Rochester, MN Nursing Home Ratings

Overall Rating of 12 Nursing Homes
    Rating: 5 out of 5 (5) Much above average
    Rating: 4 out of 5 (2) Above average
    Rating: 3 out of 5 (2) Average
    Rating: 2 out of 5 (2) Below average
    Rating: 1 out of 5 (1) Much below average
August 2018

Rochester Minnesota Nursing Home Abuse LawyerWhen families no longer have the ability to provide their elderly or disabled loved one care, usually, the only option they have left is to place their spouse, parent or grandparent in a nursing facility. When their loved one is moved into the nursing home, family members have the right to expect that they will receive the highest level of care in a safe and responsible environment. Unfortunately, the Rochester nursing home neglect attorneys at Nursing Home Law Center LLC have handled many cases where the nursing staff has stripped away the resident’s dignity and respect, neglected them or harmed them through abusive behavior.

Medicare releases publicly available information every month on all nursing homes in Rochester, Minnesota based on the data gathered through inspections, investigations and surveys. According to the database monitored by the government, investigators identified serious violations and deficiencies at three (25%) of these twelve Rochester nursing facilities that harmed residents. If your loved one was injured, mistreated, abused or died unexpectedly from neglect while residing at a nursing home in Minnesota, your family must protect their rights for justice. We invite you to contact the Rochester nursing home abuse attorneys at Nursing Home Law Center (800-926-7565) today. Schedule a free case review and let us discuss your legal options for obtaining monetary recovery to ensure you are compensated for your damages.

Newly enacted state and federal laws designed to protect the residents of nursing facilities have made only a minimal change in the ongoing problem of neglect and abuse occurring at the hands of caregivers. Fortunately, these laws have provided a pathway to allow family members and victims to seek compensation for their damages and losses. Often times, financial compensation is the only way to seek justice and hold those responsible for those harmed accountable for their unacceptable behavior.

The problem involving an abuse and neglect in nursing facilities is likely to rise in the years ahead. This is because many more retirees are living longer than ever before. This is a significant problem in the Rochester area where nearly 14,000 of the 111,500 residents are 65 years and older. This number rises to more than 29,000 when accounting for all retirees living in Olmsted County.

Rochester Nursing Home Resident Health Concerns

Under Minnesota law, every resident in a nursing facility has the right to be free of neglect and abuse. When their rights are violated, the resident and their family members have the legal option to take legal action to stop the mistreatment. Taking action against the facility and caregivers prevents other residents from facing similar injuries and harm.

In an effort to provide assistance to family members with a loved one in a nursing home, or those in need of placing their loved one in a facility, we continuously review and assess information from national databases including Medicare.gov. We post this information involving safety concerns, health hazards, opened investigations and filed complaints against nursing facilities all throughout Minnesota.

Comparing Rochester Area Nursing Facilities

Our Minnesota elder abuse attorneys have compiled and published the list below detailing specific Rochester area nursing facilities currently maintaining substandard ratings compared other homes throughout the United States. In addition, we have posted our primary concerns by outlining specific cases of neglect, abuse and mistreatment occurring at these facilities that cause direct or indirect injury, harm or death to one or more residents.

GOLDEN LIVINGCENTER – ROCHESTER EAST
501 Eighth Avenue Southeast
Rochester, Minnesota 55904
(507) 288-6514

A “For-Profit” 116-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Follow Procedures and Protocols to Report and Investigate Any Action or Allegation of Abuse, Neglect or Mistreatment of Residents

In a summary statement of deficiencies dated 05/04/2015, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility’s failure to “immediately report allegations of physical abuse to the Administrator and designated state agency.” The deficient practice by the nursing staff at Golden Living Center – Rochester East involved two residents at the facility.

The deficient practice was noted by state surveyor who reviewed a resident’s Significant Change MDS (Minimum Data Set) that identified that the resident “had no cognitive impairment and no behaviors.” A review of the resident’s 04/16/2015 Care Plan indicated that the “resident utilized electric wheelchair for mobility and staff was instructed to remove the resident from potentially dangerous situations and from other residents who disturbed her.”

The investigator also reviewed the resident’s Quarterly MDS (Minimum Data Set) that reveal conflicting information that identified that the resident “had no cognitive impairment but had experienced behaviors of screaming or cursing at others 1 to 3 times during a three-day look-back period.”

In addition, the facility’s 04/26/2015 Progress Notes read that another resident reported that this resident “had pushed her with his wheelchair so he didn’t miss the elevator and in the process [the aggressive resident] hit or jammed [the reporting resident’s] right hand and wrist.” The reporting resident “immediately complained of pain and injury to her right hand and wrist and was sent to the emergency department for an x-ray of her right wrist and no fracture was found. The Progress Note further indicated four-letter explicative were exchanged among the two residents and loud voices were heard.”

An interview was conducted with the injured resident at 5:30 PM on 04/27/2015 who stated recently that “she tried to get off the elevator with her electric wheelchair while another resident (identified to be [the aggressive male resident]) was getting on the elevator in an electric wheelchair.” The injured resident stated that she asked the [aggressive male] resident “to back up, but [he] refusing again used verbal abuse toward [her as he] continued to enter the elevator in his electric wheelchair.”

The injured female resident stated that the aggressive male resident’s wheelchair hit her arm […and] she now has no feeling in the last two fingers of her right hand. The injured female resident then stated that she “reported the incident to the nurse immediately and went to the emergency room due to swelling in her right hand […and] stated she had no broken bones in her hand, however, she is now wearing a splint and continues to have pain in her right hand and wrist.”

The state investigator reviewed the 04/25/2015 Facility Incident Report noting that the incident was “not reported to the state agency until the following day. Although the incident was a resident to resident altercation which resulted in injury to [the female resident] the facility submitted the incident only referring to a verbal altercation.”

The state investigator conducted a 12:08 PM 04/29/2015 interview with the facility Administrator who stated “he received telephone notification of the incident on 04/26/2015 at 7:30 PM and was not immediately notified of the incident between [both residents in the altercation] on 04/25/2015. The Administrator verified the resident to resident altercation was not reported to the state agency immediately” as required by state and federal laws.

Our Rochester nursing home abuse attorneys recognize a failing to follow specific procedures and protocols to investigate and report any action or allegation of abuse could place the health and well-being of residents in jeopardy. The deficient practice by the nursing staff at Golden Living Center – Rochester East might be considered further abuse or mistreatment because their actions failed to follow state and federal regulatory policies and procedures.

MAPLE MANOR NURSING AND REHABILITATION
1875 19th Street Northwest
Rochester, Minnesota 55901
(507) 282-9449

A “For-Profit” 81-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Conduct Initial and Periodic Assessments of Each Resident’s Functional Capacity

In a summary statement of deficiencies dated 11/13/2015, a notation was made by a state investigator during an annual licensure and certification survey concerning the facility’s failure to “comprehensively assess pain for [a resident at the facility] review for pain.”

The deficient practice was noted by state surveyor involving a 7:28 PM 11/09/2015 interview with a resident who stated that “he had a lot of discomfort in his esophagus and stomach […and] rated the pain level at an 8 out of a pain scale of 1 to 10 with 10 being the worst pain ever.”

The state investigator noted that the pain assessment interview for the resident had not been fully completed […and that the resident’s 10/04/2015 pain interview assessment indicated that the resident] was unable to communicate properly, had pain in the last five days, frequently states pain meds help control lower back pain and [other medical conditions including burning].”

The state investigator interviewed a registered nurse at 1:50 PM on 11/13/2015 to “verify the resident interview for pain had not been completed on the [resident’s] Admission MDS (Minimum Data Set), but should have been.” Earlier that day at 8:22 AM, the facility’s Assistant Director of Nursing also “verify the resident interview for pain had not been completed and stated the interview should have been completed as a resident was interviewable.”

Our Rochester nursing home neglect attorneys recognize the failing to conduct an initial and periodic assessment of every resident’s functional capacity has the potential of causing a decline in their health and well-being. The deficient practice by the nursing staff at Maple Manor Nursing and Rehabilitation Center might be considered negligence or mistreatment because their actions failed to follow the facility’s 07/20/2015 policy title: Pain Management and Assessment that reads in part,

“Develop a standardized method of assessing, monitoring, evaluating and documenting pain for both cognitively intact and impaired residents. A comprehensive pain assessment will be completed as part of the initial nursing assessment.”

STEWARTVILLE CARE CENTER
120 Fourth Street Northeast
Stewartville, Minnesota 55976
(507) 533-4288

A “Not for Profit” 73-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Follow Procedures and Protocols to Protect Every Resident from All Abuse, Physical Punishment and Being Separated from Others to Avoid an Immediate Jeopardy

In a summary statement of deficiencies dated 06/17/2015, a notation was made by a state surveyor during an annual licensure and certification survey involving the facility’s failure to ensure “residents at the facility reviewed for abuse were free from verbal and physical abuse by staff.” The deficient practice by the nursing staff affected two residents at the facility.

The deficient practice was noted by a state investigator who noted the facility also failed to “implement an intervention to prevent continued abuse that resulted in an immediate jeopardy for [2 residents at the facility] residing on the main and lower floor levels where the alleged perpetrator worked.”

On 08/24/2015, the state investigator initiated and Immediate Jeopardy “when the facility staff had observed the abuse but failed to implement preventive interventions, failed to provide initial and ongoing education to staff for the use of therapeutic interventions when dealing with residents with cognitive deficits, and failed to immediately report the abuse as efforts to prevent abuse from reoccurring.”

Both the facility Administrator and Director Nursing “were notified of the Immediate Jeopardy at 3:00 PM on 06/12/2015.”

A complaint was filed on the Facility’s Complaint/Concern Form regarding an employee that was completed by a nursing assistant on 04/25/2015. The documentation of the concern reads that “upon returning from bringing residents from supper, a coworker and I heard a lot of commotion/screaming. We noticed that the nurse [a Licensed Practical Nurse] was yelling and screaming at a resident. We tried to take her [the resident] to her room, she asked [the Licensed Practical Nurse] another question and he started yelling at her again. That’s when we removed [the female resident] from the situation. But, noncompliance remained at a lower scope and severity level [including] isolated scope and severity level, actual harm (bruising and swelling of [the resident’s] hand] that is not immediate jeopardy.

However, the state investigator notes that although the resident “was observed by the staff to be yelled at by the Licensed Practical Nurse on 04/24/2015 following the supper meal, and [the Licensed Practical Nurse] was subsequently observed to be verbally and physically abusive to [that resident] the same evening, the incidence were not immediately reported to the Administrator or the State Agency, nor were interventions initiated to prevent further abuse.”

The investigator then reviewed the resident’s Quarterly MDS (Minimum Data Set) indicating that the resident “had a Brief Interview for Mental Status (BIMS) score of 4, which indicates [that the resident] was severely cognitively impaired.”

Only after the state had inquired about the reporting of the alleged incidences of verbal/physical abuse did the facility’s Director of Nursing make a “report to the State Agency (OHFC) regarding the verbal abuse [that the resident] has sustained on 04/24/2015. The report was made on 06/12/2015, as part of the immediate plan of correction following the facility having been informed that an Immediate Jeopardy situation existed.”

Our Stewartville nursing home abuse attorneys recognize the failing to follow procedures and protocols to ensure that every resident is protected from abuse and physical punishment could place the health and well-being of the resident in Immediate Jeopardy. The deficient practice of the nursing staff and Administrator at Stewartville Care Center might be considered mistreatment or abuse because their actions failed to follow the facility’s policy title: Abuse Prohibition, and policy titled: Reporting/Investigating Resident Accident/Incidences that reads in part:

“All accident/incidents involving residents must be reported to the Director of Nursing services and immediately to the Administrator. All accident/incidents involving residents will be thoroughly investigated by management and the findings of such investigation will be kept on file by the Director of Nursing.”

ISIDORE HEALTH CENTER OF GREENWOOD PRAIRIE
800 Second Avenue Northwest
Plainview, Minnesota 55964
(507) 534-3191

A “Not for Profit” 53-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Follow Procedures and Protocols When Documenting Care, Services and Devices to the Resident

In a summary statement of deficiencies dated 12/10/2015, a notation was made by a state investigator during an annual licensure and certification survey concerning the facility’s failure to “revise the plan of care related to the initiation of a Foley catheter for [a resident at the facility] review for hospice services.”

The deficient practice was noted by state investigator after a review of the facility’s 11/01/2015 12:36 PM Progress Note indicating that a resident “had complained of being unable to avoid. Bladder scan was performed and the hospice nurse was subsequently notified. The note further included: She placed a Foley catheter with a very minimal return […and] left the catheter in place for resident comfort and stated the bladder scanning could be picking up his abdominal ascites [accumulation of fluid in the peritoneal cavity that typically results in abdominal swelling] while scanning his bladder. Nursing continued to monitor his output and comfort level and nurse practitioner will see resident tomorrow.”

The investigator noted that while the resident’s 10/20/2015 Care Plan indicated that the resident “was incontinent of bowel and bladder and required assistance with toileting related to end stage disease process, the Care Plan did not identify the use of an indwelling Foley catheter.”

The facility’s Assistant Director of Nursing was interviewed at 12:10 PM on 12/10/2015 and confirmed that the resident’s “Care Plan did not include the placement of an indwelling catheter and should have.”

Our Plainview nursing home neglect attorneys recognize the failing to follow protocols to accurately document a resident’s care could place their health and well-being in jeopardy. The deficient practice by the nursing staff at Saint Isidore Health Center of Greenwood Prairie might be considered negligence or mistreatment because their actions failed to follow the standards of care enforced by state and federal nursing regulators.

GOLDEN LIVINGCENTER – WHITEWATER
525 Bluff Avenue
St Charles, Minnesota 55972
(507) 932-3283

A “For-Profit” 55-certified bed Medicaid/Medicare-participating facility

Overall Rating – 1 out of 5 possible stars

1 star rating

Primary Concerns –

Failure to Provide Every Resident an Environment Free of Accident Hazards and Provide Adequate Supervision to Prevent the Immediate Jeopardy of a Resident’s Life

In a summary statement of deficiencies dated 07/17/2015, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility’s failure to “implement appropriate interventions including supervision, eating assistance and/or appropriate textured foods/fluids in order to prevent choking/aspiration of fluid and foods.” The deficient practice by the nursing staff at Golden Living Center – Whitewater affected two residents at the facility “would be identified as at risk. The facility’s failure to implement these interventions resulted in an immediate jeopardy situation [for two residents].”

The deficient practice was noted was noted by a state investigator indicating that “the immediate jeopardy [at the facility] began on 07/13/2015 when it was first observed that the facility failed to provide the necessary supervision, needed assistance, and food consistency for [two residents] during meal service observations.”

The state investigator noted that at the time of the resident’s admission to the facility special interventions had been put in place for “supervision, assistance and modify diets.” However, the facility “failed to ensure these interventions were implemented consistently.”

The state investigator observed the resident at 6:22 PM on 07/13/2015 during the evening meal. The resident was seen sitting at [the dining room table independently, drinking hot chocolate with no staff supervision […and] was observed to begin to cough very loudly after a drink of the hot chocolate and the hot chocolate was observed to run out of his mouth.” During the event, a nursing assistant “who had been passing out wipes to other residents in the dining room came over to [the resident in distress], handed [the resident] a wipe and left the area.” At no time did the nursing assistant asked the resident “if he was okay or whether he was having difficulty swallowing the hot chocolate.”

Approximately 30 minutes later at 6:52 PM, the resident “again began to cough while eating. This time, the cough was more violent and a pinkish/red colored liquid spewed from his mouth. There was no staff available in the immediate area, [and the resident’s] face turned red as he continued to cough.”

Approximately two minutes after the resident had begun coughing, Registered Nurse came to the table and at approximately 7:00 PM the Registered Nurse removed the resident (in his wheelchair) from the dining room while he continued to cough.” At that point, the resident “was taken out to the lobby.” The Registered Nurse who was providing the resident care “then return to the dining room and asked about what [the resident] had been served [… stating] the red applesauce [the resident] had received was considered puréed fruit and that the substance in the glass was thicker than pudding thick fluid.”

A follow-up observation of the resident was conducted at 7:04 PM when the resident “was observed seated alone in the lobby at a small table against the wall. He had stopped coughing and his face color had returned to normal […and] was noted to be facing toward the wall making him less easily visible by staff who might be in the area.” At this time, the Registered Nurse “had his food tray brought out and placed in front of him. Again [the resident] was left unsupervised with his meal. No staff was in the direct vicinity of [the resident], a Licensed Practical Nurse was observed standing at the medication cart 15 to 20 feet away with her back to [the resident].”

Approximately seven minutes later at 7:11 PM, the resident “remained in the lobby area alone. A clinical psychologist was observed to approach [the resident] to remove his dinner tray at 7:13 PM. At that time, the surveyor asked [the clinical psychologist] whether she’d had any formal training to assist residents when eating.” This clinical psychologist stated that “she had not had any training for assisting residents to eat, but was removing the resident’s tray because the surveyors were watching the resident.”

Our St. Charles nursing home neglect attorneys recognize that failing to provide every resident an environment free of accident hazards and provide adequate supervision to residents requiring special care could place their life in Immediate Jeopardy. The deficient practice by the nursing staff at Golden Living Center – Whitewater might be considered mistreatment or negligence because the facility’s guidelines to assist residents were not identified in the facility’s policy title: Eating Support that would have provided guidance on how to assist residents who require change to textured diets or supervision of residents who are at risk of choking and/or aspiration.

KENYON SUNSET HOME
127 Gunderson Boulevard
Kenyon, Minnesota 55946
(507) 789-6134

A “Not for Profit” 30-certified bed Medicaid/Medicare-participating facility

Overall Rating – 2 out of 5 possible stars

2 stars rating

Primary Concerns –

Failure to Immediately Notify the Resident’s Doctor and Family Member of a Change in the Resident Situation Including a Decline in Health or Injury

In a summary statement of deficiencies dated 10/22/2015, a notation was made by a state investigator during an annual licensure and certification survey concerning the facility’s failure to “immediately notify the physician to determine treatment and cares for a newly developed stage II pressure ulcer.” The deficient practice by the nursing staff at Kenyon Sunset Home affected one resident at the facility.

The deficient practice was noted by state investigator after review of a resident’s Admission MDS (Minimum Data Set) indicating that the resident “was moderately cognitively impaired, required extensive assistance with transferring and repositioning in bed and in a wheelchair, and was at risk for pressure ulcer development.”

The investigator also reviewed the resident’s Progress Notes that included that the resident suffered from a Stage II pressure ulcer “located on the right shin [and measuring] 0.1 centimeters by 1.0 centimeters with no documentation of depth.” In addition, the resident also had a second pressure ulcer on the left shin measuring “0.6 centimeters by 0.8 centimeters with no measurement of depth. Shins are weepy and superficial. The perineal wound is pink.”

The state investigator noted that while the documentation showed that the wounds are cleansed with saline and dressing applied and that there is excoriation to bilateral buttocks, left buttocks upper 0.5 centimeters by 0.5 centimeters area, “it does not say if the area is open or not.” In addition, the investigator notes that there is “no staging completed of any buttocks pressure ulcers […and that] there was no information provided in regards to the immediate notification of the doctor when the Stage II ulcer was found by staff.”

The investigator interviewed the facility’s Director of Nurses who “verify there is no documentation of physician notification to the open area […and] she expected the provider to be notified of changes in the resident’s condition.” Notations were also made that the resident died while receiving care at the facility.

Our Kenyon nursing home neglect attorneys recognize a failing to follow procedures and protocols to notify the resident’s doctor of a change in their condition could place their life in Immediate Jeopardy. The deficient practice by the nursing staff at Kenyon sunset home might be considered mistreatment or negligence.

Nursing Home Abuse & Neglect Resources
Client Reviews
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Jonathan did a great job helping my family navigate through a lengthy lawsuit involving my grandmother's death in a nursing home. Through every step of the case, Jonathan kept my family informed of the progression of the case. Although our case eventually settled at a mediation, I really was impressed at how well prepared Jonathan was to take the case to trial. Lisa
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After I read Jonathan’s Nursing Home Blog, I decided to hire him to look into my wife’s treatment at a local nursing home. Jonathan did a great job explaining the process and the laws that apply to nursing homes. I immediately felt at ease and was glad to have him on my side. Though the lawsuit process was at times frustrating, Jonathan reassured me, particularly at my deposition. I really felt like Jonathan cared about my wife’s best interests, and I think that came across to the lawyers for the nursing home. Eric