Madonna Towers of Rochester
4001 19th Avenue Northwest, Rochester, MN 55901 · Olmsted County · (507) 288-3911
62 certified beds, about 57 residents a day · Non profit - Corporation · Medicare and Medicaid since 1968
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245153 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 23, 2026, inspectors cited 1 health deficiency (the Minnesota average is 7.1, the national average 9.2).
Of 15 health citations since December 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $10,196 in the last three years; the largest was $10,196, and the latest is dated August 26, 2024.
Nurses and nurse aides worked 3.97 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.06 of those hours.
60.5% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Benedictine Health System, an affiliated group of 23 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
212/23
101/24
004/24
308/24
302/25
406/25
104/26
106/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
2E
2F
Potential for minimal harm
0A
1B
1C
June 4, 2026Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure safety during van transport by ensuring safety straps were appropriately applied for 1 of 1 resident (R1). The failure resulted in actual harm when the van came to a sudden stop throwing R1 from the wheelchair causing fractures to her right and left femurs. The facility had completed corrective measures by 5/26/26 and prior to the start of the survey so citation was issued at past non-compliance (PNC).
April 23, 2026Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure proper personal protective equipment (PPE) was used during high-contact cares for 1 of 1 residents (R20) reviewed for enhanced barrier precautions (EBP) who had an indwelling catheter (R20).
June 12, 2025Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure food stored in the refrigerators were labeled, dated and discarded properly. This deficient practice had the potential to affect all 55 residents, staff and visitors who received food from facility kitchen.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and document review, the facility failed to comprehensively monitor and assess for edema (swelling) so intervention effectiveness could be determined, and new interventions developed if needed for 1 of 1 residents (R43) assessed for edema management.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to ensure 3 of 5 residents (R43, R14, R22) reviewed for immunizations were offered and/or provided the pneumococcal conjugate vaccine (PCV)20 as recommended by the Centers for Disease Control (CDC) to help reduce the risk of associated infections.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the required nurse staffing information was posted daily and contained the facility name. This had the potential to affect all 55 residents residing in the facility and/or visitors who may wish to view the information.
February 12, 2025Complaint inspection · 3 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observations, interview, and document review, the facility failed to provide the opportunity to make choices related to toileting for 2 of 3 residents (R1, R2) reviewed for choices.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure a comprehensive care plan was developed to implement care and services for catheter care and bowel continence for 1 of 1 resident (R1) reviewed for bowel and bladder incontinence/catheter.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to comprehensively reassess and demonstrate adequate justification for the continued use of indwelling catheter for 1 of 1 resident (R1) reviewed for falls. In addition the facility failed to ensure a resident who was continent of bowel received services to maintain bowel continence for 1 of 1 resident (R1) reviewed for resident safety.
August 26, 2024Complaint inspection · 3 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview and record review the facility failed to provide adequate supervision for R2. This resulted in an immediate jeopardy (IJ) for R2 who was identified as an elopement risk and was able to leave the facility through a fire door without staff knowledge. R2 was last seen on August 14 at 9:15 p.m. and found approximately two blocks away from the facility and brought back to the facility by police at 11:13 p.m. Staff was unaware that R2 had eloped due to the the door alarm not sounding. The IJ began on 8/14/24 when R2 eloped from the facility. The IJ was identified on 8/23/24. The Director of Nursing was notified of the IJ on 8/23/24 at 3:10 p.m. The IJ was removed on 8/15/24 and deficient practice was corrected on 8/16/24, prior to the start of the survey and was therefore past noncompliance.
- F 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to conduct regular inspections of all bed frames, mattresses, and bedrails as a part of the regular maintenance program to identify areas of possible entrapment. All of the residents at the facility have the same beds. The facility census was 55 and 50 of those residents had the same quarter siderails on the beds. The bed manufacturer guidelines indicated to visually inspect the bed and accessories monthly. This failure had the potential to affect 50 residents in the facility.
- E 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to attempt to try alternative devices before using bedrails on resident's beds for 7 of 7 resident (R1, R2, R3, R4, R5, R6, R7) when the facility failed to accurately assess the resident for risk of entrapment by assessing residents medical diagnoses, size and weight, cognition, communication, mobility, and risk of falling. In addition, the facility failed to provide ongoing assessments to assure the bedrail is used to meet the resident's needs.
April 25, 2024Standard inspection · 0 citations
January 30, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure process's were followed for safe mechanical lift transfers for 3 of 18 residents (R1, R2, R3) reviewed for safety with mechanical lift transfers.
December 28, 2023Complaint inspection · 2 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and document review the facility failed to complete neurological assessments and comprehensively assess and monitor skin injuries following falls for 4 of 4 residents (R1, R2, R3, R4) who had unwitnessed falls or unwitnessed falls with injuries.
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and document review, the facility failed to provide the resident and/or resident representative (RR) with a written notice of facility initiated transfer for 1 of 1 resident (R1) reviewed for hospitalization.
Fire safety inspections
16 fire safety citations on file: 3 on April 23, 2026, 6 on June 12, 2025, 7 on April 25, 2024.
Every fire safety citation16 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- C Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have exits that are accessible at all times.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have proper medical gas storage and administration areas.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 26, 2024 | Fine | $10,196 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.97 | 4.19 | 3.86 |
| Registered nurses | 1.06 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.48 | 3.71 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.54 | ||
| Nursing staff turnover (share who left in a year) | 60.5% | 42.2% | 45.8% |
| Registered nurse turnover | 60.0% | 38.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.26 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.17 on weekdays and 3.48 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.17 in April to June 2025 to 3.97 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.97 | 1.06 | 4.17 | 3.48 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 4.03 | 1.07 | 4.25 | 3.49 | 0.2% | 0 of 92 | 57 |
| Jul to Sep 2025 | 4.25 | 1.22 | 4.49 | 3.62 | 7.0% | 0 of 92 | 54 |
| Apr to Jun 2025 | 4.17 | 1.14 | 4.39 | 3.61 | 17.0% | 0 of 91 | 54 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Minnesota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.7 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.1 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.2 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.5 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.8 | 17.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 40.4 | 23.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.9 | 14.8 | 12.0 |
Owners and operators
Legal business name: MADONNA TOWERS OF ROCHESTER, INC. CMS links this home to Benedictine Health System, a group of 23 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bakke, Christine | Contracted managing employee | Individual | 04/17/2017 | |
| Anderson, Justin | Corporate director | Individual | 09/01/2012 | |
| Boldt, Christine | Corporate director | Individual | 09/01/2005 | |
| Eustice, Diane | Corporate director | Individual | 09/01/2014 | |
| Geisler, Timothy | Corporate director | Individual | 01/01/2013 | |
| Graham, Barbara | Corporate director | Individual | 08/31/2018 | |
| Koshire, Larry | Corporate director | Individual | 05/21/2015 | |
| Obrien, Michael | Corporate director | Individual | 11/01/2012 | |
| Russell, James | Corporate director | Individual | 02/18/2016 | |
| Schwinghammer, Diane | Corporate director | Individual | 09/01/2013 | |
| Snyder, Bruce | Corporate director | Individual | 09/01/2014 | |
| Trueman, Barbara | Corporate director | Individual | 09/01/2018 | |
| Willard, Michael | Corporate director | Individual | 09/01/2014 | |
| Bergien, Tricia | Corporate officer | Individual | 01/01/2017 | |
| Rymanowski, Kevin | Corporate officer | Individual | 01/01/2008 | |
| Benedictine Health System | Operational/managerial control | Organization | 05/25/1995 | |
| Carley, Gerald | Operational/managerial control | Individual | 01/03/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on June 4, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 23, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 12, 2025: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on June 12, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.48 hours per resident per day, below the Minnesota average of 3.71.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Edenbrook Rochester West Rochester, 1.1 mi · 2 of 5 stars · 40 citations
- Rochester Rehabilitation and Living Center Rochester, 1.2 mi · 1 of 5 stars · 32 citations
- Edenbrook of Rochester Rochester, 1.4 mi · 2 of 5 stars · 36 citations
- Samaritan Bethany Home on Eighth Rochester, 2.7 mi · 3 of 5 stars · 18 citations
- Charter House Inc Rochester, 3 mi · 5 of 5 stars · 10 citations
- Rochester Restorative Care Center Rochester, 3.8 mi · 1 of 5 stars · 58 citations
- Edenbrook Pine Haven Pine Island, 12.5 mi · 2 of 5 stars · 35 citations
- Stewartville Care Center Stewartville, 14.3 mi · 1 of 5 stars · 30 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Madonna Towers of Rochester's Medicare star rating?
- CMS rates Madonna Towers of Rochester 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Madonna Towers of Rochester get at its last inspection?
- 1 health deficiency at the standard inspection on April 23, 2026. The Minnesota average is 7.1.
- Has Madonna Towers of Rochester been fined?
- Yes. CMS lists 1 fine totaling $10,196 in the last three years.
- Does Madonna Towers of Rochester accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Madonna Towers of Rochester?
- CMS lists 17 owners and managers, and links the home to Benedictine Health System. Legal business name: MADONNA TOWERS OF ROCHESTER, INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.