Inspection Reports for The Brook at High Falls

2150 St Paul St, Rochester, NY 14621, United States, NY

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Inspection Report Complaint Investigation Deficiencies: 32 Nov 14, 2024
Visit Reason
State-compiled facility profile showing multiple complaint surveys and citations from 2021 to 2024 with deficiency and enforcement history.
Findings
The facility underwent multiple complaint surveys between 2021 and 2024 revealing numerous deficiencies primarily related to quality of care, physical environment, and life safety code issues. All cited deficiencies were corrected by follow-up dates, and enforcement actions included fines related to quality of care.
Complaint Details
24 complaints received from November 1, 2021 to October 31, 2025 with 12 complaint-related on-site inspections and 3 complaint-related citations during this period.
Severity Breakdown
Level 1: 7 Level 2: 26
Deficiencies (32)
DescriptionSeverity
ADL care provided for dependent residentsLevel 2
Bedrooms assure full visual privacyLevel 2
Care plan timing and revisionLevel 2
Infection prevention & controlLevel 2
Menus meet resident nds/prep in adv/followedLevel 2
Posted nurse staffing informationLevel 1
Quality of careLevel 2
Resident records - identifiable informationLevel 1
Safe/clean/comfortable/homelike environmentLevel 2
Gas equipment - cylinder and container storagLevel 1
Maintenance, inspection & testing - doorsLevel 2
Sprinkler system - installationLevel 2
Maintains effective pest control programLevel 2
Egress doorsLevel 2
Electrical systems - essential electric systeLevel 2
Ep training programLevel 1
Subdivision of building spaces - smoke barrieLevel 2
DialysisLevel 2
Food procurement,store/prepare/serve-sanitaryLevel 2
Free from unnec psychotropic meds/prn useLevel 2
Free of accident hazards/supervision/devicesLevel 2
Infection controlLevel 1
Notice of bed hold policy before/upon trnsfrLevel 1
Qaa committeeLevel 2
Rn 8 hrs/7 days/wk, full time donLevel 2
Services provided meet professional standardsLevel 2
Standards of construction for new existing nhLevel 1
Comprehensive assessments & timingLevel 2
Drug regimen review, report irregular, act onLevel 2
Physical environmentLevel 1
Qrtly assessment at least every 3 monthsLevel 2
Reporting - national health safety networkLevel 2
Report Facts
Inspections on page: 8 Total citations: 21 Total complaints: 24 Complaint-related inspections: 12 Complaint-related citations: 41 Total fines: 16000

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