All states › New York › Rochester › The Brook at High Falls Nursing Home and Rehabilitation
2150 St. Paul Street Rochester, NY 14621 · Monroe County
All 23 nursing homes in Rochester, NY (23 take Medicaid)
CMS certification number 335825 · See this home on Medicare Care Compare
Is The Brook at High Falls Nursing Home and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Brook at High Falls Nursing Home and Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the New York average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.16 hours per resident per day at The Brook at High Falls Nursing Home and Rehabilitation, above the New York median of 3.57 (US median: 3.72). About 0.56 of those hours are from registered nurses. On weekends it falls to 3.62 hours, 13% below its all-week average. 66% of nursing staff left within a year (New York median 38.3%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at The Brook at High Falls Nursing Home and Rehabilitation: Medicare and Medicaid
The Brook at High Falls Nursing Home and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 16, 2026 and found 5 deficiencies. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 24 citations at The Brook at High Falls Nursing Home and Rehabilitation across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 21 were "potential for more than minimal harm" (D–F) and 3 were minimal (A–C). The most common areas cited were quality of life and care (5) and resident rights (5). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level F, January 16, 2026).
January 16, 2026 · 5 citations
FProvide and implement an infection prevention and control program.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
November 14, 2024 · 9 citations
EHonor 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.
EProvide and implement an infection prevention and control program.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure 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.
DProvide bedrooms that don't allow residents to see each other when privacy is needed.
BPost nurse staffing information every day.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
February 16, 2024 · 2 citations · includes complaint inspection
EHonor 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.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 10, 2023 · 8 citations
EHave 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DImplement 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.
BNotify 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.
Questions to ask on a tour of The Brook at High Falls Nursing Home and Rehabilitation
- Nursing staff turnover was 66% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near The Brook at High Falls Nursing Home and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.5 mi
Rochester General Hospital RochesterEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 53m for patients treated and sent home
- 3.4 mi
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4.2 mi
Highland Hospital RochesterEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 5h 4m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Brook at High Falls Nursing Home and Rehabilitation › All nursing homes in Rochester ›
Higher-rated nursing homes within 10 miles
- Park Ridge Nursing Home · Rochester · 5 stars · 4.2 mi
- Latta Road Nursing Home West · Rochester · 5 stars · 4.7 mi
- The Brightonian · Rochester · 5 stars · 5.1 mi
- Edna Tina Wilson Living Center · Rochester · 5 stars · 5.4 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.