement 5.09 · Improvement 2.34
Adjusted total nurse staffing
3.14
Baseline 3.83 hours · Performance 3.97 hours · Measure score 3.14 · Achievement 3.14 · Improvement 0.21
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.8% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 6.3% |
| Discharge to community | 49.68% |
50.57%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 39.22% · Lower 95% interval 39.32% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 33 · Denominator 33 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 33 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 6.06% |
2.29%
3.8 pts worse
|
Numerator 2 · Denominator 33 · Adjusted rate 7.17% |
| Healthcare-associated infections requiring hospitalization | 8.43% |
7.12%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 31 · Observed rate 16.13% · Lower 95% interval 4.78% |
| Staff COVID-19 vaccination coverage | 12.07% |
8.2%
3.9 pts better
|
Numerator 7 · Denominator 58 |
| Staff flu vaccination coverage | 56.25% |
42%
14.2 pts better
|
Numerator 45 · Denominator 80 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.3%
2.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.9%
0.5 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 5.0% · Q4 4.8% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.6% |
4.3%
1.3 pts worse
|
11.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.6% |
| Percentage of long-stay residents who lose too much weight | 2.5% |
4.1%
1.6 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q4 0.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.5% |
12.4%
9.9 pts better
|
19.6%
17.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q4 5.0% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.2% |
17.5%
4.3 pts better
|
16.7%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.3% |
22.5%
10.2 pts better
|
16.3%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.1% |
18.6%
1.5 pts better
|
14.9%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 15.0% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
2.3%
2.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
2.6%
0.8 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.3% · Q3 5.0% · Q4 0.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.5% |
24.8%
7.7 pts worse
|
19.8%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.3% · 4Q avg 32.5% |
| Percentage of long-stay residents with pressure ulcers | 1.2% |
5.4%
4.2 pts better
|
5.1%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.3% |
88.6%
6.3 pts worse
|
81.7%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.2% · Q2 82.9% · Q3 83.9% · Q4 78.3% · 4Q avg 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 30.3% |
14.0%
16.3 pts worse
|
12.0%
18.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.3% · Observed 32.0% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.2% |
1.9%
2.3 pts worse
|
1.6%
2.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.2% · Q3 2.8% · Q4 7.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.5% |
82.7%
22.2 pts worse
|
79.7%
19.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 47.3% |
23.1%
24.2 pts worse
|
23.9%
23.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 47.3% · Observed 48.0% · Expected 24.2% · Used in QM five-star |
Survey summary
Top issue: Nursing and Physician Services (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Pharmacy Service (5 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-01-09
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-01-09
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-01-09
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-09
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-09
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-01-09
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-01-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2026-01-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-09
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-01-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-09
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-27
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-11-27
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Not marked corrected
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-27
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Not marked corrected
Inspection history
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2025-12-19
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-12-19
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2025-12-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-19
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-12-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-19
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-19
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-12-19
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-12-19
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-12-19
Health
Post nurse staffing information every day.
Corrected 2025-12-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-26
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-11-26
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-26
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-26
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-01-09
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-01-09
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-01-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-09
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-12-20
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-20
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-12-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-20
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-12-20
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-12-20
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-12-20
Health
Respond appropriately to all alleged violations.
Corrected 2023-12-20
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-12-20
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-12-20
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-20
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-12-20
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-12-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-12-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-21
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-11-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-09-18
Penalties and ownership
Fine · fine $14,518
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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
Rochester, MN
3-star overall rating with 3-star inspections with $10,196 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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
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