Edenbrook Rochester West

Inspection history (40)

• November 30, 2023 · D

  Citation F0636

  Federal surveyors cited this nursing home on 2023-11-30 under CMS tag F0636 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. The deficiency was recorded as corrected on 2024-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-30.GOV

• November 2, 2023 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · E

  Citation F0689

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0610

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0805

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0805 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0622

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0622 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · E

  Citation F0584

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · F

  Citation F0851

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0851 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0883

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0883 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures for flu and pneumonia vaccinations. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · E

  Citation F0725

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · E

  Citation F0726

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0726 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement 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 l…. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• November 2, 2023 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2023-11-02 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-12-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-11-02.GOV

• October 24, 2023 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2023-10-24 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-11-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-24.GOV

• October 24, 2023 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2023-10-24 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2023-11-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-24.GOV

• October 24, 2023 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2023-10-24 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2023-11-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-24.GOV

• October 24, 2023 · J

  Citation F0760

  Federal surveyors cited this nursing home on 2023-10-24 under CMS tag F0760 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2023-10-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-24.GOV

• August 22, 2023 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2023-08-22 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-09-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-22.GOV

Penalties

Total fines on file: $14,518

Staffing

Latest: 4.19 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company