Palm Gardens Center for Nursing and Rehabilitation — nursing home in Brooklyn, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 240 CMS-certified beds (not state-licensed beds)
Licensed beds: 187 state-licensed beds · New York State Department of Health
State license: 7001391N active · licensee Palm Gardens Care Center, LLC
Average residents per day: 230.8 CMS, MDS-derived
CMS Certification Number: 335328
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 1971
Ownership type: For profit - Limited Liability company
Operator (legal business name): Palm Gardens Care Center LLC
CMS chain: Shimon Lefkowitz 5 facilities
Phone: (718) 633-3300
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Dec 3, 2025

Citations

26

14 health · 12 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E8	F3
Minimal	A·	B·	C2

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: 335328
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 240
First approved: Jun 1, 1971
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: 7001391N
State facility ID: 1392
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 187
Bed certifications: RHCF: 187 · Ventilator Dependent: 53
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: Palm Gardens 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
Dec 3, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Dec 3, 2025	Health	Health Standard	7	Potential harm	—	Open →
Aug 31, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 31, 2023	Health	Health Standard	6	Potential harm	—	Open →
Jun 18, 2021	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Jun 18, 2021	Health	Health Standard	1	Potential harm	—	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·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E8	F3
Minimal	A·	B·	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Dec 3, 2025	K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 17, 2025
Dec 3, 2025	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 17, 2025
Dec 3, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 17, 2025
Dec 3, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 17, 2025
Dec 3, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 17, 2025
Dec 3, 2025	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 29, 2026
Dec 3, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 29, 2026
Dec 3, 2025	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 29, 2026
Dec 3, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 29, 2026
Dec 3, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 29, 2026
Dec 3, 2025	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Jan 29, 2026
Dec 3, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Jan 29, 2026
Aug 31, 2023	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 Nov 18, 2023
Aug 31, 2023	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 18, 2023
Aug 31, 2023	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 18, 2023
Aug 31, 2023	K-0915	Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 18, 2023
Aug 31, 2023	F-0570	Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	F · Potential harm Widespread	Corrected Oct 23, 2023
Aug 31, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 23, 2023
Aug 31, 2023	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 Oct 23, 2023
Aug 31, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 23, 2023
Aug 31, 2023	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 23, 2023
Aug 31, 2023	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 23, 2023
Jun 18, 2021	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 12, 2021
Jun 18, 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	D · Potential harm Isolated	Corrected Aug 12, 2021
Jun 18, 2021	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 12, 2021
Jun 18, 2021	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 12, 2021

“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 staffing4.32

State avg 3.69US avg 3.90

Registered nurse (RN)0.85

State avg 0.73US avg 0.69

Licensed practical nurse0.62

State avg 0.76US avg 0.86

Nurse aide2.86

State avg 2.20US avg 2.35

Weekend total nurse3.98

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.80 (case-mix index 2.16).

Staff turnover

Total nursing staff turnover29.9%

State avg 40.3%US avg 45.3%

Registered nurse turnover31.4%

State avg 39.6%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 3, 2025
Cycle 1 health score: 28
Total weighted score: 30

Operating entity

Palm Gardens 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

2

Organizations

0

Individuals

2

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	100%	Dec 6, 2007

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	100%	Dec 6, 2007
Shimon Lefkowitz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 6, 2007

Same chain in New York

All 4 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
The Heritage Rehabilitation and Health Care Center 5606 15th Avenue, Brooklyn, NY 11219 CCN 335104	79		May 15, 2025	321 IJ	—

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: 615 Avenue C, Brooklyn, NY 11218
ZIP: 11218
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
Caton Park Rehabilitation and Nursing Center, LLC 1312 Caton Avenue, Brooklyn, NY 11226 CCN 335245	1 km	119	May 8, 2026	31	—
Ditmas Park Care Center 2107 Ditmas Avenue, Brooklyn, NY 11226 CCN 335648	1.3 km	200	Jul 14, 2026	34	—
The Monarch at Brooklyn Rehabilitation and Nursing 135 Linden Boulevard, Brooklyn, NY 11226 CCN 335560	2 km	200	Aug 14, 2025	424 open	—
The Heritage Rehabilitation and Health Care Center 5606 15th Avenue, Brooklyn, NY 11219 CCN 335104	2.1 km	79	May 15, 2025	321 IJ	—
Boro Park Center for Rehabilitation and Healthcare 4915 10th Avenue, Brooklyn, NY 11219 CCN 335470	2.2 km	510	May 6, 2024	36	—
Norwegian Christian Home and Health Center 1250 67th Street, Brooklyn, NY 11219 CCN 335523	3.1 km	135	Aug 16, 2024	13	—
Dr Susan Smith Mckinney Nursing and Rehabilitation 594 Albany Avenue, Brooklyn, NY 11203 CCN 335805	3.5 km	320	Oct 3, 2024	13	—
Rutland Nursing Home, Inc 585 Schenectady Avenue, Brooklyn, NY 11203 CCN 335537	3.8 km	538	Aug 11, 2026	542 harm2 open	$55k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335328	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335328	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	1392	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	1392	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335328

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