The Brook at High Falls

Nursing Home
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 Official CMS rating based on health inspections, staffing and quality measures.
3/5
New York average: 3.1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
New York average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
4/5
New York average: 2.7/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
New York average: 3.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 57m per day

This home provides 10% more nursing time per resident than the state average.

New York average: 3h 35m 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
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 53m per day 46m per day 52m 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 limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the New York average
Occupancy rate 85.5%
Residents per day (avg) 25
Occupancy rate
85.5%
Residents per day (avg)
25

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

Proprietary home
Partnership
Home revenue
$4.4M
Operating loss
-$370.8K
Proprietary home Partnership
Home revenue
$4,397,327.00
Operating loss
$-370,814.00
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

Facility Type
Nursing Home

Additional licensing details

CMS Certification Number: 335825
County: Monroe

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

40 complaints

160 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.

Latest inspection

Date:November 14, 2024
Type: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.

37 deficiencies

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

2 enforcement actions

Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.

May 21, 2021: Stipulation & Order #NH-21-181

Quality of Care

April 10, 2012: Stipulation & Order #NH-16-002

Quality of Care

Compare Nursing Homes around Rochester

The information below is reported by the New York State Department of Health.
Jewish Home of Rochester
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Rochester
328
No
8
BAKER, ROBERT
92.8%
$58,234,107.00
$32,259,291.00
55.4%
305.70
5/5
5.2484
5/5
5/5
5/5
3
-81%
+47%
+5%
Studio / 1 Bed / 2 Bed
Edna Tina Wilson Living Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Rochester
120
No
2
LOAN, SANDRA
98.4%
$15,448,536.00
$8,907,657.00
57.7%
119.20
5/5
4.8326
5/5
4/5
5/5
5
-53%
+35%
+11%
Studio / 1 Bed / 2 Bed
Friendly Home
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Rochester
200
No
17
JOHNSON, CHRISTINE
86.1%
$30,917,628.00
$15,030,066.00
48.6%
172.30
3/5
4.7072
3/5
4/5
4/5
14
-78%
+32%
-2%
Studio / 1 Bed / 2 Bed
The Brook at High Falls
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Rochester (Group 14621)
28
No
58
OROPEZA, CHRISTINA
85.5%
$4,378,140.00
$2,433,180.00
55.6%
25.20
3/5
3.9488
2/5
4/5
5/5
23
-56%
+10%
-3%
-
Blossom Health Care Center Inc
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

NY 14610
80
No
-
WOOD, GERALD
94.0%
$8,724,757.00
$4,206,959.00
48.2%
75.70
1/5
2.9014
1/5
1/5
2/5
38
-52%
-19%
+6%
-

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)

Address 2150 St Paul St, Rochester, NY 14621

Calculate Travel Distance to The Brook at High Falls

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

73
Total Staff
73
Employees
0
Contractors
13,020
Total Hours (Quarter)
19
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse49.7 No
Licensed Practical Nurse137.7 No
Certified Nursing Assistant357.1 No
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
52 staff
7.5hs shift avg
Physicians & Practitioners
3 staff
8hs shift avg
Therapy Services
10 staff
7.7hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
2 staff
7.8hs shift avg
Dietary Services
4 staff
6.9hs shift avg
Other Services
1 staff
8hs shift avg
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
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

Health Inspection History

Inspections
Total health inspections 4

New York average 3.6


Last Health inspection on Nov 2024

Total health citations 23
Citations per inspection
5.75

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 Nov 14, 2024
Corrected

Infection Control moderate citation Nov 14, 2024
Corrected

Nursing Services minor citation Nov 14, 2024
Corrected

Nutrition moderate citation Nov 14, 2024
Corrected

Facility Characteristics

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

Ownership: For-Profit Individual
Resident Census by Payment Source
22 Total Residents
Medicare 11 (50%)
Medicaid 10 (45.5%)
Private Pay/Other 1 (4.5%)
Specialized Care Beds
2 Total Specialty Beds
7.1% of Bed Capacity
2
Dialysis Beds
7.1%
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

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
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
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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