All citations for Edenbrook of Rochester

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Edenbrook of Rochester

Last standard health inspection on record

February 12, 2026

Showing 1 to 25 of 66 citations

Immediate jeopardy to resident health or safety
Ensure 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.
Isolated (one or a few residents). CMS level J.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (February 4, 2025).
Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 15, 2026. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 19, 2026).
Harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Isolated (one or a few residents). CMS level G.
Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 30, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (August 27, 2024).
Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 28, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (April 18, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2026).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2026).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0541, Services Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (April 17, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2026).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 12, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 31, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Install properly constructed and protected linen or trash chutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0541, Services Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 1, 2025).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 1, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2025).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of March 12, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 23, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 18, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2024).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 23, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.