The Brook at High Falls Nursing Home and RehabilitCMS ratings, inspections and fines
- Address
- 2150 St. Paul Street, Rochester, NY 14621
- CCN
- 335825
- Ownership type
- For-profit, individual
- Certified beds
- 28
- Chain
- None in the CMS record
- Residents per day
- 26
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Brook at High Falls Nursing Home and Rehabilit an overall rating of 2 of 5 stars. The last standard survey was on 16 Jan 2026. The latest survey cycle has 5 health citations. The median for nursing homes in New York is 7. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Monroe County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 32 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 16 Jan 2026 | 5 | 7 |
| Cycle 2 | 14 Nov 2024 | 9 | 5 |
| Cycle 3 | No date | 10 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 16 Mar 2026 |
| 16 Jan 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 16 Mar 2026 |
| 16 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 16 Mar 2026 |
| 16 Jan 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 16 Mar 2026 |
| 16 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 Mar 2026 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Nov 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0732 | Post nurse staffing information every day. | B | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Jan 2025 |
| 14 Nov 2024 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Standard survey | 13 Jan 2025 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Feb 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 7 May 2024 |
| 16 Feb 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 7 May 2024 |
| 10 May 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 23 Jun 2023 |
| 10 May 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 23 Jun 2023 |
| 10 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Jun 2023 |
| 10 May 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 23 Jun 2023 |
| 10 May 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 23 Jun 2023 |
| 10 May 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 23 Jun 2023 |
| 10 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Jun 2023 |
| 10 May 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 23 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | 3.81 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.53 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 1.04 | 0.76 | |
| Nurse aides | 2.23 | 2.15 | |
| All nurse staff, weekends | 3.47 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 76.2%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.1% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.2% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 12.0% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.3% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| JW Brook Propco LLC | Operational/managerial control | 30 Apr 2025 | |
| Omega Business Services LLC | Operational/managerial control | 13 May 2023 | |
| JW Brook Propco LLC | Adp of the snf | 30 Apr 2025 | |
| Omega Business Services LLC | Adp of the snf | 1 Dec 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Monroe County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| St. Ann's Community | Rochester | 4 of 5 | 3 | $55,495 | 16 Apr 2024 | |
| The Pearl Nursing Center of Rochester | Rochester | 1 of 5 | 16 | $0 | 28 Jun 2024 | |
| Kirkhaven | Rochester | 1 of 5 | 21 | $8,278 | 9 Dec 2024 | |
| Lilac Manor Rehabilitation and Nursing Center | Rochester | 1 of 5 | 23 | $0 | 6 Jun 2024 | |
| Unity Living Center | Rochester | 3 of 5 | 3 | $12,868 | 25 Jul 2024 | |
| Church Home of the Protestant Episcopal Church | Rochester | 3 of 5 | 5 | $0 | 9 Jan 2024 | |
| Hamilton Manor Nursing Home | Rochester | 4 of 5 | 3 | $0 | 18 Jun 2025 | |
| Park Ridge Nursing Home | Rochester | 5 of 5 | 7 | $0 | 29 Apr 2024 | |
| St. John's Health Care Corporation | Rochester | 1 of 5 | 14 | $141,034 | 9 Jun 2025 | |
| Latta Road Nursing Home East | Rochester | 3 of 5 | 6 | $8,979 | 18 Apr 2025 | |
| Latta Road Nursing Home West | Rochester | 5 of 5 | 2 | $0 | 21 Jan 2025 | |
| Blossom Health Care Center Inc. | Rochester | 1 of 5 | 10 | $0 | 1 Oct 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Brook at High Falls Nursing Home and Rehabilit (CCN 335825). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-brook-at-high-falls-nursing-home-and-rehabilit-rochester-ny-335825/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Brook at High Falls Nursing Home and Rehabilit last inspected?
- The latest inspection with a citation in the CMS record was on 16 Jan 2026. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 14 Nov 2024.
- Who operates The Brook at High Falls Nursing Home and Rehabilit?
- The CMS record gives the ownership type as for-profit, individual. CMS lists no chain for the home. The CMS ownership file names JW Brook Propco LLC and Omega Business Services LLC for operational or managerial control. This site does not show the names of persons.
- Is The Brook at High Falls Nursing Home and Rehabilit a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.