Edenbrook of Rochester

Name: Edenbrook of Rochester
Address: 1875 19TH STREET NORTHWEST, Rochester, MN, 55901, US
Telephone: 5072829449

1875 19th Street Northwest, Rochester, MN 55901 · Olmsted County · 81 certified beds · avg 52 residents/day · certified since Jan 1, 1987

Part of chain: EDEN SENIOR CARE (21 facilities, chain avg rating 2.6★)

2/5

Health inspection rating (on-site)

Serious findings on record

$53,260

Fines, last 3 years

3.99

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Jan 13, 2025 · F-0803 · triggered by a complaint

The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.

Why it matters: When menus aren't planned and followed properly, residents may not get the nutrition their health depends on.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 4, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jun 15, 2026 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 19, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jul 30, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 27, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Mar 28, 2024 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Apr 18, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (36)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 15, 2026	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 15, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jun 15, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Feb 12, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 12, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 1, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 1, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 1, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
May 1, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 1, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 12, 2025	F · Potential for harm, facility-wide	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint
Mar 12, 2025	D · Potential for harm, one-off	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint
Mar 12, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 13, 2025	▲ J · Immediate jeopardy, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
Jan 13, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 30, 2024	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 30, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jul 30, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jul 30, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jul 30, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jul 30, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jul 30, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jul 10, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jul 10, 2024	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint
Mar 28, 2024	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Mar 28, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 28, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Nov 2, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	0	D
2024	14	2	G ▲
2025	10	1	J ▲
2026	11	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

3 fines totaling $53,260.

Date	Type	Amount / length
Jan 13, 2025	Fine	$12,444
Jul 10, 2024	Fine	$14,063
Mar 28, 2024	Fine	$26,753

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Minnesota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.99	4.83	3.95	bottom 15% in Minnesota; top 40% in the U.S.
Registered Nurse hours	1.01	1.22	0.69	bottom 36% in Minnesota; top 15% in the U.S.
Weekend total nurse staffing	3.53	4.27	3.50	bottom 15% in Minnesota; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.53	0.69	0.48	bottom 41% in Minnesota; top 30% in the U.S.
Total nursing staff turnover (%)	42.6	42.2	45.8	bottom 44% in Minnesota; top 43% in the U.S.
RN turnover (%)	20.0	38.6	42.9	top 17% in Minnesota; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.75, RN 0.95, weekend 3.32. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Stesel, Maxim	Individual	5% or Greater Direct Ownership Interest	100%	07/07/2016
Rice, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Edenbrook Rochester West	0.3 mi	Rochester, MN	★★☆☆☆	1/5
Madonna Towers of Rochester	1.4 mi	Rochester, MN	★★★☆☆	3/5
Samaritan Bethany Home on Eighth	1.7 mi	Rochester, MN	★★★☆☆	3/5
Charter House INC	1.8 mi	Rochester, MN	★★★★★	4/5
Rochester Rehabilitation and Living Center	2.6 mi	Rochester, MN	★☆☆☆☆	1/5
Rochester Restorative Care Center	2.6 mi	Rochester, MN	★☆☆☆☆	1/5
Stewartville Care Center	12.8 mi	Stewartville, MN	★☆☆☆☆	2/5	abuse
Edenbrook Pine Haven	13.7 mi	Pine Island, MN	★★☆☆☆	3/5
The Green Prairie Rehabilitation Center	17.8 mi	Plainview, MN	★★★★★	4/5
Fairview Care Center	18.7 mi	Dodge Center, MN	★★★☆☆	3/5
Zumbrota Care Center	19.4 mi	Zumbrota, MN	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Rochester →

Facility data as of CMS processing date 2026-08-01. CCN 245409.

The Care File

Visit checklist — Edenbrook of Rochester

1875 19th Street Northwest, Rochester, MN 55901 · 5072829449

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $53,260

Most serious findings on record:

▲ Jan 13, 2025 (F-0803, Immediate jeopardy, one-off): The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
▲ Jun 15, 2026 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Jul 30, 2024 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 245409 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)