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)
| Description | Severity |
|---|---|
| ADL care provided for dependent residents | Level 2 |
| Bedrooms assure full visual privacy | Level 2 |
| Care plan timing and revision | Level 2 |
| Infection prevention & control | Level 2 |
| Menus meet resident nds/prep in adv/followed | Level 2 |
| Posted nurse staffing information | Level 1 |
| Quality of care | Level 2 |
| Resident records - identifiable information | Level 1 |
| Safe/clean/comfortable/homelike environment | Level 2 |
| Gas equipment - cylinder and container storag | Level 1 |
| Maintenance, inspection & testing - doors | Level 2 |
| Sprinkler system - installation | Level 2 |
| Maintains effective pest control program | Level 2 |
| Egress doors | Level 2 |
| Electrical systems - essential electric syste | Level 2 |
| Ep training program | Level 1 |
| Subdivision of building spaces - smoke barrie | Level 2 |
| Dialysis | Level 2 |
| Food procurement,store/prepare/serve-sanitary | Level 2 |
| Free from unnec psychotropic meds/prn use | Level 2 |
| Free of accident hazards/supervision/devices | Level 2 |
| Infection control | Level 1 |
| Notice of bed hold policy before/upon trnsfr | Level 1 |
| Qaa committee | Level 2 |
| Rn 8 hrs/7 days/wk, full time don | Level 2 |
| Services provided meet professional standards | Level 2 |
| Standards of construction for new existing nh | Level 1 |
| Comprehensive assessments & timing | Level 2 |
| Drug regimen review, report irregular, act on | Level 2 |
| Physical environment | Level 1 |
| Qrtly assessment at least every 3 months | Level 2 |
| Reporting - national health safety network | Level 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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