Edenbrook Rochester West - 2-Star Rehab Facility in Rochester, MN | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 13.21%Falls causing major injury 3.37%Pressure ulcers (high-risk) 1.23%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Nov 2025 (197 days ago)🔍 Health Inspection
1/5
★☆☆☆☆
📊 Quality Measures
2/5
★★☆☆☆
Medicare
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 1h 4m · US avg: 41 min
Total Nurse / Resident / Day
4h 23m
State avg: 4h 14m · US avg: 3h 53m
13 min
State avg: 4 min · US avg: 4 min
53 per 100
State avg: 42 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
62%≈ avg
US avg: 64%
Federal Penalties
9 penalties · $130,662 total
| Date | Type | Fine | Denial Days |
|---|
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
| 10/24/2023 | Fine | $14,518 | - |
Inspection Citations
Survey: November 20, 2025(33 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for Harm
47.3 per 100
State avg: 23.1 · US avg: 23.9
30.3 per 100
State avg: 14.0 · US avg: 12.0
3.4 per 100
State avg: 3.9 · US avg: 3.3
1.2 per 100
State avg: 5.4 · US avg: 5.1
4.2 per 100
State avg: 1.9 · US avg: 1.6
60.5 per 100
State avg: 82.6 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
21/100
Incentive Payment
-1.76% penalty
Healthcare-Assoc. Infections
8.4 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
29.5 days
Avg Payment / Stay
$14,016.14
Patient Complexity
3.19 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Pharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟠 Actual HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
🟡 Potential for HarmNursing and Physician Services Deficiencies
⚪ MinimalNursing and Physician Services Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmEnvironmental Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
Survey: September 8, 2025(3 citations)
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
🔴 Immediate JeopardyQuality of Life and Care DeficienciesComplaint
Survey: December 10, 2024(3 citations)
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: October 23, 2024(12 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
Survey: November 30, 2023(12 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmPharmacy Service DeficienciesComplaint
+ 3 more survey(s) not shown in snapshot
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