Madonna Towers of Rochester
4001 19th Avenue Northwest, Rochester, MN 55901 · Olmsted County · 62 certified beds · avg 57 residents/day · certified since Mar 14, 1968
Part of chain: BENEDICTINE HEALTH SYSTEM (23 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Aug 26, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Aug 16, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Jun 4, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: May 26, 2026 (Past Non-Compliance)
All citations in the current public record (15)
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 4, 2026 | ▲ G · Actual 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. · from a complaint |
| Apr 23, 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. |
| Jun 12, 2025 | 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. |
| Jun 12, 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. |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jun 12, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 12, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Feb 12, 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. · from a complaint |
| Feb 12, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Aug 26, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 26, 2024 | F · Potential for harm, facility-wide | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. · from a complaint |
| Aug 26, 2024 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · from a complaint |
| Jan 30, 2024 | 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. · from a complaint |
| Dec 28, 2023 | E · Potential for harm, repeated | 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 |
| Dec 28, 2023 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 4 | 1 | J ▲ |
| 2025 | 7 | 0 | F |
| 2026 | 2 | 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)
1 fine totaling $10,196.
| Date | Type | Amount / length |
|---|---|---|
| Aug 26, 2024 | Fine | $10,196 |
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) | 4.67 | 4.83 | 3.95 | bottom 45% in Minnesota; top 19% in the U.S. |
| Registered Nurse hours | 1.24 | 1.22 | 0.69 | top 38% in Minnesota; top 8% in the U.S. |
| Weekend total nurse staffing | 4.08 | 4.27 | 3.50 | bottom 43% in Minnesota; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.69 | 0.48 | top 38% in Minnesota; top 16% in the U.S. |
| Total nursing staff turnover (%) | 60.5 | 42.2 | 45.8 | bottom 12% in Minnesota; bottom 16% in the U.S. |
| RN turnover (%) | 60.0 | 38.6 | 42.9 | bottom 18% in Minnesota; bottom 22% 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 3.97, RN 1.06, weekend 3.48. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anderson, Justin | Individual | Corporate Director | NOT APPLICABLE | 09/01/2012 |
| Bakke, Christine | Individual | Contracted Managing Employee | NOT APPLICABLE | 04/17/2017 |
| Benedictine Health System | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/25/1995 |
| Bergien, Tricia | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2017 |
| Boldt, Christine | Individual | Corporate Director | NOT APPLICABLE | 09/01/2005 |
| Carley, Gerald | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2018 |
| Eustice, Diane | Individual | Corporate Director | NOT APPLICABLE | 09/01/2014 |
| Geisler, Timothy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2013 |
| Graham, Barbara | Individual | Corporate Director | NOT APPLICABLE | 08/31/2018 |
| Koshire, Larry | Individual | Corporate Director | NOT APPLICABLE | 05/21/2015 |
| Obrien, Michael | Individual | Corporate Director | NOT APPLICABLE | 11/01/2012 |
| Russell, James | Individual | Corporate Director | NOT APPLICABLE | 02/18/2016 |
| Rymanowski, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2008 |
| Schwinghammer, Diane | Individual | Corporate Director | NOT APPLICABLE | 09/01/2013 |
| Snyder, Bruce | Individual | Corporate Director | NOT APPLICABLE | 09/01/2014 |
| Trueman, Barbara | Individual | Corporate Director | NOT APPLICABLE | 09/01/2018 |
| Willard, Michael | Individual | Corporate Director | NOT APPLICABLE | 09/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 | 1.1 mi | Rochester, MN | ★★☆☆☆ | 1/5 | |
| Rochester Rehabilitation and Living Center | 1.2 mi | Rochester, MN | ★☆☆☆☆ | 1/5 | |
| Edenbrook of Rochester | 1.4 mi | Rochester, MN | ★★☆☆☆ | 2/5 | |
| Samaritan Bethany Home on Eighth | 2.7 mi | Rochester, MN | ★★★☆☆ | 3/5 | |
| Charter House INC | 3.0 mi | Rochester, MN | ★★★★★ | 4/5 | |
| Rochester Restorative Care Center | 3.8 mi | Rochester, MN | ★☆☆☆☆ | 1/5 | |
| Edenbrook Pine Haven | 12.5 mi | Pine Island, MN | ★★☆☆☆ | 3/5 | |
| Stewartville Care Center | 14.3 mi | Stewartville, MN | ★☆☆☆☆ | 2/5 | abuse |
| The Green Prairie Rehabilitation Center | 17.2 mi | Plainview, MN | ★★★★★ | 4/5 | |
| Zumbrota Care Center | 18.1 mi | Zumbrota, MN | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245153.