Skilled nursing facility · CMS certification number 335825
The Brook at High Falls Nursing Home and Rehabilit
Rochester, New York · Medicare and Medicaid · 28 certified beds in Care Compare
The Brook at High Falls Nursing Home and Rehabilit: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 29, 2025.
- Net patient revenue rose from $3.2M in fiscal year 2023 to $4.0M in fiscal year 2024.
- Its result from service to patients: −$517K (2022), −$390K (2023), −$73K (2024).
- Its cost reports on file run from fiscal year 2001 to fiscal year 2024.
- Its net patient revenue of $4.0M ranks 517th of the 539 nursing facilities in New York whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in New York closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
The Brook at High Falls Nursing Home and Rehabilit: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1437517 | 2023 · report 1391374 | 2022 · report 1359350 | 2021 · report 1329836 | 2020 · report 1305034 | 2019 · report 1274140 | 2018 · report 1234620 | 2017 · report 1196404 | 2016 · report 1173331 | 2015 · report 1140884 | 2014 · report 1100894 | 2013 · report 1084939 | 2012 · report 1043195 | 2011 · report 1016479 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | October 11, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | — | — | — | 81 | — | — | — | — | — | — | — | — |
| Processed by CMS | August 29, 2025 | August 7, 2024 | July 20, 2023 | August 16, 2022 | November 19, 2021 | November 20, 2020 | July 10, 2019 | June 27, 2018 | August 15, 2017 | August 11, 2016 | June 30, 2015 | January 26, 2015 | July 23, 2013 | October 26, 2012 |
| Total patient revenue | $4,507,523 | $4,378,140 | $3,906,151 | $3,655,372 | $3,461,414 | — | — | — | — | — | — | $2,732,837 | $2,687,013 | $2,781,561 |
| Contractual allowances and discounts | $513,869 | $1,195,301 | $1,031,261 | $700,140 | $757,311 | — | — | — | — | — | — | $796,174 | $804,460 | $656,988 |
| Net patient revenue | $3,993,654 | $3,182,839 | $2,874,890 | $2,955,232 | $2,704,103 | — | — | — | — | — | — | $1,936,663 | $1,882,553 | $2,124,573 |
| Total operating expenses | $4,066,723 | $3,572,840 | $3,391,828 | $3,281,753 | $2,739,409 | — | — | — | — | — | — | $2,048,704 | $1,971,556 | $2,143,654 |
| Net income from service to patients | −$73,069 | −$390,001 | −$516,938 | −$326,521 | −$35,306 | — | — | — | — | — | — | −$112,041 | −$89,003 | −$19,081 |
| Total other income | $25,821 | $19,187 | $127,598 | $623,096 | $198,324 | — | — | — | — | — | — | $125,188 | $124,672 | $126 |
| Net income after other income | −$47,248 | −$370,814 | −$389,340 | $296,575 | $163,018 | — | — | — | — | — | — | $13,147 | $35,669 | −$18,955 |
| Net income | −$47,248 | −$370,814 | −$389,340 | $296,575 | $163,018 | — | — | — | — | — | — | $12,896 | $35,669 | −$18,955 |
| Total facility beds, all components | 28 | 28 | 28 | 28 | 28 | — | — | — | — | — | — | 28 | 28 | 28 |
| Bed days available, all components | 10,248 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 2,800 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 4,366 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 1,579 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 8,745 | 8,735 | 9,992 | 9,464 | 9,097 | — | — | — | — | — | — | 9,330 | 9,199 | 9,530 |
| Medicare discharges | 63 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 13 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 35 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 111 | 158 | 91 | 98 | 81 | — | — | — | — | — | — | 47 | 46 | 36 |
| Average length of stay, Medicare, in days | 44.44 | 42.05 | 55.04 | 50.59 | 53.45 | — | — | — | — | — | — | 7.75 | 11.33 | 32.67 |
| Average length of stay, Medicaid, in days | 335.85 | 215.92 | 258.3 | 272.06 | 687.5 | — | — | — | — | — | — | 435.77 | 236.65 | 260.7 |
| Average length of stay, all patients, in days | 78.78 | 55.28 | 109.8 | 96.57 | 112.31 | — | — | — | — | — | — | 198.51 | 199.98 | 264.72 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
None of these figures is carried on the report for fiscal years 2019, 2018, 2017, 2016, 2015, 2014.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 413474 | 2009 · report 385233 | 2008 · report 353392 | 2007 · report 331438 | 2006 · report 303095 | 2005 · report 277450 | 2004 · report 240924 | 2003 · report 224257 | 2002 · report 172521 | 2001 · report 132090 |
|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 3, 2001 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 |
| Processed by CMS | July 28, 2011 | August 12, 2010 | July 31, 2009 | January 20, 2009 | February 27, 2008 | May 1, 2007 | January 20, 2006 | June 21, 2005 | March 31, 2004 | February 24, 2003 |
| Net patient revenue | $2,013,386 | $1,975,735 | $1,951,851 | $1,928,537 | $1,922,594 | $1,795,276 | $1,741,715 | $1,769,742 | $1,572,527 | $1,374,695 |
| Total operating expenses | $2,048,735 | $2,096,845 | $1,854,893 | $1,797,220 | $1,810,673 | $1,767,001 | $1,728,229 | $1,699,788 | $1,486,816 | $1,289,250 |
| Net income from service to patients | −$35,349 | −$121,110 | $96,958 | $131,317 | $111,921 | $28,275 | $13,486 | $69,954 | $85,711 | $85,445 |
| Total other income | −$3,725 | $10 | $1,224 | $2,341 | $6,248 | $5,816 | $6,952 | $186 | $456 | $3,298 |
| Total other expenses | — | $28,623 | $154 | $277 | — | — | — | — | — | — |
| Net income | −$39,074 | −$149,723 | $98,028 | $133,381 | $118,169 | $34,091 | $20,438 | $70,140 | $86,167 | $88,743 |
| Total facility beds, all components | — | 28 | 28 | 28 | 28 | 28 | 28 | 28 | 28 | 28 |
| Total patient days, all components | 9,335 | 9,440 | 9,365 | 9,860 | 9,860 | 9,342 | 9,470 | 9,838 | 8,488 | 7,830 |
| Total discharges, all components | 35 | 32 | 36 | 22 | 30 | 42 | 37 | 16 | 34 | 35 |
| Average length of stay, Medicare, in days | 12.67 | 20.14 | 15.11 | 34 | 59.67 | 35.5 | 50.5 | 46 | 48.56 | 38.36 |
| Average length of stay, Medicaid, in days | 496.5 | 387.13 | 426.64 | 806.5 | 630.14 | 194.38 | 243 | 883.25 | 1,851 | — |
| Average length of stay, all patients, in days | 266.71 | 295 | 260.14 | 448.18 | 328.67 | 222.43 | 255.95 | 614.88 | 249.65 | 223.71 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001. Checked against the form’s own arithmetic: what that check shows.
The Brook at High Falls Nursing Home and Rehabilit: nurse staffing hours by quarter →
Who owns The Brook at High Falls Nursing Home and Rehabilit, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: GRINSPAN, ARYEH (individual), 25%%, since 10/11/2019; MAYER, ABRAHAM (individual), 25%%, since 10/11/2019; MAYER, GIORGIO (individual), 50%%, since 10/11/2019
- ADP OF THE SNF: FRIED, JOEL (individual), NOT APPLICABLE, since 04/30/2025; GREEN, WOLF (individual), NOT APPLICABLE, since 04/30/2025; ILYAGU, MARK (individual), NOT APPLICABLE, since 12/01/2025; JW BROOK PROPCO LLC (organization), NOT APPLICABLE, since 04/30/2025; OMEGA BUSINESS SERVICES LLC (organization), NOT APPLICABLE, since 12/01/2025; WETTENSTEIN, DAVID (individual), NOT APPLICABLE, since 11/13/2025
- INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF: LICHT, TZVI (individual), NOT APPLICABLE, since 12/01/2025; RUBIN, BAILA (individual), NOT APPLICABLE, since 12/01/2025; RUBIN, SHOSHANA (individual), NOT APPLICABLE, since 12/01/2025
- MANAGING CONTROL - GOVERNING BODY: GRINSPAN, ARYEH (individual), NOT APPLICABLE, since 10/11/2019
- OPERATIONAL/MANAGERIAL CONTROL: ILYAGU, MARK (individual), NOT APPLICABLE, since 08/25/2023; JW BROOK PROPCO LLC (organization), NOT APPLICABLE, since 04/30/2025; OMEGA BUSINESS SERVICES LLC (organization), NOT APPLICABLE, since 05/13/2023; WETTENSTEIN, DAVID (individual), NOT APPLICABLE, since 07/01/2023
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of AGA OPERATING LLC (enrollment ID O20191126002202).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: ABRAHAM MAYER (individual), 25.00%, since 10/11/2019; ARYEH GRINSPAN (individual), 25.00%, since 10/11/2019; GIORGIO MAYER (individual), 50.00%, since 10/11/2019
- ADP OF THE SNF: DAVID WETTENSTEIN (individual), since 11/13/2025; JOEL FRIED (individual), since 04/30/2025; JW BROOK PROPCO LLC (organization), since 04/30/2025; MARK ILYAGU (individual), since 12/01/2025; OMEGA BUSINESS SERVICES LLC (organization), since 12/01/2025; WOLF GREEN (individual), since 04/30/2025
- MANAGING CONTROL - GOVERNING BODY: ARYEH GRINSPAN (individual), since 10/11/2019
- OPERATIONAL/MANAGERIAL CONTROL: DAVID WETTENSTEIN (individual), since 07/01/2023; JW BROOK PROPCO LLC (organization), since 04/30/2025; MARK ILYAGU (individual), since 08/25/2023; OMEGA BUSINESS SERVICES LLC (organization), since 05/13/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: ABRAHAM MAYER; ARYEH GRINSPAN; GIORGIO MAYER; DAVID WETTENSTEIN; JOEL FRIED; MARK ILYAGU; WOLF GREEN; ARYEH GRINSPAN; DAVID WETTENSTEIN; MARK ILYAGU.
Private equity company, real estate investment trust and holding company: No: JW BROOK PROPCO LLC; OMEGA BUSINESS SERVICES LLC; JW BROOK PROPCO LLC; OMEGA BUSINESS SERVICES LLC.
Changes in ownership
- March 1, 2026, enrollment ownership file; no longer listed: ARYEH GRINSPAN (CORPORATE OFFICER); GIORGIO MAYER (CORPORATE OFFICER); ABRAHAM MAYER (CORPORATE OFFICER); CHRISTINA OROPEZA (W-2 MANAGING EMPLOYEE); first listed: JOEL FRIED (ADP OF THE SNF), associated since April 30, 2025; MARK ILYAGU (ADP OF THE SNF), associated since December 1, 2025; MARK ILYAGU (OPERATIONAL/MANAGERIAL CONTROL), associated since August 25, 2023; ARYEH GRINSPAN (MANAGING CONTROL - GOVERNING BODY), associated since October 11, 2019; OMEGA BUSINESS SERVICES LLC (ADP OF THE SNF), associated since December 1, 2025; OMEGA BUSINESS SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since May 13, 2023; JW BROOK PROPCO LLC (ADP OF THE SNF), associated since April 30, 2025; JW BROOK PROPCO LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since April 30, 2025; DAVID WETTENSTEIN (ADP OF THE SNF), associated since November 13, 2025; DAVID WETTENSTEIN (OPERATIONAL/MANAGERIAL CONTROL), associated since July 1, 2023; WOLF GREEN (ADP OF THE SNF), associated since April 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Inspections of The Brook at High Falls Nursing Home and Rehabilit
- Cycle 1: health January 16, 2026 (5 deficiencies), fire safety January 16, 2026 (5)
- Cycle 2: health November 14, 2024 (9 deficiencies), fire safety November 14, 2024 (3)
- Cycle 3: health May 10, 2023 (10 deficiencies), fire safety May 10, 2023 (5)
Deficiencies cited at The Brook at High Falls Nursing Home and Rehabilit
24 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0550, resident rights: January 16, 2026 (E, corrected March 16, 2026).
- F 0584, resident rights: January 16, 2026 (E, corrected March 16, 2026); November 14, 2024 (E, corrected January 13, 2025); February 16, 2024 (E, from a complaint, corrected May 7, 2024).
- F 0689, quality of life and care: January 16, 2026 (E, corrected March 16, 2026); May 10, 2023 (D, corrected June 23, 2023).
- F 0761, pharmacy service: January 16, 2026 (D, corrected March 16, 2026).
- F 0880, infection control: January 16, 2026 (F, corrected March 16, 2026); November 14, 2024 (E, corrected January 13, 2025).
- F 0657, resident assessment and care planning: November 14, 2024 (D, corrected January 13, 2025).
- F 0677, quality of life and care: November 14, 2024 (D, corrected January 13, 2025).
- F 0684, quality of life and care: November 14, 2024 (D, corrected January 13, 2025).
- F 0732, nursing and physician services: November 14, 2024 (B, corrected January 13, 2025).
- F 0803, nutrition and dietary: November 14, 2024 (D, corrected January 13, 2025).
- F 0842, resident assessment and care planning: November 14, 2024 (B, corrected January 13, 2025).
- F 0914, environmental: November 14, 2024 (D, corrected January 13, 2025).
- F 0925, environmental: February 16, 2024 (E, from a complaint, corrected May 7, 2024).
- F 0625, resident rights: May 10, 2023 (B, corrected June 23, 2023).
- F 0658, resident assessment and care planning: May 10, 2023 (D, corrected June 23, 2023).
- F 0698, quality of life and care: May 10, 2023 (D, corrected June 23, 2023).
- F 0727, nursing and physician services: May 10, 2023 (E, corrected June 23, 2023).
- F 0758, pharmacy service: May 10, 2023 (D, corrected June 23, 2023).
- F 0812, nutrition and dietary: May 10, 2023 (E, corrected June 23, 2023).
- F 0868, administration: May 10, 2023 (E, corrected June 23, 2023).
The Brook at High Falls Nursing Home and Rehabilit in Care Compare
- Ownership Type: For profit - Individual
- Legal Business Name: AGA OPERATING LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2001-01-03
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Monroe
- Telephone Number: 5853425540
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 23.9
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 5
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for The Brook at High Falls Nursing Home and Rehabilit: no penalty in Care Compare.
Other nursing facilities in Rochester
Report a figure on The Brook at High Falls Nursing Home and Rehabilit’s record that differs from its CMS file, quoting 335825.