Independent · Federal inspection records, searchable
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Facility profile · CCN 245409

Edenbrook Of Rochester

35 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $56,756.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
35
Total citations
35
Last 3 years
3
Actual harm+
3
Federal penalties
$56,756
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

35 on record
SurveyF-TagViolationSeveritySource
Feb 12, 2026F880Provide and implement an infection prevention and control program.DStandard
Feb 12, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Feb 12, 2026F659Provide care by qualified persons according to each resident's written plan of care.DStandard
Feb 12, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Feb 12, 2026F641Ensure each resident receives an accurate assessment.DStandard
Feb 12, 2026F584Honor 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.EStandard
Feb 12, 2026F565Honor the resident's right to organize and participate in resident/family groups in the facility.DStandard
Feb 12, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
May 1, 2025F880Provide and implement an infection prevention and control program.EStandard
May 1, 2025F761Ensure 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.EStandard
May 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
May 1, 2025F584Honor 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.DStandard
May 1, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Mar 12, 2025F880Provide and implement an infection prevention and control program.DComplaint
Mar 12, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Mar 12, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DComplaint
Jan 13, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.JComplaint
Jan 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 30, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 30, 2024F760Ensure that residents are free from significant medication errors.DComplaint
Jul 30, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jul 30, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 30, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Jul 30, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 30, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Jul 10, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint
Jul 10, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Mar 28, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Mar 28, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Mar 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 28, 2024F758Implement 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.DStandard
Mar 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Nov 2, 2023F880Provide and implement an infection prevention and control program.DComplaint
Jul 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 15, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $56,756 .

DateTypeFinePayment denial
Jan 13, 2025Fine$15,940
Jul 10, 2024Fine$14,063
Mar 28, 2024Fine$26,753
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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