The Heritage Rehabilitation and Health Care Center — nursing home in Brooklyn, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 79 CMS-certified beds (not state-licensed beds)
Licensed beds: 79 state-licensed beds · New York State Department of Health
State license: 7001392N active · licensee Palm Tree Care Center, LLC
Average residents per day: 75.9 CMS, MDS-derived
CMS Certification Number: 335104
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): Palm Tree Care Center LLC
CMS chain: Shimon Lefkowitz 5 facilities
Phone: (718) 851-1000
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest May 15, 2025

Citations

32

14 health · 18 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D17	E13	F·
Minimal	A·	B·	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: 335104
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 79
First approved: Jan 1, 1967
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: 7001392N
State facility ID: 1393
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 79
Bed certifications: RHCF: 79
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: Palm Tree Care Center, 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
May 15, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 15, 2025	Health	Health Standard	2	Potential harm	—	Open →
Aug 17, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 17, 2023	Health	Health Standard	1	Potential harm	—	Open →
Nov 26, 2021	Fire safety	Fire Safety Standard	14	Potential harm	—	Open →
Nov 26, 2021	Health	Health Standard	11	Immediate jeopardy	—	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·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D17	E13	F·
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction
May 15, 2025	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 30, 2025
May 15, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 29, 2025
May 15, 2025	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 18, 2025
May 15, 2025	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 18, 2025
May 15, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected May 28, 2025
Aug 17, 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	D · Potential harm Isolated	Corrected Sep 14, 2023
Aug 17, 2023	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 Sep 18, 2023
Nov 26, 2021	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	K · Immediate jeopardy Pattern	Corrected Jan 21, 2022
Nov 26, 2021	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 15, 2022
Nov 26, 2021	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 Jan 15, 2022
Nov 26, 2021	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2022
Nov 26, 2021	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 15, 2022
Nov 26, 2021	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 15, 2022
Nov 26, 2021	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2022
Nov 26, 2021	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 Jan 15, 2022
Nov 26, 2021	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 15, 2022
Nov 26, 2021	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 7, 2022
Nov 26, 2021	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 15, 2022
Nov 26, 2021	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2022
Nov 26, 2021	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2022
Nov 26, 2021	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2022
Nov 26, 2021	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2022
Nov 26, 2021	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	D · Potential harm Isolated	Corrected Jan 21, 2022
Nov 26, 2021	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 21, 2022
Nov 26, 2021	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	D · Potential harm Isolated	Corrected Jan 21, 2022
Nov 26, 2021	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 21, 2022
Nov 26, 2021	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 21, 2022
Nov 26, 2021	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 21, 2022
Nov 26, 2021	F-0711	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jan 21, 2022
Nov 26, 2021	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jan 21, 2022
Nov 26, 2021	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Jan 21, 2022
Nov 26, 2021	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 21, 2022

“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 staffing3.10

State avg 3.69US avg 3.90

Registered nurse (RN)0.63

State avg 0.73US avg 0.69

Licensed practical nurse0.47

State avg 0.76US avg 0.86

Nurse aide1.99

State avg 2.20US avg 2.35

Weekend total nurse2.71

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.96 (case-mix index 1.46).

Staff turnover

Total nursing staff turnover44.6%

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: May 15, 2025
Cycle 1 health score: 8
Total weighted score: 7

Operating entity

Palm Tree Care Center LLC

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

VerifiedLinked by exact legal name

CMS chain

Shimon Lefkowitz

5 facilities in 3 states. CMS chain ID 795.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.5

Ownership disclosures

Disclosures

10

Organizations

0

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Shimon Lefkowitz	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	98%	Jan 1, 2008
Chani Lefkowitz	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 15, 2009

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
Shimon Lefkowitz	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	98%	Jan 1, 2008
Chani Lefkowitz	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 15, 2009
Shimon Lefkowitz	Individual	Partner	GENERAL PARTNERSHIP INTEREST	not provided	Jan 1, 2008
Steven Badin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2024
Zev Binder	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 16, 2022
Shimon Lefkowitz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2008
Shimon Lefkowitz	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2008
Steven Badin	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 7, 2025
Zev Binder	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 7, 2025
Shimon Lefkowitz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2008

Same chain in New York

All 4 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Palm Gardens Center for Nursing and Rehabilitation 615 Avenue C, Brooklyn, NY 11218 CCN 335328	240		Dec 3, 2025	26	—

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: 5606 15th Avenue, Brooklyn, NY 11219
ZIP: 11219
County: Kings County FIPS 36047
State: New York
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Norwegian Christian Home and Health Center 1250 67th Street, Brooklyn, NY 11219 CCN 335523	1.1 km	135	Aug 16, 2024	13	—
Boro Park Center for Rehabilitation and Healthcare 4915 10th Avenue, Brooklyn, NY 11219 CCN 335470	1.3 km	510	May 6, 2024	36	—
Palm Gardens Center for Nursing and Rehabilitation 615 Avenue C, Brooklyn, NY 11218 CCN 335328	2.1 km	240	Dec 3, 2025	26	—
Bensonhurst Center for Rehabilitation & Healthcare 1740 84th Street, Brooklyn, NY 11214 CCN 335558	2.3 km	200	Jan 31, 2025	24	—
Hamilton Park Nursing and Rehabilitation Center 691 92nd Street, Brooklyn, NY 11228 CCN 335710	3.1 km	200	Feb 25, 2025	19	—
Caton Park Rehabilitation and Nursing Center, LLC 1312 Caton Avenue, Brooklyn, NY 11226 CCN 335245	3.1 km	119	May 8, 2026	31	—
Ditmas Park Care Center 2107 Ditmas Avenue, Brooklyn, NY 11226 CCN 335648	3.1 km	200	Jul 14, 2026	34	—
King David Center for Nursing and Rehabilitation 2266 Cropsey Avenue, Brooklyn, NY 11214 CCN 335545	3.6 km	271	Dec 3, 2025	31	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335104	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335104	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	1393	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	1393	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335104

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