St. John's Home

    150 Highland Ave, Rochester, NY 14620
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Reviews

    3.21·(87)

    Overall rating

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

      2.6
    • Staff

      3.0
    • Meals

      2.5
    • Amenities

      3.0
    • Value

      1.8

    Pros

    • Compassionate and attentive caregivers
    • Strong physical and occupational therapy program
    • Active and varied recreation and outings calendar
    • Well-maintained grounds and pleasant courtyard
    • On-site amenities (barber, gift shop, ice cream stand)
    • Dedicated memory-care unit with focused staff
    • Clean and well-kept common areas
    • Timely medication administration observed on many shifts
    • Transportation and appointment assistance
    • Welcoming reception and cheerful arrival greeting
    • Engaged recreation and therapy staff
    • Private apartment-style living options

    Cons

    • Chronic understaffing and high staff-to-resident ratios
    • Inconsistent staff training and supervision
    • Unreliable responsiveness to call bells and direct-care needs
    • Inconsistent housekeeping and room-level sanitation
    • Gaps in infection-control adherence and PPE use
    • Inconsistent medication timing and pain-management practices
    • Poor family communication and hard-to-reach administration
    • Weak incident-notification and follow-up procedures
    • Unreliable laundry and personal-belongings management
    • Variable food quality and meal-service continuity
    • Two-tier care disparities between private-pay and other residents
    • Pest-control concerns in some units
    • Limited oversight of agency and temporary staff

    Summary of reviews

    Overall impression: Feedback on St. John’s Home is highly mixed, with a clear split between families who describe warm, effective care and those who identify recurring operational failures. Positive accounts highlight strong therapy services, active recreation programming, a pleasant campus environment, and a memory-care unit that many families find attentive. Negative accounts center on systemic issues that affect day-to-day care and safety.

    Care quality and clinical concerns: Many families praised individual nurses, therapists, and aides who provide compassionate, technically competent care. At the same time, persistent concerns describe delays in responding to call bells, extended waits for personal-care assistance, inconsistent bathing and hygiene schedules, and lapses in wound/incontinence-related care practices. Reviews also describe inconsistent medication timing and gaps in pain-management responsiveness. These patterns suggest variability in bedside coverage and clinical follow-through between shifts and units.

    Staffing and supervision: A dominant theme is understaffing and high reliance on temporary or agency personnel. Reviewers indicate uneven training, irregular supervision, and instances of unprofessional conduct (e.g., aides distracted by personal devices, inconsistent attire, and perceived rudeness). Positive remarks about individual staff members coexist with descriptions of turnover and morale issues that appear to contribute to inconsistent performance and supervision on the floors.

    Dining and nutrition: Opinions on meals are mixed. Some families appreciate the variety, café-style options, and particular meal successes; others describe cold or low-quality meals, delayed service, and spills requiring prompt attention. Meal continuity and presentation appear inconsistent across shifts and dining units.

    Activities and social life: Activity programming and social engagement are frequently cited as strengths. The facility offers regular organized activities, exercise classes, arts and crafts, seasonal events, and transportation for appointments and outings. The memory-care unit and rehabilitation programs receive particular praise for meaningful engagement. However, a few units — especially some long-term or rehabilitative areas — are described as having limited resident interaction and loneliness for some residents.

    Facilities and housekeeping: Many reviewers describe well-kept common areas, an attractive courtyard, and useful on-site amenities. Conversely, room-level housekeeping and maintenance are recurring concerns: delayed room cleanings, bathroom maintenance needs, and occasional sanitation-related issues. There are also multiple mentions of pest-control concerns in certain units and general maintenance gaps in dated parts of the building.

    Management, communication, and safety processes: Communication with administration, social work, and clinical leadership is repeatedly identified as problematic. Families describe difficulty reaching supervisors, voicemail reliance, delayed incident notifications, and unsatisfactory follow-up on missing items or security incidents. Several reviews reference regulatory measures and a low CMS quality rating; prospective families should review the facility’s current regulatory status. Concerns about unequal treatment based on pay status and inconsistent oversight of agency staff point to structural management issues rather than isolated events.

    Notable patterns and guidance for prospective families: The pattern is one of variability — some residents receive high-quality, attentive care and benefit from robust therapy and activity offerings, while others experience operational shortfalls tied to staffing, housekeeping, and communication. Before placing a loved one, families should ask about current staffing ratios for the specific unit, agency-staff usage, recent CMS citations and corrective actions, infection-control policies, incident-notification procedures, laundry and valuables management, and how the facility handles night and weekend coverage. An in-person tour that includes observation of a mealtime, an activity session, medication administration, and a conversation with unit leadership can help gauge whether the facility’s strengths are being delivered consistently for the intended level of care.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    St. John's Home is located at 150 Highland Ave, Rochester, NY, 14620.

    About St. John's Home

    St. John's Home sits in Rochester, New York, and has a lot to offer for older adults who want different levels of care and services, including skilled nursing, independent living, enhanced assisted living, hospice, respite, and dementia care. The facility's 150 Highland setting uses small homes so each resident gets personalized help and can keep familiar routines, and you'll notice the rooms are private, have Wi-Fi, flat-screen TVs with lots of cable choices, and spots around to sit and talk if you want company. The place recently renovated its rehabilitation area and added new dining choices, which makes things more comfortable whether you're there for a short stay or for the long haul.

    For those needing rehab, St. John's Home has a large rehab gym and life skills center, and staff there offer physical, occupational, speech, music therapy, and skills training. There's a dedicated Wolk Rehabilitation Center on-site, and therapists are trained in the latest techniques, working under internists and geriatricians, with plenty of PAs, nurse practitioners, social workers, and therapists to help. The rehab program also has special approaches for older adults with mild to moderate dementia, focusing on what the person can do and making sure the care fits their needs. They treat rehab and long-term residents alike so no one feels left out.

    St. John's Home covers a wide range of health care, like internal medicine, palliative care, nursing care with pharmacy, therapy, social work, pastoral care, and recreation. They offer programs so people can stay active-activities for mind and body, ways to build friendships, and options for those with Alzheimer's or other memory troubles. Safety gets attention from small home layouts made for easy, safe movement. Independence and choice matter here, with staff supporting what each elder wants as much as possible.

    It's one of the few Eden Alternative-registered nursing homes in the area, which means the care is meant to feel neighborly and brighten up daily life. It's also the only senior living spot locally built with New Urbanism in mind, which makes the area feel more like a real neighborhood. St. John's Home is part of a wider group that includes St. John's Meadows and Brickstone By St. John's, giving residents several community choices. Amenities include a gift shop, simple comforts, and a focus on making both residents and loved ones feel at home. Staff work to keep care community-centered and adjust things as needs change, always aiming to help people stay healthy, active, and engaged.

    People often ask...

    St. John's Home offers independent living, assisted living, memory care, and skilled nursing.

    There are 21 photos of St. John's Home on Mirador.

    Yes, St. John's Home allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 150 Highland Ave, Rochester, NY 14620.

    No, St. John's Home 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 St. John's Home. The information above has not been verified or approved by the owner or operator. For exact information, please contact St. John's Home directly. There is no cost for this service. We are compensated by the community you select.

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