Edenbrook Rochester West

Certification

Medicare-certified.

Ratings

Inspection history (41)

Records from August 2023 to May 2026.

• May 13, 2026

  Tag F0725

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 22, 2026.

• November 20, 2025

  Tag F0726

  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0921

  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0732

  Post nurse staffing information every day.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0710

  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0691

  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  Severity G: isolated, actual harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• November 20, 2025

  Tag F0801

  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 19, 2025.

• September 8, 2025

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity J: isolated, immediate jeopardy. Corrected September 26, 2025.

• December 10, 2024

  Tag F0692

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 9, 2025.

• October 23, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 26, 2024.

• October 23, 2024

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 26, 2024.

• October 23, 2024

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 26, 2024.

• October 23, 2024

  Tag F0760

  Ensure that residents are free from significant medication errors.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 26, 2024.

• November 30, 2023

  Tag F0636

  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 9, 2024.

• November 30, 2023

  Tag F0760

  Ensure that residents are free from significant medication errors.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 9, 2024.

Penalties (3)

Total fines: $14,518

• November 20, 2025 · Fine

  CMS recorded a civil money penalty of $59,040 against this nursing home on November 20, 2025.

• September 8, 2025 · Fine

  CMS recorded a civil money penalty of $87,080 against this nursing home on September 8, 2025.

• October 24, 2023 · Fine

  CMS recorded a civil money penalty of $14,518 against this nursing home on October 24, 2023.

Staffing

4.24 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Limited Liability company