Rochester Rehabilitation and Living Center
1900 Ballington Boulevard Nw · Rochester, MN · 55901 · 5073225555
56 certified beds Non profit - Corporation Chain: Volunteers of America Senior Living
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
81% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 2.17 | 0.55–0.75 |
| Weekend hours / resident-day | 4.64 | ≈ weekday level |
| Nursing turnover / year | 81% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Actual harm · G March 27, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 13, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 1, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 1, 2026 · Infection Control
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Immediate jeopardy · J August 22, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected September 18, 2025 · Pharmacy Service
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Potential for harm · D August 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 18, 2025 · Quality of Life and Care
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Potential for harm · F August 22, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected September 18, 2025 · Administration
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Actual harm · G June 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 27, 2025 · Quality of Life and Care
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Potential for harm · F June 27, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 27, 2025 · Administration
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Immediate jeopardy · J April 22, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · D April 22, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 29, 2025 · Resident Rights
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Potential for harm · D April 22, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 29, 2025 · Resident Rights
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Potential for harm · E April 22, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected May 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 22, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 22, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D April 22, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D April 22, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 29, 2025 · Quality of Life and Care
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Potential for harm · D April 22, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 11, 2025 · Quality of Life and Care
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Potential for harm · E April 22, 2025
Provide and implement an infection prevention and control program.
Corrected May 29, 2025 · Infection Control
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Potential for harm · E April 22, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 29, 2025 · Infection Control
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Potential for harm · D April 22, 2025 · found via complaint
Keep complete, dated laboratory records in the resident's record.
Corrected May 29, 2025 · Administration
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Potential for harm · D October 29, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 26, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 10, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 4, 2024 · Pharmacy Service
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Actual harm · G September 9, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 4, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 9, 2024 | Payment Denial | 6 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245626 · certified since July 7, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.