01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-23 | 2 | 2026-04-23 | 3 |
| Cycle 2 | 2025-06-12 | 10 | 2025-06-12 | 6 |
| Cycle 3 | 2024-04-25 | 3 | 2024-04-25 | 7 |
CMS CCN 2451532026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Madonna Towers Of Rochester
4001 19Th Avenue Northwest · Rochester, MN 55901 · Olmsted County
Certified beds62CMS provider file
Recent citation rows31current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
31 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-04 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2026-05-26 · complaint2026-04-23 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-04-23 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-23 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-05-012026-04-23 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-04-302025-06-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · FIREK0346Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · FIREK0354Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · FIREK0374Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-06-12 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-07-152025-02-12 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-12 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2025-02-12 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-03-20 · complaint2024-08-26 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2024-08-16 · complaint2024-08-26 · HEALTHF0700Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-08-26 · HEALTHF0909Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Correction field: Deficient, Provider has date of correction · 2024-10-01 · complaint2024-04-25 · FIREK0271Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2024-05-312024-04-25 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-04-242024-04-25 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-05-3103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-08-26 | Fine | $10,196 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAKKE, CHRISTINEIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 04/17/2017
- ANDERSON, JUSTINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2012
- BOLDT, CHRISTINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2005
- EUSTICE, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2014
- GEISLER, TIMOTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2013
- GRAHAM, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/31/2018
- KOSHIRE, LARRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/21/2015
- OBRIEN, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2012
- RUSSELL, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/18/2016
- SCHWINGHAMMER, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2013
- SNYDER, BRUCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2014
- TRUEMAN, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2018
- WILLARD, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2014
- BERGIEN, TRICIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2017
- RYMANOWSKI, KEVINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2008
- BENEDICTINE HEALTH SYSTEMOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/25/1995
- CARLEY, GERALDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/03/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.97per resident day
RN hours1.06per resident day
Weekend nurse hours3.48per resident day
Staff turnover60.5%CMS reported field
06 / LOCAL RECORDS
Open the Rochester ledger →Other published facilities nearby
Charter House Inc32 beds · CMS overall 5/519 citation rowsEdenbrook Of Rochester81 beds · CMS overall 2/566 citation rowsEdenbrook Rochester West48 beds · CMS overall 2/563 citation rowsRochester Rehabilitation And Living Center56 beds · CMS overall 1/553 citation rowsRochester Restorative Care Center85 beds · CMS overall 1/597 citation rowsSamaritan Bethany Home On Eighth128 beds · CMS overall 3/525 citation rows