St. John's Home

    150 Highland Ave, Rochester, NY, 14620
    3.3 · 68 reviews
    • Independent living
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Neglected care, dirty, unsafe, inconsistent

    I moved my mother here because the building is nice and some staff were friendly and helpful, but the quality has declined sharply. She was often left unbathed, hungry, in soiled briefs, and once fell without timely notification - incidents were routinely ignored, rooms and care were frequently dirty or neglected, and staffing/supervision seemed inadequate or untrained. A few nurses and therapists were excellent, but overall the unsafe care, poor management, and inconsistent staff performance mean I would not recommend this place.

    Pricing

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    Amenities

    3.28 · 68 reviews

    Overall rating

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

      2.8
    • Staff

      3.1
    • Meals

      3.1
    • Amenities

      3.5
    • Value

      2.0

    Pros

    • Many individual nurses and aides described as wonderful, caring, and attentive
    • Memory care floor frequently reported as well-cared-for and attentive
    • On-site rehabilitation and physical therapy services noted as excellent by some reviewers
    • Varied activities offered (music, chair exercise, scrabble, arts & crafts, bake sales, talent show)
    • Year-round amenities (ice cream stand, barber shop, gift shop) and courtyard wheelchair walks
    • Timely and safe medication administration reported by some families
    • Clean and well-maintained facility reported in multiple reviews
    • Separate apartment-style living available for some residents
    • Transportation and shopping assistance provided
    • Friendly and cheerful front-desk or arrival greeting in some accounts
    • Some reviewers praised food quality and dining options (cafeteria ordering)
    • Staff that “go the extra mile” and strong sense of community reported by several families
    • Good hand hygiene and fall-prevention explanations noted by some staff interactions
    • Rehab/Creekview praised by some as first-class or excellent
    • Helpful security and on-site support noted by some reviewers

    Cons

    • Chronic understaffing and very low staff-to-resident ratios
    • Frequent neglect: residents left unattended, in soiled briefs, or waiting for assistance for hours
    • Inconsistent and sometimes poor quality of nursing and aide care
    • Reports of untrained, unprofessional, rude, or illiterate staff
    • Housekeeping failures: dirty rooms, bathrooms, sinks, kitchen and food remnants
    • Inadequate infection control practices (no gloves/masks, unclean catheter/stoma areas)
    • Delayed or missed fall notifications and poor incident response
    • Missing personal items and mishandled laundry; reports of stolen bank card
    • Agency/temporary staff frequently used and perceived as unsafe or inexperienced
    • Management unresponsive to family concerns; poor communication and unreachable leadership
    • Clinical and dated building, small rooms, uncomfortable furniture, and repair needs
    • Poor or inconsistent dining: cold meals, spilled/soiled clothes, and prison-grade descriptions
    • Shift-change gaps in service and inconsistent coverage across shifts
    • Safety concerns including wandering patients, unattended falls, and lack of on-floor management
    • Mixed cleanliness — some areas clean, others neglected (floors, trash, mirrors)
    • Negative trends over time: several reviewers noted decline in quality from historical standards
    • CMS Much Below Average / 1-star rating cited by reviewers
    • Security and investigations described as inadequate when incidents occur
    • Poor phone system, hard-to-reach staff, and voicemail problems
    • Residents left without basic hygiene care (not bathed, eyes not cleaned, wounds/bruises visible)
    • Pressure sore prevention lacking (no pillows, poor repositioning)
    • Frequent hospital visits and unsafe rehab placements reported
    • Management described as profit-driven, cruel, or indifferent
    • Pest issues reported (mice infestation)
    • High variability across units: some floors highly praised while others described as dangerous

    Summary review

    Overall sentiment in these reviews is highly mixed but leans toward serious concern. A substantial number of reviewers praise individual caregivers, memory care staff, and certain services (notably some rehabilitation and therapy offerings), describing compassionate, attentive, and hardworking nurses and aides. These positive accounts emphasize strong community aspects—year-round activities, courtyard access, ice cream stand, prayer groups, games, arts, and transportation—that contribute to residents’ quality of life. Multiple reviewers explicitly recommend the facility, noting clean rooms, helpful staff, good food in some cases, and effective medication administration or fall-prevention education.

    However, those positive reports sit alongside numerous, repeated, and severe complaints about chronic understaffing and neglect. Many reviewers describe residents left unattended for hours, in soiled briefs, or unable to get assistance after a fall. Specific instances include family members finding loved ones on the floor and having to call 911 because no staff were available, residents’ eyes, catheter and stoma areas reported as unclean with signs of infection, and repeated accounts of missed basic hygiene and repositioning that create risk for pressure sores. These are not isolated comments but recurring themes across multiple summaries, indicating systemic staffing and supervision problems.

    Staff quality is described as highly inconsistent. While some caregivers are called wonderful and go “the extra mile,” other descriptions reference untrained, rude, illiterate, or unprofessional aides and agency nurses. Reviewers repeatedly raise concerns about use of agency or temporary staff, lack of proper training and supervision, aides inappropriately changing job titles, and staff found in lounges on phones or gossiping. This variability appears to map to different units or shifts: memory care and some rehab units receive frequent praise, while other floors and shifts are described as dangerous or neglected.

    Facility condition and housekeeping also show mixed reports. Several reviews describe a clean, well-kept environment with no hallway clutter, nice courtyards, and attractive amenities. Conversely, many others cite dirty resident rooms, unswept floors, spillage from feeding or tubes left on floors, trash not emptied, dirty mirrors and sinks, and even mice. Small, dated rooms and uncomfortable furniture are recurring complaints, along with a clinical, uninviting atmosphere in common areas. Repair needs and a sense that the building is past its prime appear in multiple accounts.

    Dining and activity programming also receive divergent feedback. Numerous reviewers praise varied activities—music visits, chair exercise, craft events, and community gatherings—and some find dining options good with cafeteria ordering and enjoyable food. Others describe the food as cold or “prison-grade,” frequent spills and messy feedings that are not promptly cleaned, and residents left hungry. Shift-change gaps can result in delayed meals and inadequate post-meal cleaning. Overall, activities are a clear strength for some residents, while meal service and dining quality are inconsistent.

    Management, communication, and safety oversight emerge as significant concerns for many families. Multiple reviewers report poor responsiveness from administration, slow or nonexistent follow-up on incidents (including theft and missing items), and difficulty reaching senior personnel. Several accounts allege that incident reports were ignored, security failed to investigate thefts adequately, and leadership appears profit-driven or indifferent. The facility’s cited CMS Much Below Average / 1-star rating in reviews reinforces the perception that systemic quality and oversight issues exist.

    Patterns across reviews suggest two important takeaways: 1) Care quality and environment at St. John’s Home are highly variable by unit, shift, and even individual staff—memory care and some rehab areas are often praised while general care units are frequently criticized; and 2) the dominant driver of negative experiences is understaffing and inadequate supervision, which cascades into hygiene failures, safety incidents, missed care, poor housekeeping, and poor incident response. Several reviewers explicitly warn against sending loved ones due to safety and neglect, while others recommend the facility because of strong staff and activities.

    In summary, prospective families should expect a mixed picture: there are genuine strengths—caring individual staff, good programming, some well-run units, and useful on-site amenities—but also serious, repeatedly reported weaknesses centered on staffing levels, supervision, hygiene, safety, and management responsiveness. Visiting in person, asking detailed questions about staffing ratios for the specific unit of interest, reviewing recent CMS reports, and speaking with current resident families are prudent steps for anyone evaluating St. John’s Home. The breadth and severity of the negative reports warrant careful scrutiny before placement, especially for residents with significant medical or mobility needs.

    Location

    Map showing location of St. John's Home

    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.

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