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Nursing home

The Brook at High Falls Nursing Home and Rehabilitation

2150 St. Paul Street, Rochester, NY 14621 · Map
For profit - Individual · 28 certified beds

Medicare and Medicaid certified
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The Brook at High Falls Nursing Home and Rehabilitation is a Medicare-certified nursing home in Rochester, New York. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.09 hours per resident per day, above the New York average of 3.65. Its most recent inspection on Nov 14, 2024 cited 9 deficiencies.

3 out of 5Overall CMS rating
2 out of 5Health inspections
3 out of 5Staffing
28 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating3/5
Health inspections2/5
Staffing3/5
Quality measures5/5
Long-stay quality5/5
Short-stay quality4/5

How The Brook at High Falls Nursing Home and Rehabilitation compares

This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityNew York avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)4.093.653.89above avg
RN staffing (hrs/resident/day)0.760.700.68above avg
Aide staffing (hrs/resident/day)2.452.182.34above avg
Nursing staff turnover68.4%40.5%46.4%above avg
Deficiencies cited, last inspection9.07.69.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

4.09Total nurse hrs/resident/day
0.76RN hrs/resident/day
0.88LPN hrs/resident/day
2.45Aide hrs/resident/day
3.50Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff68.4%
Registered nurses71.4%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Nov 14, 2024Most recent inspection
9Deficiencies found
36Health inspection score
0Fines
  • Every deficiency from the January 16, 2026 inspection was corrected by March 16, 2026

What inspectors found at The Brook at High Falls Nursing Home and Rehabilitation

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jan 16, 2026 · Full report (PDF)
  • Potential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies · Jan 16, 2026 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Jan 16, 2026 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies · Jan 16, 2026 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Jan 16, 2026 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Nov 14, 2024 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Nov 14, 2024 · Full report (PDF)
  • Potential for harm

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Environmental Deficiencies · Nov 14, 2024 · Full report (PDF)
  • Potential for harm

    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.

    Nutrition and Dietary Deficiencies · Nov 14, 2024 · Full report (PDF)
  • Potential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies · Nov 14, 2024 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Nov 14, 2024 · Full report (PDF)
  • Potential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies · Nov 14, 2024 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
2150 St. Paul Street
Rochester, NY 14621
CMS certification #
335825
Ownership
For profit - Individual
Certified beds
28
Avg residents/day
23.6
Provider type
Medicare and Medicaid
First certified
2001-01-03
Setting
Urban

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Location and nearby

Explore the area around The Brook at High Falls Nursing Home and Rehabilitation using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Rochester General Hospital, Rochester. 1.7 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
St. Ann's Community, Rochester. 1.7 miles away, straight line.
Nearest home health agency office
Rochester Regional Health System Home Care- Closed, Rochester. 3.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 14621 as metropolitan (metropolitan core).
Dialysis within 15 miles
Rochester General Hospital Dialysis Center, Rochester, 0.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Davita Seaway Dialysis, Rochester, 1.4 miles away, straight line (CMS rating 1 of 5 stars)
Unity Hospital Of Rochester - St. Mary'S, Rochester, 3.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Hospice
2 Medicare hospices tell CMS they serve ZIP code 14621.
Rochester Regional Health Hospice Care, office in Rochester, 3.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Ur Medicine Hospice, office in Webster, 6.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
St Anns Home For The Aged, Rochester. 1.7 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: very low. By hazard: hurricane very low, inland flooding relatively low, coastal flooding very low, wildfire very low, tornado relatively low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Only cases that look tied to an earlier operator (not shown)
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record

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Frequently asked questions

Is The Brook at High Falls Nursing Home and Rehabilitation a good nursing home?

CMS gives The Brook at High Falls Nursing Home and Rehabilitation an overall rating of 3 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is The Brook at High Falls Nursing Home and Rehabilitation staffed?

The Brook at High Falls Nursing Home and Rehabilitation reports 4.09 total nurse hours per resident per day, compared with the New York average of 3.65.

Has The Brook at High Falls Nursing Home and Rehabilitation had inspection problems?

Its most recent CMS inspection cited 9 deficiencies.

How many beds does The Brook at High Falls Nursing Home and Rehabilitation have?

The Brook at High Falls Nursing Home and Rehabilitation is certified for 28 beds.