The Brook at High Falls Nursing Home and Rehabilit — nursing home in Rochester, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 28 CMS-certified beds (not state-licensed beds)
Licensed beds: 28 state-licensed beds · New York State Department of Health
State license: 2701365N active · licensee AGA Operating LLC
Average residents per day: 23.9 CMS, MDS-derived
CMS Certification Number: 335825
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 3, 2001
Ownership type: For profit - Individual
Operator (legal business name): Aga Operating LLC
CMS chain: Not part of a CMS-reported chain
Phone: (585) 342-5540
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jan 16, 2026

Citations

37

24 health · 13 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E19	F1
Minimal	A·	B5	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335825
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 28
First approved: Jan 3, 2001
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 2701365N
State facility ID: 434
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 28
Bed certifications: RHCF: 28
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: AGA Operating LLC · LLC
Initially licensed: Feb 1, 1980
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 16, 2026	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jan 16, 2026	Health	Health Standard	5	Potential harm	—	Open →
Nov 14, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Nov 14, 2024	Health	Health Standard	9	Potential harm	—	Open →
Feb 16, 2024	Health	Health Complaint	2	Potential harm	—	Open →
May 10, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
May 10, 2023	Health	Health Standard	8	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E19	F1
Minimal	A·	B5	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 16, 2026	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 16, 2026
Jan 16, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 16, 2026
Jan 16, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 3, 2026
Jan 16, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 16, 2026
Jan 16, 2026	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 16, 2026
Jan 16, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 16, 2026
Jan 16, 2026	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 16, 2026
Jan 16, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 16, 2026
Jan 16, 2026	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Mar 16, 2026
Jan 16, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Mar 16, 2026
Nov 14, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 5, 2025
Nov 14, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 13, 2025
Nov 14, 2024	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 13, 2025
Nov 14, 2024	F-0657	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 · Clinical care	D · Potential harm Isolated	Corrected Jan 13, 2025
Nov 14, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 13, 2025
Nov 14, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 13, 2025
Nov 14, 2024	F-0803	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 · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 13, 2025
Nov 14, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 13, 2025
Nov 14, 2024	F-0914	Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 13, 2025
Nov 14, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Jan 13, 2025
Nov 14, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Corrected Jan 13, 2025
Nov 14, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Corrected Jan 13, 2025
Feb 16, 2024	F-0584	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 7, 2024	Complaint
Feb 16, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 7, 2024	Complaint
May 10, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 23, 2023
May 10, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 30, 2023
May 10, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 23, 2023
May 10, 2023	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2023
May 10, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2023
May 10, 2023	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2023
May 10, 2023	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jun 23, 2023
May 10, 2023	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 23, 2023
May 10, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 23, 2023
May 10, 2023	F-0868	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jun 23, 2023
May 10, 2023	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Jun 23, 2023
May 10, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	B · Minimal Pattern	Corrected Jun 23, 2023
May 10, 2023	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Jun 23, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.16

State avg 3.69US avg 3.90

Registered nurse (RN)0.56

State avg 0.73US avg 0.69

Licensed practical nurse1.12

State avg 0.76US avg 0.86

Nurse aide2.47

State avg 2.20US avg 2.35

Weekend total nurse3.62

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.91 (case-mix index 1.49).

Staff turnover

Total nursing staff turnover66.0%

State avg 40.3%US avg 45.3%

Registered nurse turnover57.1%

State avg 39.6%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 16, 2026
Cycle 1 health score: 44
Total weighted score: 46

Operating entity

Aga Operating LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

17

Organizations

2

Individuals

13

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Giorgio Mayer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Oct 11, 2019
Aryeh Grinspan	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Oct 11, 2019
Abraham Mayer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Oct 11, 2019

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Giorgio Mayer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Oct 11, 2019
Aryeh Grinspan	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Oct 11, 2019
Abraham Mayer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Oct 11, 2019
Tzvi Licht	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Dec 1, 2025
Baila Rubin	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Dec 1, 2025
Shoshana Rubin	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Dec 1, 2025
Aryeh Grinspan	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 11, 2019
Jw Brook Propco LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 30, 2025
Omega Business Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 13, 2023
Mark Ilyagu	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 25, 2023
David Wettenstein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2023
Jw Brook Propco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 30, 2025
Omega Business Services LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2025
Joel Fried	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 30, 2025
Wolf Green	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 30, 2025
Mark Ilyagu	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 1, 2025
David Wettenstein	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 13, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2150 St. Paul Street, Rochester, NY 14621
ZIP: 14621
County: Monroe County FIPS 36055
State: New York
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
St. Ann's Community 1500 Portland Avenue, Rochester, NY 14621 CCN 335081	2.8 km	470	Jan 7, 2025	281 harm	$51k
The Pearl Nursing Center of Rochester 1335 Portland Avenue, Rochester, NY 14621 CCN 335439	2.8 km	120	Dec 11, 2025	88	—
Kirkhaven 254 Alexander Street, Rochester, NY 14607 CCN 335668	5.1 km	147	Mar 18, 2026	441 harm	$8,278
Lilac Manor Rehabilitation and Nursing Center 3 Upton Park, Rochester, NY 14607 CCN 335488	5.3 km	200	Aug 13, 2026	431 open	—
Unity Living Center 89 Genesee Street, Rochester, NY 14611 CCN 335620	5.4 km	120	May 15, 2025	141 IJ	$13k
Church Home of the Protestant Episcopal Church 505 Mt. Hope Avenue, Rochester, NY 14620 CCN 335263	6.1 km	182	Jan 9, 2024	20	—
Hamilton Manor Nursing Home 1172 Long Pond Road, Rochester, NY 14626 CCN 335615	6.7 km	40	Jul 23, 2026	151 harm1 open	—
Park Ridge Nursing Home 1555 Long Pond Road, Rochester, NY 14626 CCN 335369	6.7 km	120	May 1, 2026	18	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335825	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335825	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	434	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	434	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335825

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction