The Brook at High Falls Nursing Home and Rehabilit

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

55.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 37 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 63.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 54 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.74 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 28 beds and averages 25.9 residents a day — about 92% occupied, or roughly 2 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.47 hrs/resident/day on weekends vs 3.95 on weekdays — 12% thinner on weekends. RN hours go from 0.51 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 76% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · Fcited before2026-01-16 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility did not ensure it established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for seven (7) of nine (9) residents (Residents #1, #2, #12, #18, #21, #25, and #33) and one (1) of one (1) residential unit reviewed. Specifically, staff were observed performing wound care for Resident #1 and touching environmental surfaces without appropriate glove changes and hand hygiene. For Residents #2, #18, #21, #25, and #33 medications were prepared and handled by a licensed nurse with their bare hands. For Residents #2, #12, #18, #21, #25, and #33 a reusable blood pressure monitoring device was not cleaned and disinfected between residents; Resident #33 was on enhanced barrier precautions (an infection control strategy that uses gloves and gowns during high contact resident care to reduce the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-16 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility did not ensure residents exercised their rights without interference, coercion, discrimination, or reprisal from the facility for one (1) of five (5) residents reviewed (Resident #4). Specifically, the facility did not ensure changes in Resident #4's Medicare health coverage were initiated by the resident or the resident's authorized representative, and did not ensure the resident and/or responsible party received required oral and written explanations regarding the impact of changing Medicare coverage.The findings include: The Centers for Medicare and Medicaid Services (CMS) undated publication Your Rights and Protections as a Nursing Home Resident requires nursing homes to inform residents of their rights and explain those rights orally and in writing in a language the resident understands. The Centers for Medicare and Medicaid Services Memo to Long Term Care Facilities on Medicare Health Plan Enrollment, dated October 2021, states only a Medicare beneficiary, the beneficiary's authorized or designated representative, or a party…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-16 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility did not ensure housekeeping and maintenance services were provided to maintain a sanitary, orderly, and comfortable interior for one (1) of one (1) resident use floor and one (1) of one (1) kitchen. Specifically, the facility did not ensure interior spaces were maintained free from unsanitary conditions and environmental hazards, as evidenced by damaged, jagged, or missing radiator covers; a dirty bathtub with a non-functioning lift chair; wall damage; a non-functional fan used for air drying dishes; cracked light lenses and missing end caps above the kitchen tray line; a damaged ice machine lid with exposed ice; and dirty floors and surfaces in resident rooms.The findings include: During observations in the main kitchen on 01/12/2026 from 8:50 AM to 9:05 AM, a wall-mounted fan in the dish room was not functional. Multiple racks of dishes recently cleaned in the dishwashing machine were stored nearby. During an immediate interview, the Head [NAME] stated they were…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility did not ensure the resident environment remained free of accident hazards for one (1) of one (1) resident use floor. Specifically, hot water exceeding 120 degrees Fahrenheit ( F) was accessible to residents at point of use, creating a risk for scalding.The findings include: The undated facility policy Water Temperatures, Safety of included tap water in the facility shall be maintained within a temperature range to prevent scalding of residents. The policy specified water heaters servicing resident rooms, bathrooms, common areas, and tub/shower areas shall be set to maintain temperatures between 90 and 120 degrees Fahrenheit. On 01/12/2026 at 9:20 AM, the surveyor's [NAME] brand thermocouple was checked for proper calibration in the main kitchen using the ice-point method and read 32.6 degrees Fahrenheit. During observation on 01/12/2026 from 9:35 AM to 9:56 AM, hot water temperatures from resident-accessible bathroom and shower room sinks exceeded…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-16 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility did not ensure medications were stored securely and accessible only to authorized personnel, in accordance with professional standards of practice and State and Federal regulations, for one (1) of one (1) residential unit reviewed. Specifically, the facility stored medications in an unsecured and frequently opened soiled linen room being used as a temporary medication room during renovations. Medications stored in this area were accessible to residents, visitors, and non-authorized staff. Additionally, there were unidentified, loose pills found in a medication cart and missing signatures identified on narcotic count sheets for various shifts with no additional evidence of accurate narcotic counts and/or accountability for controlled substances.The findings include: The facility policy Administering and Storage of Medications revised [DATE], included, but was not limited to, medications should be checked monthly in the medication cart and in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-11-14 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews conducted during a Recertification Survey completed 11/07/2024 to 11/14/2024, the facility did not provide maintenance services necessary to maintain a sanitary, orderly, and comfortable homelike environment. Specifically, kitchen lighting was not protected or operable, a residential kitchen freezer and a staff bathroom were inoperable, bathrooms exhaust ventilation was not installed or was inoperable, there was no soap in resident bathrooms, a call bell was not installed in a resident bathroom, and a corridor exit sign was not affixed to the ceiling. The findings are: Observations on 11/07/24 from 9:05 AM to 11:08 AM included the following: 1. A Frigidaire residential stand-up freezer by the back kitchen entrance was empty and not operational. During an interview at this time, the cook stated that it did not work and had been out of order for a while. 2. Two glass fluorescent light fixtures above the cook line in the main kitchen were uncovered and unprotected from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-11-14 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review conducted during a Recertification Survey from 11/07/2024 to 11/14/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of infection. Specifically, for one of one dining room reviewed during a meal, a staff member was observed making direct contact with a resident's food without applying gloves and did not perform hand hygiene after touching used meal trays and utensils prior to touching unused meal trays and meal set-up for multiple residents. For one of one laundry room, a laundry staff was observed handling soiled potentially contaminated linen without wearing appropriate personal protective equipment that included gowns. Additionally, the facility did not ensure the Infection Prevention and Control Program policies and procedures were reviewed at least annually as required. This is evidenced by the following: 1. The facility's Handwashing and Hand Hygiene policy,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-14 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review conducted during a Recertification Survey from 11/07/2024 to 11/14/2024, for one (Resident #3) of twelve residents reviewed for care planning, the facility did not ensure a comprehensive person-centered care plan meeting was held at least quarterly and that the resident and/or their representative had been invited to attend. Specifically, Resident #3 had been in the facility for approximately 22 months, and there was no evidence that the resident and/or their representative had been invited to any care plan meetings. This is evidenced by the following: The facility policy Care Plans-Comprehensive, revised December 2010, documented the facility's interdisciplinary team in coordination with the resident and their representative develops and maintains a comprehensive care plan for each resident that identifies the highest level of functioning the resident may be expected to attain, and the interdisciplinary team is responsible for the review and updating of care plans at least quarterly. The policy did not include if the resident and/or their…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey from 11/07/2024 to 11/14/2024, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for one (Resident #9) of one resident reviewed for activities of daily living. Specifically, Resident #9 was observed over several days with debris underneath their fingernails, including while eating with their hands. This is evidenced by the following: The undated facility policy Activities of Daily Living, Supporting Policy Statement documented residents will be provided with care, treatments, and services appropriate to maintain or improve their ability to carry out activities of daily living, including that refusals of care and treatments would be documented in the resident's clinical record. Resident #9 had diagnoses including chronic obstructive pulmonary disease (lung disease), arthritis, and dementia. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey from 11/07/2024 to 11/14/2024, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (Resident #178) of three residents reviewed for nutrition/hydration and one (Resident #178) of one resident for pressure injury. Specifically, the facility did not ensure the resident received the highest practical, physical, mental and psychosocial wellbeing, including maintaining adequate hydration status and ensuring interventions to promote pressure ulcer injury healing. This is evidenced by the following: Resident #178 was recently admitted with diagnoses that included a stroke and hemiparesis (weakness or the inability to move on one side of the body), a history of falls, and a compression fracture of the lower back. The Minimum Data Set Resident Assessment, dated 11/01/2024, documented the resident had moderately impaired cognition, clear speech, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 17 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $38K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY