All citations for Edenbrook Rochester West

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 Rochester West

Last standard health inspection on record

November 20, 2025

Showing 1 to 13 of 13 citations

  1. 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 October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  2. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  3. 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 October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  4. 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 October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    A waiver was granted.

  6. 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 October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 2024).

  7. 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 October 23, 2024. Found during a standard inspection.

    A waiver was granted.

  8. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  9. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of December 10, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 9, 2025).

  10. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  12. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 26, 2024).

  13. No harm, with potential for minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 27, 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.