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Nursing Home in Rochester

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Brook at High Falls

Nursing Home in Rochester

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Brook at High Falls

Overview of The Brook at High Falls

Nestled in the heart of Rochester, New York, The Brook at High Falls stands as an esteemed assisted living community. Within the embracing ambiance of Brook at High Falls, a welcoming haven awaits—a true home where an exceptional level of care unfailingly prevails. This assisted living community’s esteemed reputation as a foremost provider of skilled nursing care is rooted in a dedicated commitment to bestowing residents with unwavering quality care, all while preserving their innate dignity and self-esteem.
At the heart of it all, Brook at High Falls delivers the pinnacle of professional nursing services within a nurturing environment marked by genuine warmth and compassion. Their team, characterized by both expertise and empathy, extends beyond professional competence, encompassing a genuine caring disposition that becomes intertwined with the lives of each resident. The intimate scale of the community cultivates an atmosphere that is both familiar and residential, further accentuating the sense of home.

(585) 342-5540

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
3/5
New York average: 3.1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
2/5
New York average: 2.8/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
New York average: 2.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
New York average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 57m per day

This home provides 13% more nursing time per resident than the New York average.

New York average: 3h 29m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 46m per day 42m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 27m per day 2h 11m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 3h 30m per day 3h 10m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 11m per day 7m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 47m per day 28m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 28

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the New York average
Occupancy rate 32.1%
Residents per day 9
Occupancy rate
32.1%
Residents per day
9

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

34% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

62% of new residents, often for short stays.

Typical stay 19 days

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 2 years

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$4.4M
Operating loss
-$370.8K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$4.4M
Operating loss
-$370.8K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
55.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
Total costs $4.8M
Bed community size
28-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 58 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
32%
In line with New York average
Occupied beds
9 / 28
Average residents 166 per day

License Details

Facility TypeNursing Home
CountyMonroe

Additional Licensing Details

CMS Certification Number335825

Ownership & Operating Entity

The Brook at High Falls is legally operated by AGA Operating LLC (For Profit).

Contact The Brook at High Falls

Inspection History

In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

5 inspections

3 with citations, 2 without citations

8 on-site complaint investigations

New York average: 9 inspections (5 with citations), 15 on-site complaint investigations

40 complaints

160 complaints per 100 occupied beds

New York average: 49.9 complaints per 100 occupied beds

Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.

New York average: 79 complaints

Latest inspection

Date November 14, 2024
Complaint Investigation

16 total citations

12 health citations 4 life safety citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

New York average: 29 citations

New York average: 20 health citations

New York average: 4 life safety citations

72 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

New York average: 22 deficiencies

Health Inspection History

Inspections
Total health inspections 4

New York average 3.6


Last Health inspection on Nov 2024

Total health citations 23

New York average 18.5

Citations per inspection
5.75

New York average 5.05


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 23 citations resulted from standard inspections; 2 of 23 resulted from complaint investigations; and 7 of 23 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than New York average

New York average: 0.2


Serious Health citations More info 0
100% better than New York average

New York average: 0.2

0 critical citations More info New York average: 0.2

0 serious citations More info New York average: 0.2

20 moderate citations More info New York average: 17.4

3 minor citations More info New York average: 0.7
Citations history (last 3 years)
Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Nov 14, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Nov 14, 2024
Corrected

Nursing Services minor citation Info Issues related to the availability and quality of nursing staff and the care they provide. Nov 14, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Nov 14, 2024
Corrected

Compare Nursing Homes around Rochester The information below is reported by the New York State Department of Health.

5 facilities compared · CMS & NY Dept. of Health data · Updated Apr 2026

Filter by care type
Edna Tina Wilson Living Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rochester
120
98.4%
+11%
4.83
-53%
+35%
0
5
1.7
0
119
-
2
Loan, Sandra
$15.4M
$8.9M
57.7%
335769
Friendly Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rochester
200
86.1%
-2%
4.71
-78%
+32%
0
14
4.7
0
172
-
17
Johnson, Christine
$30.9M
$15.0M
48.6%
335476
The Brook at High Falls
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rochester (Group 14621)
28
85.5%
-3%
3.95
-56%
+10%
0
23
5.8
0
25
-
58
Oropeza, Christina
$4.4M
$2.4M
55.6%
335825
Blossom Health Care Center Inc
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rochester
80
94.0%
+6%
2.90
-52%
-19%
0
38
9.5
0
76
-
-
Wood, Gerald
$8.7M
$4.2M
48.2%
335473
Cirrus Manor Residential Center
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Rochester
200
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-

Places of interest near The Brook at High Falls

Address 3.11 miles from city center — 1.57 miles to nearest hospital (Lipson Cancer And Blood Center)

Calculate Travel Distance to The Brook at High Falls

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 73
Employees 73
Contractors 0
Staff to resident ratio 3.32:1
1793% better than New York average

New York average ratio: 0.18:1

Avg staff/day 19
Average shift 7.5 hours
0% compared with New York average

New York average: 7.7 hours

Total staff hours (quarter) 13,020
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 35
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0%

0 contractor hours this quarter

No contractor roles were reported this quarter.

Staff by category
Certified Nursing Assistant350355,54691100%7.1
Licensed Practical Nurse130132,56191100%7.7
Registered Nurse4049848290%9.7
Other Dietary Services Staff3037188492%6.8
Nurse Practitioner2025206470%8.1
Physical Therapy Assistant1015126470%8
Physical Therapy Aide2024635763%7.8
Respiratory Therapy Technician6064616167%7.2
Clinical Nurse Specialist1012753538%7.9
Speech Language Pathologist1012463235%7.7
Dental Services Staff1012322932%8
Qualified Social Worker2022022426%7.8
Administrator1011922426%8
Dietitian1011061415%7.5
35 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
4 Registered Nurse
% of Days 90%
3 Other Dietary Services Staff
% of Days 92%
2 Nurse Practitioner
% of Days 70%
1 Physical Therapy Assistant
% of Days 70%
2 Physical Therapy Aide
% of Days 63%
6 Respiratory Therapy Technician
% of Days 67%
1 Clinical Nurse Specialist
% of Days 38%
1 Speech Language Pathologist
% of Days 35%
1 Dental Services Staff
% of Days 32%
2 Qualified Social Worker
% of Days 26%
1 Administrator
% of Days 26%
1 Dietitian
% of Days 15%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
22 residents
Residents by payment source
Medicare
11 residents (50%)
Medicaid
10 residents (45.5%)
Private pay or other
1 resident (4.5%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.7
9% worse than New York average

New York average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.4
18% worse than New York average

New York average: 18.1

Long-stay resident measures
Significantly above average New York avg: 4.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.2%
41% worse than New York average

New York average: 16.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.5%
9% better than New York average

New York average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.1%
57% better than New York average

New York average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.8%
30% worse than New York average

New York average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 16.4%
168% worse than New York average

New York average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.9%
90% better than New York average

New York average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 0.0%
100% better than New York average

New York average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.0%
In line with New York average

New York average: 91.4%

Short-stay resident measures
Above average New York avg: 3.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.1%
20% better than New York average

New York average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
56% better than New York average

New York average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.8%
18% better than New York average

New York average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 26.8%
30% worse than New York average

New York average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 19.7%
103% worse than New York average

New York average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than New York average

New York average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 56.4%
5% better than New York average

New York average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 55.8%
10% better than New York average

New York average: 50.6%

Guides for Better Senior Living

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Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled, New York resident, Medicaid- eligible, care need (not necessarily nursing home level).

~$2,829/month (300% FBR, individual).

$30,182 (individual, higher due to NY Medicaid expansion).

Higher asset limit; urban density increases demand.

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+, New York resident, at risk of decline but not nursing home level.

~$2,500/month (individual, varies).

$15,000 (individual).

Cost-sharing required above certain income; urban/rural balance.

Senior Citizen Rent Increase Exemption (SCRIE)

NY SCRIE

Age 62+, NYC resident, live in rent-controlled/stabilized apartment, spend >1/3 of income on rent.

$50,000/year (household).

No strict asset cap, but income-focused eligibility.

Limited to NYC’s rent-regulated units; high demand in urban areas.

Senior Citizen Homeowners’ Exemption (SCHE)

NY SCHE

Age 65+, NYC resident, own and live in a 1-3 family home, co-op, or condo.

$58,399/year (household).

No strict asset cap, income-driven eligibility.

Applies only in NYC; excludes large apartment buildings.

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

NYFSC Home Sharing

One participant must be 60+ (host or guest), NYC resident, able to share living space.

No strict limit, but targets those needing cost relief.

Not applicable; focus on housing need.

Primarily NYC-focused; limited slots due to demand.

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