Brook at High Falls

    2150 Street Paul St, Rochester, NY 14621
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate care excellent rehab homelike

    I'm very pleased with the compassionate, attentive staff - nurses and aides truly put residents first and went beyond expectations caring for my mom. Rehab and therapy were outstanding with visible results and excellent follow-up, meals are consistently great, and visits were well organized and safe. The facility feels clean, comfortable, and homelike; administration is supportive and the overall care is loving and reliable.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.71·(41)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      2.8
    • Meals

      1.9
    • Amenities

      2.0
    • Value

      2.0

    Pros

    • Strong physical, occupational, and speech therapy services
    • Compassionate and attentive nursing and therapy staff
    • Engaging and accommodating activities staff
    • Visible functional improvements and therapy follow-up
    • Homelike resident rooms and comfortable accommodations
    • Organized in-person visitation procedures
    • Affordable care options
    • Friendly and supportive admissions and front-desk interactions

    Cons

    • Chronic understaffing and uneven shift coverage
    • Delayed response to call bells and care requests
    • Gaps in medication administration and glucose monitoring
    • Inconsistent infection-prevention supplies and linen management
    • Sanitation and pest-control concerns in resident and common areas
    • Aging, poorly maintained physical plant with limited privacy
    • Inconsistent meal quality and diet adherence
    • Weak family communication and social-service responsiveness
    • Insufficient supervision of clinical-incident response and emergency escalation
    • Staff conduct and personal-device distraction affecting care delivery

    Summary of reviews

    Reviews describe a facility with a notable contrast between clinical rehabilitation strengths and broader operational challenges. Physical, occupational, and speech therapy services receive consistently positive remarks: families and clinicians observe measurable functional gains, organized follow-up from therapy staff, and an active rehab program. Several reviewers also single out individual nurses, therapists, and activities staff as compassionate, attentive, and helpful; visitation procedures and some front-desk interactions are described as organized and supportive. These elements are clear strengths for individuals primarily seeking skilled rehabilitation services.

    Parallel to those positives are repeated concerns about day-to-day nursing care, staffing, and safety. Many reviewers describe periods of chronic understaffing and uneven shift coverage that correspond with delayed responses to call bells and care requests. Pattern-level issues include medication-administration and blood-glucose monitoring gaps, inconsistent availability of basic supplies and linens, and instances where clinical-incident response and emergency escalation procedures appeared inadequate. These operational weaknesses have been associated with adverse outcomes in individual cases and have prompted allegations that may warrant regulatory review.

    Facility condition and housekeeping are other prominent themes. Multiple accounts describe an aging, dimly lit building in need of maintenance, limited room privacy (shared rooms and shared bathrooms), and sanitation and pest-control concerns in resident rooms and common areas. Housekeeping and laundry practices are characterized as inconsistent, and there are reports of supply shortages. Dining receives mixed feedback: some families praised food and accommodation, while others described repetitive menus, poor diet adherence, and meals that did not meet individual clinical needs.

    Staff behavior and management responsiveness appear variable. Several reviewers praise caring, long-tenured staff who prioritize dignity and resident engagement. Conversely, others report inattentive or distracted staff, concurrent staff breaks leaving coverage gaps, phone use during shifts, and social-work or managerial communication lapses—particularly around discharge planning, medication reconciliation, and family updates. These mixed accounts suggest inconsistency in supervisory oversight and training.

    Taken together, the pattern is of a facility that provides strong, effective rehabilitation services led by committed therapy staff, but that struggles with systemic operational issues—staffing, medication and clinical-monitoring controls, sanitation, building maintenance, and consistent family communication. Prospective residents and families should weigh the facility’s rehabilitation strengths against the reported variability in nursing care and facility upkeep; an in-person tour, observation of staffing during different shifts, direct questions about medication-management protocols, infection-prevention practices, meal/diet monitoring, and emergency escalation procedures are recommended to assess current conditions and fit.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Brook at High Falls

    Brook at High Falls is located at 2150 Street Paul St, Rochester, NY, 14621.

    About Brook at High Falls

    Brook at High Falls sits at 2150 Saint Paul Street in Rochester and has 28 certified beds, and when folks come in they can pick a private room or share a space with a roommate, though there are only six private rooms, and you'll get three well-balanced meals every day at 9 in the morning, 1 in the afternoon, and 6 in the evening, and those meals can be eaten in the main dining room or brought right to the resident's room if that's what's easier that day, plus there's an on-site dietitian who watches the menu to make sure meals fit people's health needs as well as their personal likes. The Brook offers skilled nursing care all day and night, so there's always staff around, and there's an on-site Social Worker who helps folks and families with the referral and admission process, since the forms are supposed to be a bit simpler, and they'll take Medicaid, Medicare, long-term care insurance, and private insurance too, which helps with different budgets. The facility provides long-term care, rehabilitation, hospice, and respite care, and they have a therapy team on-site, which includes specialists for physical, occupational, and speech therapies, plus customized treatment plans for each resident based on health goals.

    The place's official owners are Giorgio Mayer, Aryeh Grinspan, and Abraham Mayer, and it's run as a for-profit nursing home, but there isn't much available about who manages it day to day, just what's written in the ownership records. Staff spend about 4.84 nurse hours for every resident each day, but it's worth noting the most recent inspections found a few areas where they fell short: there's a deficiency for infection control-meaning they didn't have or follow a proper infection prevention program-and another deficiency about resident rights, specifically around keeping the place safe and homelike. Another issue in reports was about quality of care and life, especially regarding help with daily activities, so that's something families or new residents might want to keep in mind. Although the administrative office is open weekdays from 8 to 5, there's not much detail available about amenities or extra features beyond care and meals, but folks can expect help with healthcare needs and daily routines, and when it comes time for decisions, there's someone on-site to help talk them through it.

    People often ask...

    Brook at High Falls offers assisted living, memory care, and skilled nursing.

    There are 6 photos of Brook at High Falls on Mirador.

    The full address for this community is 2150 Street Paul St, Rochester, NY 14621.

    No, Brook at High Falls does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Brook at High Falls. The information above has not been verified or approved by the owner or operator. For exact information, please contact Brook at High Falls directly. There is no cost for this service. We are compensated by the community you select.

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