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The Overall CMS Rating is scored from 1 to 5 stars and 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 Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 96th out of 388 homes in New York. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 46m per day | ▲ 10% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 53m per day | ▲ 15% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 27m per day | ▲ 12% State avg: 2h 11m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 52m per day | ▲ 22% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 11m per day | ▲ 57% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 47m per day | ▲ 68% State avg: 28m per day · National avg: 29m per day |
Lower than the New York average: 88.3%The Brook at High Falls is legally operated by AGA Operating LLC (For Profit).
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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. See the nursing homes benchmark below for the typical New York score; higher is better.
C · Near the New York average for nursing homes.
New York nursing homes benchmark: C 74/100
Inspection score: 73 out of 100. Letter grade C. Near the New York average for nursing homes.
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.
This facility has 1 enforcement action. 34% of New York nursing homes have zero, and the statewide average is 1.6.
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.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 15 | 13 | This facility has 15% more total citations than a typical New York nursing home (15 vs. NY avg 13).↑ 15% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 11 | 20 | This facility has 45% fewer health citations than a typical New York nursing home (11 vs. NY avg 20).↓ 45% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2021.
| 3 | 2.6 | This facility has 15% more citations per year than a typical New York nursing home (3 vs. NY avg 2.6).↑ 15% worse |
|
Citations per inspection
Average citations per inspection.
| 2.5 | 1.4 | 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
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 6 | 9 | This facility has 33% fewer total inspections than a typical New York nursing home (6 vs. NY avg 9).↓ 33% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 4 | 4 | This facility has inspections with citations in line with the New York average (4 vs. NY avg 4).— At avg |
|
Inspection citation rate
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
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 41 | 79 | This facility has 48% fewer total complaints than a typical New York nursing home (41 vs. NY avg 79).↓ 48% better |
|
Complaints per year
Average complaints per year since 2021.
| 8.2 | 15.8 | 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
Size-adjusted complaint rate based on occupied beds.
| 1.51 | 0.50 | 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
On-site investigations triggered by complaints filed with New York regulators.
| 8 | 15 | This facility has 47% fewer complaint investigations than a typical New York nursing home (8 vs. NY avg 15).↓ 47% better |
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 multiple deficiencies related to quality of care, environment, and safety issues, which were corrected by early 2025. Earlier inspections showed a pattern of deficiencies involving maintenance of a safe and homelike environment, infection control, care planning, nutrition, and privacy, with issues such as inoperable equipment, inadequate staffing information, and unsecured resident records also noted. Complaint investigations did not identify any substantiated complaints, and no fines or enforcement actions were listed in the available reports. Prior reports documented additional deficiencies in dialysis care, medication administration, food safety, and environmental conditions, including pest control problems and unsafe water temperatures. The facility’s deficiencies have been consistent over time, with corrective actions taken after each inspection, but recent findings indicate ongoing challenges in maintaining compliance across multiple areas.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York average 3.6
Last Health inspection on Nov 2024
New York average 18.5
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).
100% better than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1586% better than New York average
12% worse than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 0 | 30 | 5,458 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 13 | 0 | 13 | 2,080 | 92 | 100% | 6.9 |
| Registered Nurse | 3 | 0 | 3 | 821 | 68 | 74% | 9.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 506 | 81 | 88% | 6 |
| Nurse Practitioner | 1 | 0 | 1 | 487 | 62 | 67% | 7.9 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 458 | 62 | 67% | 7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 458 | 55 | 60% | 7.5 |
| Physical Therapy Aide | 1 | 0 | 1 | 385 | 52 | 57% | 7.4 |
| Speech Language Pathologist | 1 | 0 | 1 | 252 | 53 | 58% | 4.8 |
| Qualified Social Worker | 2 | 0 | 2 | 246 | 50 | 54% | 4.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 213 | 28 | 30% | 7.6 |
| Dental Services Staff | 1 | 0 | 1 | 208 | 26 | 28% | 8 |
| Administrator | 1 | 0 | 1 | 192 | 24 | 26% | 8 |
| Dietitian | 1 | 0 | 1 | 112 | 15 | 16% | 7.5 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.4
18% worse than New York averageNew York average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
23.2%
41% worse than New York averageNew York average: 16.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.5%
9% better than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
3.1%
57% better than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
1.8%
30% worse than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
16.4%
168% worse than New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
1.9%
90% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
0.0%
100% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.0%
In line with New York averageNew York average: 91.4%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
20% better than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
56% better than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.8%
18% better than New York averageNew York average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.8%
30% worse than New York averageNew York average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.7%
103% worse than New York averageNew York average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York averageNew York average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
56.4%
5% better than New York averageNew York average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.8%
10% better than New York averageNew York average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
34% of new residents, usually for short-term rehab.
62% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
22Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Brook at High Falls based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #382 / 383Payroll — State benchmarkedThis home is ranked 382nd out of 383 homes in New York. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
3.1 miles from city center
Estimated distance in miles from Rochester's city center to The Brook at High Falls's address, calculated via Google Maps.
— 1.57 miles to nearest hospital (Lipson Cancer And Blood Center)
Add your location
The Brook at High Falls is located in Rochester, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Jewish Home of Rochester |
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 (South Winton Road) | 328 | 96.0% | +9% | 5.25 | -84% | +47% | $0 | 3 | 1.5 | - | 306 | 8 | Robert Baker | $59.5M | $41.6M | 69.9% | 335105 | ||||
| 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 (Island Cottage Road) | 120 | 98.3% | +11% | 4.83 | -56% | +35% | $0 | 5 | 1.7 | - | 119 | 2 | Sandra Loan | $17.7M | $11.3M | 64.1% | 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 (City Of Rochester) | 200 | 89.0% | +1% | 4.71 | -89% | +32% | $0 | 14 | 4.7 | - | 172 | 17 | Christine Johnson | $34.2M | $19.1M | 55.9% | 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 | 32.1% | -64% | 3.95 | -64% | +10% | $0 | 23 | 5.8 | - | 9 | 58 | Christina Oropeza | $4.4M | $2.6M | 58.9% | 335825 | ||||
| St. John‘s 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Rochester (Highland Park) | 455 | 90.1% | +2% | 3.90 | -6% | +9% | $182.6k | 30 | 10.0 | 3 | 325 | 54 | St Johns Health Care Corporation | $57.9M | $30.9M | 53.4% | 335008 |
The Brook at High Falls is in the Group 14621 neighborhood of Rochester.
The legal owner and operator of The Brook at High Falls is AGA Operating LLC (For Profit).
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.
The Brook at High Falls's occupancy is 32%.
The Brook at High Falls has 28 beds.
The Brook at High Falls has had 15 recently reported deficiencies.
The Brook at High Falls is located at 2150 St Paul St, Rochester, NY 14621, United States.
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