Best Nursing Homes in Rochester, NY

Overview of Edna Tina Wilson Living Center

Edna Tina Wilson Living Center is a skilled nursing and rehabilitation home in Rochester. The center provides a comprehensive range of care, including specialized nursing home care and memory care therapy, designed to meet the unique needs of residents. They boast a fantastic team of well-trained professionals who deliver lovely senior care.
Edna Tina Wilson’s services are multidisciplinary for both skilled nursing and rehabilitation– focusing on post-surgical care, on-site therapy (physical, occupational, speech), strength conditioning, mobility improvement, urgent care, orthopedic care,  breast cancer care, critical care, wound care, and heart care.

Overview of St. Ann’s Community

St. Anne’s Community, located in Irondequoit, Rochester, New York, is a leading hospice facility that caters to the needs of seniors in the community. Already established and in service for 150 years, St. Ann’s Community is a beacon of light for those seeking exceptional care. They encourage older adults in the community to live independently and have a balanced well-being.

In partnership with Leo Center for Caring, they offer comfort and dignity and provide older adults peace as they journey through their terminal illnesses. They have a well-trained yet compassionate staff that understands the need for seniors to complete their lives on their terms. With that sense of dignity and comfort they offer, clients and their families ensure they are given the highest quality of life they deserve.

Overview of Friendly Home

As its name suggests, Friendly Home is the city’s premier skilled nursing and rehabilitation center. The results-driven nursing home care services are centered on a relaxing and rejuvenating recovery journey for seniors; it is delivered by their patient-friendly staff to offer the best care possible for their residents. The upscale nursing home aims to enhance the recovery journey of its seniors through warm and welcoming, family-like care provided.
Nursing home services include a range of services that include individualized care plans, medication management, post-surgical care, and wound care. Essential services include housekeeping, restaurant-style dining, social activities, scheduled transportation,  and  24-hour skilled nursing care services, providing compassionate care as it is their utmost priority.

Set amidst the peaceful neighborhood of Rochester, NY, Park Place Southwest is a trusted senior care provider that offers its residents access to excellent adult day care services. The community features a dedicated team of caregivers who go above and beyond in serving the residents’ needs. Here, residents enjoy support with their routines and a wide array of amenities designed to provide them convenience and recreation opportunities.

A full range of vibrant activities and programs are offered by the community to enrich the residents’ lives and provide them opportunities to make meaningful connections and experiences. Healthy and delicious meals are also offered to ensure residents are always full of energy to enjoy a vibrant and dynamic daily life. Here, residents enjoy friendly companionship and opportunities to live their lives fully.

Overview of The Hurlbut

Located in Rochester, New York, The Hurlbut is a skilled nursing home on East Henrietta Road that offers rehabilitation and short-term recovery services, as well as long-term nursing care. The 160-bed facility serves the surrounding community with straightforward accessibility. The area has a walkability score of 44 out of 100. Some nearby services are within walking distance, but most trips require a short drive.

The home has 24-hour staffing, with an average of approximately 4 hours and 3 minutes of nursing care per resident each day. It is distributed among registered nurses, licensed nurses, and nurse aides. Residents receive support throughout the day from nursing staff, aides, and other care team members. Most stay an average of 290 days, including residents in post-acute rehabilitation and those in ongoing care. The home’s current occupancy is 78%, with 125 of its 160 beds occupied.

The Hurlbut accepts Medicare, Medicaid, and private pay, giving families multiple options to cover both the rehabilitation and longer-term care needs.

New York Department of Health inspections reviewed infection-control practices, immunization records, fire-safety systems, and staffing records. When deficiencies were identified, the facility took corrective actions to address them.

Families who are exploring rehabilitation or nursing home care in the Rochester area may find the facility a good fit for someone recovering after a hospital stay or needing longer-term skilled nursing care.

The Brook at High Falls operates as a 28-bed skilled nursing facility at 2150 St Paul Street in Rochester, Monroe County, New York. Owner Christina Oropeza oversees the facility through AGA Operating LLC, a for-profit operator.

The 3-star CMS rating positions the community slightly below the New York state average.

Where the facility demonstrates strength is staffing intensity: registered nurses and nursing staff combine for 3 hours 57 minutes of care per resident daily; 13% above New York averages. Weekends show particularly robust RN presence at 47 minutes per day, running 68% above benchmark. Physical therapists deliver 11 minutes per resident daily, 57% above state norms.

Six separate state inspections over four years yielded 15 total health and life safety citations.

The November 14, 2024 complaint investigation identified systemic deficiencies in resident care, facility environment, and safety protocols. Inspectors found failures in activities of daily living assistance, visual privacy safeguarding (missing privacy curtains affecting multiple residents), quarterly care planning compliance, and infection control execution. Significant documentation gaps emerged: staff touched food without gloves; laundry personnel handled soiled linens without protective gowns; resident medical records sat in damaged boxes stored in an unlocked basement electrical room. Environmental violations included missing call bells, absent bathroom soap dispensers, inoperable kitchen equipment, unsafe gas storage, and non-functional door mechanisms.

The facility corrected all citations by late January and early February 2025. No federal fines or Medicare/Medicaid payment denials have been assessed over the past three years.

Occupancy has contracted dramatically to 32%; ranked 426th of 433 New York homes against a state average of 88.3%. The facility draws admissions from Medicare short-stays (1-month average), private-pay brief stays (19 days), and Medicaid long-term residents (2 years), with current census skewed heavily toward Medicaid (45.5%).

Clinical quality measures reveal long-stay weight loss impacts 16.4% of residents at 168% worse than state average, yet fall rates remain zero and depression symptoms absent entirely. Short-stay rehospitalization reached 26.8% against a 20.6% state norm, with emergency department utilization at 19.7%; more than double the 9.7% state figure. The facility’s deficiency rate has averaged 24.7 violations per year since 2021, running 384% above New York averages.

The Brook is structured for Medicare and private-pay short-term rehabilitation and skilled nursing stays in a small-scale setting where higher staffing ratios and intensive therapy services support acute clinical recovery.

Overview of St. John‘s Home

With 455 beds, St. John’s Home is a nursing community on Highland Avenue in Rochester, New York, operated by the not-for-profit organization St. John’s Health Care. It provides skilled nursing, rehabilitation, and memory care for older adults, offering both private and semi-private rooms for short-term recovery and long-term care. The community maintains a 90% occupancy rate, with an average resident stay of 212 days. The surrounding neighborhood has a walkability score of 54, allowing some nearby errands to be completed on foot.

Residents have access to skilled nursing, physical, occupational, and speech therapy, with an average of 3 hours and 54 minutes of daily nursing care provided by registered nurses, licensed practical nurses, and nurse aides. Medicare, Medicaid, and private pay are accepted.

Meals, housekeeping, laundry, transportation, and recreational activities are included as part of daily life. State inspections have identified areas for improvement involving activities of daily living, infection control, food safety, resident rights, and life safety systems.

Overview of Lilac Manor Rehabilitation and Nursing Center

Located at 3 Upton Park in Rochester, Lilac Manor Rehabilitation and Nursing Center operates 200 beds within a very walkable Park Avenue neighborhood setting. The nonprofit Wesley Gardens Corporation runs the facility, which accommodates an even mix of insurance arrangements; Medicare, Medicaid, and private-pay residents each represent roughly one-third of new admissions. Most stays average about 143 days, positioning the facility for post-acute rehabilitation transitions. Active resident governance through ongoing resident council meetings is standard practice.

Direct nursing staffing delivers 4 hours 38 minutes per resident per day, the highest ratio among facilities in this sample, and 33% above New York’s average. This staffing measure reflects meaningful commitment: 12 RNs, 39 LPNs, 69 CNAs, plus 7 clinical nurse specialists in supervisory roles. All-staff shifts average 8.2 hours, slightly above the state norm.

Across 21 inspections since 2015, the facility accumulated 55 citations, more than four times the state average. The June 2024 survey, the most comprehensive finding, identified 22 deficiencies across care delivery (ADL assistance, pain management, medication management), administrative compliance (care planning, nursing staffing documentation), and physical plant (construction standards). The August 2024 follow-up showed correction of most items. The August 2025 inspection recorded just one isolated violation regarding notification of resident condition changes; a marked tightening suggesting operational discipline.

Complaint volume climbed to 162 over ten years (more than double the state average), though 32 complaint investigations yielded unsubstantiated or quickly corrected findings. The facility has not incurred federal fines but did face a 73-day Medicare/Medicaid payment denial in June 2024. Six enforcement actions exceeded the state average, though none resulted in license suspension or closure.

Falls causing major injury run at 1.9%, below the state average. Depressive symptoms affect only 3.5% of residents compared to 18.1% statewide. However, incontinence prevalence at 37.0% among low-risk residents is 73% worse than the state, suggesting either care management challenges or population selection. Pneumococcal vaccination completion for short-stay patients stands at 43.9%, well below the 76.6% state benchmark.

Occupancy sits at 65%, roughly 23 percentage points below the state average. Yet recent inspection data show deficiency reduction, and nurse staffing remains among the state’s best.

Lilac Manor serves patients seeking intensive post-acute rehabilitation in a city-center location with above-average nursing hours. The recent regulatory improvement and strong staffing ratio must be weighed against the citation history, low occupancy, financial losses, and vaccine-compliance gaps.

Overview of Monroe Community Hospital

Monroe Community Hospital is a fully certified residential health care facility in Rochester, NY. It provides long-term care for individuals with complex health conditions requiring higher levels of medical and nursing care. The facility offers specialized programs including Alzheimer and Dementia Care, Respiratory Care Services, and a comprehensive rehabilitation program.

Overview of Rochester Center for Rehabilitation and Nursing

A 124-bed nursing home in Rochester at 525 Beahan Road, Rochester Center for Rehabilitation and Nursing, focuses on short-term post-acute care and rehabilitation, with a typical stay of 84 days. Operator Michael Gestetner has configured the facility around four clinical programs: cardiac care, pain management, stroke care, and orthopedic rehabilitation. The center also offers respite care. Occupancy runs at 98%, the highest percentile locally, pointing to sustained demand.

Staffing for direct nursing is 3 hours 25 minutes per resident per day and trails the New York average by a small margin, and ranks in the middle tier statewide. This measure alone would not warrant concern, but the inspection and enforcement record paints a different operational picture. Since 2017, state regulators have conducted ten inspections and cited the facility for 29 violations, more than double the state average.

The most recent inspection in April 2024 found one deficiency involving parenteral fluid management. Six months earlier, in October 2023, inspectors identified 18 violations covering both clinical care and physical plant; ranging from activities of daily living assistance and medication labeling to electrical system maintenance, elevator safety, and building construction standards. Several were subsequently corrected.

More significantly, the facility carries eight enforcement actions on record, roughly five times the state average. These formal penalties indicate the state deemed violations serious enough to warrant intervention beyond standard citation. One critical-severity deficiency has been issued over the past five years. Federal penalties reached $9,000 in October 2023; no additional fines have been imposed in the two years since.

Resident and family complaints numbered 138 over nine years, 75% above the state baseline. Among these, 19 triggered formal complaint investigations. Two active lawsuits are currently proceeding: a negligence claim filed in 2026 and a medical malpractice case from 2021 (jury demand issued, discovery ongoing, next court date March 27, 2026). These cases remain unresolved.

On quality outcomes, the facility shows strength in preventing major falls, 0.0% incidence versus the state average of 3.0%, and maintains strong preventive care compliance for pneumococcal vaccination. However, long-stay resident mood outcomes are concerning: 27.6% report depressive symptoms, nearly 50% worse than state norms. Functional decline in self-care ability and walking capacity reflects the care challenges this population presents or the facility’s care management approach; both warrant direct discussion before admission.

Rochester Center for Rehabilitation and Nursing is oriented toward families seeking short-term post-acute rehabilitation in Rochester.