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

Chain footprint

5 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.83

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.98

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.48

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

4.03

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.67

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

2.82

CMS adjusted total nurse staffing hours

Case-mix index

2.17

Higher values indicate more complex resident acuity

RN turnover

35%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,867

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.50

Composite VBP score used to determine payment impact.

Payment multiplier

0.9865

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 25.72% · Performance 25.59% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.60

Baseline 11.55% · Performance 9.52% · Measure score 2.60 · Achievement 0 · Improvement 2.60

Total nurse turnover

10

Baseline 26.94% · Performance 24.58% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

0

Baseline 2.31 hours · Performance 2.45 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.13%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 172 · Observed rate 13.37% · Lower 95% interval 8.03%
Discharge to community	41.15%	50.57% 9.4 pts worse	Worse than the National Rate · Eligible stays 344 · Observed rate 22.67% · Lower 95% interval 34.6%
Medicare spending per beneficiary	1.59	1.02 0.6 pts worse
Drug regimen review with follow-up	56.4%	95.27% 38.9 pts worse	Numerator 313 · Denominator 555
Falls with major injury	0.54%	0.77% 0.2 pts better	Numerator 3 · Denominator 555
Discharge self-care score	36.02%	53.69% 17.7 pts worse	Numerator 76 · Denominator 211
Discharge mobility score	44.08%	50.94% 6.9 pts worse	Numerator 93 · Denominator 211
Pressure ulcers or injuries, new or worsened	1.62%	2.29% 0.7 pts better	Numerator 9 · Denominator 555 · Adjusted rate 0.87%
Healthcare-associated infections requiring hospitalization	9.52%	7.12% 2.4 pts worse	Worse than the National Rate · Eligible stays 290 · Observed rate 19.31% · Lower 95% interval 7.91%
Staff COVID-19 vaccination coverage	0.36%	8.2% 7.8 pts worse	Numerator 1 · Denominator 276
Staff flu vaccination coverage	37.91%	42% 4.1 pts worse	Numerator 105 · Denominator 277
Discharge function score	37.44%	56.45% 19 pts worse	Numerator 79 · Denominator 211
Transfer of health information to provider	99.4%	95.95% 3.5 pts better	Numerator 333 · Denominator 335
Transfer of health information to patient	97.78%	96.28% 1.5 pts better	Numerator 88 · Denominator 90
Resident COVID-19 vaccinations up to date	4.21%	25.2% 21 pts worse	Numerator 13 · Denominator 309

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 · Adjusted 2.7 · Observed 6.2 · Expected 4.4 · Used in QM five-star
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 · Adjusted 3.2 · Observed 4.6 · Expected 2.4 · Used in QM five-star
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 · Q1 94.8% · Q2 93.5% · Q3 92.3% · Q4 97.3% · 4Q avg 94.5%
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 · 4Q avg 96.4%
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 · Q1 0.5% · Q2 1.0% · Q3 1.5% · Q4 0.5% · 4Q avg 0.9% · Used in QM five-star
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 · Q1 39.5% · Q2 39.1% · Q3 32.1% · Q4 22.6% · 4Q avg 33.4%
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 · Q1 8.6% · Q2 13.3% · Q3 14.5% · Q4 8.9% · 4Q avg 11.4%
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 · Q1 7.3% · Q2 7.0% · Q3 9.3% · Q4 9.6% · 4Q avg 8.3%
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 · Q1 10.5% · Q2 8.3% · Q3 9.0% · Q4 8.0% · 4Q avg 8.9% · Used in QM five-star
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 · Q1 5.2% · Q2 4.0% · Q3 6.7% · Q4 6.4% · 4Q avg 5.5%
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 · Q1 31.5% · Q2 32.7% · Q3 59.0% · Q4 21.3% · 4Q avg 36.1% · Used in QM five-star
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 · Q1 27.3% · Q2 35.6% · Q3 44.1% · Q4 24.2% · 4Q avg 32.9% · Used in QM five-star
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 · Q1 3.4% · Q2 3.4% · Q3 2.1% · Q4 1.1% · 4Q avg 2.5% · Used in QM five-star
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 · Q1 8.1% · Q2 11.7% · Q3 8.6% · Q4 7.3% · 4Q avg 9.0% · Used in QM five-star
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 · Q1 15.8% · Q2 19.1% · Q3 14.4% · Q4 14.5% · 4Q avg 15.9%
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 · Q1 17.2% · Q2 22.0% · Q3 19.8% · Q4 21.0% · 4Q avg 20.0% · Used in QM five-star
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 · Q1 55.8% · Q2 62.1% · Q3 69.1% · Q4 73.2% · 4Q avg 65.2%
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 · Adjusted 11.9% · Observed 14.4% · Expected 13.4% · Used in QM five-star
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 · Q1 4.1% · Q2 3.1% · Q3 2.9% · Q4 2.4% · 4Q avg 3.1% · Used in QM five-star
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 · 4Q avg 72.9%
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 · Adjusted 28.0% · Observed 48.8% · Expected 41.5% · Used in QM five-star

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