Nursing homes across Olmsted County, Minnesota, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Charter House runs one of the thinnest-staffed business models you'll see anywhere, 9.47 nurse hours per resident day against a national average of 3.86, a number that would be hard to sustain if the census weren't so small and the nonprofit backing so steady. Weekends drop about 13% below weekday coverage, which matters in a 32-bed building where there's less slack to absorb a callout. Turnover sits at 53.8%, roughly eight points above the national figure, and the inspection record carries 10 deficiencies including one at the harm level and four tied to abuse. The last survey closed in late December 2025, so the file is fresh, and the single fine on record totals $8,824.
Edenbrook Rochester West runs 48 beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.25 nurse hours per resident day, roughly 10% above the national average, with a 34.4% turnover rate that beats the 45.8% norm. Weekends slip about 14% below weekday coverage, which is worth knowing if your visits fall on Saturdays. What pulls the record down is inspections, a 1-out-of-5 health inspection rating, 41 deficiencies on the current record including three at harm or jeopardy level and one abuse-related, plus a $14,518 fine. The most recent inspection was November 2025, so the findings are current, not stale. Strong staffing, troubled oversight.
Edenbrook Of Rochester is a for-profit, 81-bed home where the numbers point in two directions at once. Nurse staffing runs 3.75 hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 12% below its own weekday coverage, a gap families should ask about directly. The inspection record carries 34 deficiencies, three of them at the harm or jeopardy level, with $53,260 in fines across three penalties, and its most recent inspection was February 2026. Staff turnover at 42.6% is slightly better than the national 45.8%, and its quality measure rating is strong. The trade-off is real: decent measures and steadier retention, but thin weekend coverage and a serious inspection history.
Madonna Towers of Rochester runs a nonprofit home with 62 beds, and its nurse staffing sits a hair above the national average, 3.97 hours per resident day against 3.86. That margin shrinks on weekends, when coverage drops roughly 12% below its own weekday levels, so the hours aren't spread evenly across the week. The bigger flag is turnover: 60.5% of staff leaving annually, well past the 45.8% national figure. Inspections look solid on paper, with a 4-star health rating and a recent April 2026 survey, but the record carries 14 deficiencies, one serious enough to involve harm or jeopardy, plus a $10,196 fine. Good survey scores and steady churn can coexist; ask how they hold onto aides.
Rochester Rehabilitation And Living Center has real staffing depth, 5.09 nurse hours per resident day, roughly a third more than the national average. That's the strongest thing in its file. But 73.5% of staff left over the past year, well above the 45.8% national rate, and weekend coverage drops about 10% below its own weekday levels.
The inspection record is where it gets serious: 35 deficiencies, including 5 at the harm or jeopardy level and 2 tied to abuse. CMS placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. Its last inspection was in April 2025. Good ratios don't fix a record like that on their own.
Samaritan Bethany Home on Eighth runs 128 beds as a nonprofit, and its nursing hours land around 3.53 per resident day, roughly 9% under the national average. Weekends dip about 17% below its own weekday coverage, and turnover sits at 47.4%, a bit above the national figure. The current record shows 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $27,555. Its last inspection was March 26, 2026, which is recent. Staffing earns four stars from CMS, but the inspection and quality measure ratings both sit at three, and the deficiency history is what pulls the overall picture down.
Stewartville Care Center runs on a paradox: 4.36 nurse hours per resident day, roughly 13% above the national average, yet the people providing that care turn over at 60.3% a year against a 45.8% norm. Weekends dip about 13% below weekday coverage, and the inspection record is thin for a 50-bed nonprofit, 33 deficiencies, two at harm or jeopardy level, three tied to abuse, and a 2-out-of-5 inspection rating. Quality measures sit at 1/5 even as staffing earns 4/5, which tells you the hands are present but the consistency and outcomes aren't holding. One fine totaling $11,911 and an April 2025 inspection round out the picture.
Rochester Restorative Care Center has enough nurses on paper, 4.18 hours per resident day, about 8% above the national average. But that number hides a churn problem: every nursing position turns over roughly twice as fast as the national rate, and weekend coverage drops below what the home staffs on weekdays. Its inspection record carries 55 deficiencies, four of them serious enough to put residents in harm's way, and CMS has placed the home in its Special Focus Facility program, which is reserved for the worst-performing nursing homes in the country. Four fines total $425,426. The staffing star looks fine. Almost nothing else does.