Federal inspection record · CMS data as of October 1, 2026
Palm Gardens Center for Nursing and Rehabilitation
615 Avenue C, Brooklyn, NY · (718) 633-3300
- Certified beds
- 240
- Residents per day
- 231
- Ownership
- For-Profit
- Chain
- Shimon Lefkowitz
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1971
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Palm Gardens Center for Nursing and Rehabilitation carries 30 inspection points. That is fewer than 61% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service5D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- D
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.
Resident Rights3F
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- F
Assure the security of all personal funds of residents deposited with the facility.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Quality of Life and Care2D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
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.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Inspection history
2025-12-03
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2023-08-31
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2021-06-18
1 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 19 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
4 h 19 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 31% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.0 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 96.4% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts worse | 94.9% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.2 pts better | 0.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4 pts worse | 24.1% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight5 pts worse | 10.7% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts better | 7.7% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 5.8% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained6.4 pts worse | 6.6% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.5 pts worse | 19.6% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts worse | 23.9% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 0.9% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.4 pts worse | 5.6% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better | 13.4% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers15.9 pts worse | 22.4% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts worse | 75.0% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts worse | 11.5% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts worse | 3.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccineAbout the same | 78.9% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.3 pts worse | 26.9% | 20.6% | 23.4% |
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Who owns and runs it
2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lefkowitz, Shimon | 5% Or Greater Direct Ownership Interest · Individual | 100% | 6 facilities |
| Lefkowitz, Shimon | Operational/Managerial Control · Individual | 0% | 6 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install proper backup exit lighting.
Construction2E
- E
Meet requirements for sections of health care facilities separated by fire resistive construction.
- E
Use approved construction type or materials.
Gas, Vacuum, and Electrical Systems1F
- F
Have proper power supply for life support equipment.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
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Caton Park Rehabilitation and Nursing Center, LLC
Brooklyn, NY
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 47 min
- Fines
- $0
-
Ditmas Park Care Center
Brooklyn, NY
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 44 min
- Fines
- $0
-
The Monarch at Brooklyn Rehabilitation and Nursing
Brooklyn, NY · Carerite Centers
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 2 h 56 min
- Fines
- $0