Brooklyn, NY

Palm Gardens Center For Nursing And Rehabilitation

2-star overall rating with 3-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

615 Avenue C, Brooklyn, NY

(718) 633-3300

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

240

Certified beds

Average residents

231

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Shimon Lefkowitz

Operator or chain grouping

Approved since

1971-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.83

Registered nurse staffing

LPN hours / resident day

0.68

Licensed practical nurse staffing

Aide hours / resident day

2.98

Nurse aide staffing

Weekend hours

4.03

Weekend nurse staffing

RN turnover

35%

Annual RN turnover

Total nurse turnover

29%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.7
1.7
1 pts worse
1.9
0.8 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.2
1.3
1.9 pts worse
1.8
1.4 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
91.2%
3.3 pts better
93.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
95.3%
1.1 pts better
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.9%
3.0%
2.1 pts better
3.3%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 33.4%
18.5%
14.9 pts worse
11.4%
22 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 11.4%
6.1%
5.3 pts worse
5.4%
6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 8.3%
13.5%
5.2 pts better
19.6%
11.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.9%
14.8%
5.9 pts better
16.7%
7.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 5.5%
0.2%
5.3 pts worse
0.1%
5.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 36.1%
15.1%
21 pts worse
16.3%
19.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 32.9%
15.5%
17.4 pts worse
14.9%
18 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.5%
0.6%
1.9 pts worse
1.0%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 9.0%
1.4%
7.6 pts worse
1.7%
7.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 15.9%
20.8%
4.9 pts better
19.8%
3.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 20.0%
6.9%
13.1 pts worse
5.1%
14.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 65.2%
76.7%
11.5 pts worse
81.7%
16.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.9%
9.7%
2.2 pts worse
12.0%
0.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.1%
1.2%
1.9 pts worse
1.6%
1.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72.9%
78.8%
5.9 pts worse
79.7%
6.8 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.0%
20.6%
7.4 pts worse
23.9%
4.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-03 · Fire 2025-12-03

7 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

5 fire-safety deficiencies

Top issue: Construction (2 deficiencies)

Cycle 2 Health 2023-08-31 · Fire 2023-08-31

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2021-06-18 · Fire 2021-06-18

3 health deficiencies

Top issue: Administration (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-03

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-11-17

E · Potential for more than minimal harm 2025-12-03

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-11-17

E · Potential for more than minimal harm 2025-12-03

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-11-17

E · Potential for more than minimal harm 2025-12-03

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-11-17

E · Potential for more than minimal harm 2025-12-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-17

F · Potential for more than minimal harm 2023-08-31

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-11-18

E · Potential for more than minimal harm 2023-08-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-11-18

E · Potential for more than minimal harm 2023-08-31

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-11-18

D · Potential for more than minimal harm 2023-08-31

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-11-18

D · Potential for more than minimal harm 2021-06-18

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-18

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-08-12

D · Potential for more than minimal harm 2021-06-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-08-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-03

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2026-01-29

E · Potential for more than minimal harm 2025-12-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-01-29

D · Potential for more than minimal harm 2025-12-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-29

D · Potential for more than minimal harm 2025-12-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-29

D · Potential for more than minimal harm 2025-12-03

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-29

C · Minimal harm 2025-12-03

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2026-01-29

C · Minimal harm 2025-12-03

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2026-01-29

F · Potential for more than minimal harm 2023-08-31

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-08-31

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-08-31

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-08-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-08-31

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-08-31

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-10-23

E · Potential for more than minimal harm 2023-08-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-10-08

E · Potential for more than minimal harm 2023-08-30

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2023-10-08

D · Potential for more than minimal harm 2021-06-18

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-08-12

Penalties and ownership

What sits behind the stars

Ownership

Lefkowitz, Shimon

5% Or Greater Direct Ownership Interest · Individual

100% 6 facilities 2007-12-06
Lefkowitz, Shimon

Operational/Managerial Control · Individual

0% 6 facilities 2007-12-06

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