The Brook at High Falls
Nursing Home & Skilled Nursing · Rochester, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

The Brook at High Falls

Nursing Home & Skilled Nursing · Rochester, NY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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The Brook at High Falls accepts Medicare, Medicaid, and private pay.

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.

Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

2 points above the New York average for nursing homes (83/100)

Rank #263 / 608 in New York Inspection Score — State benchmarked This home is ranked 263rd out of 608 homes in New York for inspection score. Shows this facility's inspection score compared to the New York average among 608 comparable communities in the ranking pool. Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking. This is a proprietary Assisted Living Magazine score. Inspection score: 85 out of 100. Letter grade B. 2 points above the New York average for nursing homes (83/100)

Enforcement Actions Info Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

Since 2021
1 enforcement action

This facility has 1 enforcement action. 33% of New York nursing homes have zero, and the statewide average is 1.6.

  • May 21, 2021 Quality of Care #NH-21-181

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. New York state average
Overall vs. NY average 4 Worse Metrics worse than New York average:
• Total citations (15% above)
• Citations per inspection (79% above)
• Inspection citation rate (52% above)
• Complaints per bed (202% above)
2 At Avg Metrics at New York average:
• Life safety citations (at NY avg)
• Inspections with citations (at NY avg)
4 Better Metrics better than New York average:
• Health citations (45% below)
• Total complaints (48% below)
• Complaints per year (48% below)
• Complaint investigations (47% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 1513 This facility has 15% more total citations than a typical New York nursing home (15 vs. NY avg 13).↑ 15% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 1120 This facility has 45% fewer health citations than a typical New York nursing home (11 vs. NY avg 20).↓ 45% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 44 This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg
Citations per inspection Info Average citations per inspection. 2.51.4 This facility has 79% more citations per inspection than a typical New York nursing home (2.5 vs. NY avg 1.4).↑ 79% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 69 This facility has had 33% fewer total inspections than the New York average (6 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 44 This facility has inspections with citations in line with the New York average (4 vs. NY avg 4).— At avg
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 67%44% This facility has 23 percentage points higher inspection citation rate than a typical New York nursing home (67% vs. NY avg 44%).↑ 23% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityNY Averagevs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 4179 This facility has 48% fewer total complaints than a typical New York nursing home (41 vs. NY avg 79).↓ 48% better
Complaints per year Info Average complaints per year since 2021. 8.215.8 This facility has 48% fewer complaints per year than a typical New York nursing home (8.2 vs. NY avg 15.8).↓ 48% better
Complaints per bed Info Size-adjusted complaint rate based on occupied beds. 1.510.50 This facility has 202% more complaints per bed than a typical New York nursing home (1.51 vs. NY avg 0.5).↑ 202% worse
Complaint investigations Info On-site investigations triggered by complaints filed with New York regulators. 815 This facility has 47% fewer complaint investigations than a typical New York nursing home (8 vs. NY avg 15).↓ 47% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on November 14, 2024, found 12 deficiencies related to quality of care, environment, and safety, all corrected by February 2025.
  • The November 7, 2024, annual survey identified 9 deficiencies including infection control lapses, missing privacy curtains, and unsecured resident records.
  • The May 10, 2023, inspection found 15 deficiencies including unsafe water temperatures, inconsistent medication administration, inadequate dialysis care, and insufficient RN coverage on multiple days.

Health Inspection History

Inspections since 2021
Total health inspections 4

New York average 3.6


Last Health inspection on Nov 2024

Total health citations
23 Rank #288 / 401Health citations — State benchmarkedThis home is ranked 288th out of 401 homes in New York for health citations. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 401 NY facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York average 18.5

Citations per inspection
5.75 Rank #273 / 401Citations per inspection — State benchmarkedThis home is ranked 273rd out of 401 homes in New York for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 401 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 5 years)
Critical health citations
0
100% better than New York average

New York average: 0.2


Serious health citations
0
100% better than New York average

New York average: 0.2

0 critical citations New York average: 0.2

0 serious citations New York average: 0.2

20 moderate citations New York average: 17.4

3 minor citations New York average: 0.7
Citations history (last 5 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

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 91%

Percentage of facility employees vaccinated against influenza.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 65
Employees 65
Contractors 0
Staff to resident ratio 2.95 : 1
1586% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 19
Average shift 6.8 hours
12% worse than New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 11,875

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 3 RN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 13 LPN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 30 CNA Staff are full-time employees. No contractors work on this role. 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant300305,45892100%6.9
Licensed Practical Nurse130132,08092100%6.9
Registered Nurse3038216874%9.4
Other Dietary Services Staff4045068188%6
Nurse Practitioner1014876267%7.9
Respiratory Therapy Technician4044586267%7
Physical Therapy Assistant2024585560%7.5
Physical Therapy Aide1013855257%7.4
Speech Language Pathologist1012525358%4.8
Qualified Social Worker2022465054%4.8
Clinical Nurse Specialist1012132830%7.6
Dental Services Staff1012082628%8
Administrator1011922426%8
Dietitian1011121516%7.5
30 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
3 Registered Nurse
% of Days 74%
4 Other Dietary Services Staff
% of Days 88%
1 Nurse Practitioner
% of Days 67%
4 Respiratory Therapy Technician
% of Days 67%
2 Physical Therapy Assistant
% of Days 60%
1 Physical Therapy Aide
% of Days 57%
1 Speech Language Pathologist
% of Days 58%
2 Qualified Social Worker
% of Days 54%
1 Clinical Nurse Specialist
% of Days 30%
1 Dental Services Staff
% of Days 28%
1 Administrator
% of Days 26%
1 Dietitian
% of Days 16%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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: 4.0 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: 3.5 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%

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

Facility Characteristics

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

Total residents 22
Medicare
11
50% of residents
Medicaid
10
45.5% of residents
Private pay or other
1
4.5% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$390.0K
For-profit Individual
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.2M Rank #388 / 388Revenue — State benchmarkedThis home is ranked 388th out of 388 homes in New York for revenue. Shows this facility's annual revenue compared to the New York average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$390.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$19.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #387 / 388Payroll — State benchmarkedThis home is ranked 387th out of 388 homes in New York for payroll. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.6M 81.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #72 / 388Payroll % — State benchmarkedThis home is ranked 72nd out of 388 homes in New York for payroll %. Shows payroll as a percentage of revenue versus the New York average. Well-run New York facilities typically land around 53–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$984.7K
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.6M

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.

Most new residents arrive under private pay (62% of admissions), and a typical private pay stay runs around 19 days.

Admissions
158 total

Coverage residents most often arrive under.

Medicare 34%
Private pay 62%
Medicaid 4%
Discharges
158 total

Coverage residents most often leave under.

Medicare 25%
Private pay 59%
Medicaid 15%

Places of interest near The Brook at High Falls

Address 3.1 miles from city center Info Estimated distance in miles from Rochester's city center to The Brook at High Falls's address, calculated via Google Maps.

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Address

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Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

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The Brook at High Falls
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335825

Financial Assistance for
Nursing Home in New York

The Brook at High Falls is located in Rochester, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

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

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

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

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Frequently Asked Questions about The Brook at High Falls

What neighborhood is The Brook at High Falls in?

The Brook at High Falls is in the Group 14621 neighborhood of Rochester.

Who is the owner of The Brook at High Falls?

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

Is The Brook at High Falls in a walkable area?

The Brook at High Falls has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the occupancy rate at The Brook at High Falls?

The Brook at High Falls's occupancy is 32%.

Are pets allowed at The Brook at High Falls?

No, The Brook at High Falls has a no-pet policy.

Does The Brook at High Falls operate as a for-profit or non-profit?

The Brook at High Falls is registered as a for-profit in NY.

How many beds does The Brook at High Falls have?

The Brook at High Falls has 28 beds.

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