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Deficiency Records for Edenbrook of Rochester
View the most recent health deficiencies and inspection results for Edenbrook of Rochester. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook of Rochester. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2026-02-12 | 2026-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-12 | 2026-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-12 | 2026-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-12 | 2026-03-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2026-02-12 | 2026-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-12 | 2026-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-12 | 2026-03-31 | N |
| 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. | Health | 2026-02-12 | 2026-03-31 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2026-02-12 | 2026-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-12 | 2026-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-02-12 | 2026-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-02-12 | 2026-03-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2026-02-12 | 2026-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-12 | 2026-03-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-12 | 2026-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-02-12 | 2026-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-01 | 2025-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-07-01 | N |
| 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. | Health | 2025-05-01 | 2025-07-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-01 | 2025-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-01 | 2025-07-01 | N |
| 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. | Health | 2025-05-01 | 2025-07-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-01 | 2025-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-07-01 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-05-01 | 2025-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-01 | 2025-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-01 | 2025-06-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-01 | 2025-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-01 | 2025-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-01 | 2025-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-12 | 2025-04-23 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-03-12 | 2025-04-23 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-03-12 | 2025-04-23 | Y |
| 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. | Health | 2025-01-13 | 2025-02-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-13 | 2025-02-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-30 | 2024-08-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-30 | 2024-08-27 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-30 | 2024-08-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-30 | 2024-08-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-30 | 2024-08-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-30 | 2024-08-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-30 | 2024-08-27 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-10 | 2024-08-06 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-07-10 | 2024-08-06 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-28 | 2024-04-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-28 | 2024-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-28 | 2024-04-18 | N |
| 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 limited. | Health | 2024-03-28 | 2024-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-28 | 2024-04-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-28 | 2024-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-28 | 2024-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-17 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-15 | 2023-06-30 | Y |