615 AVENUE C, BROOKLYN, NY 11218
240 beds · For profit - Limited Liability company
CMS Provider #335328
Data updated: March 1, 2026
Overall Rating
★★★★★
Health Rating
★★★★★
Staffing Rating
★★★★★
Quality Rating
★★★★★
Daily nursing care
4.5 hrs/resident
Steady
Inspection findings
7
More issues
Ownership changes
0
For-profit LLC owned by Shimon Lefkowitz.
Complaint trend
Steady
Steady complaints with a moderate deficiency count in the most recent cycle.
Overall Rating
Health Inspection
Staffing Rating
Quality Rating
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This facility's profile is characterized by a high volume of nursing hours but a heavy reliance on contract labor and the lowest possible federal ratings for clinical quality measures.
The data indicates a facility with high gross staffing hours but significant challenges in care continuity and clinical quality measures. Records show that while the facility provides 4.48 total hours of nursing care per resident per day—which is higher than the New York state average of 3.65 hours—a substantial portion of this care is delivered by contract or agency staff rather than permanent employees. Specifically, 34.6% of all nursing care and 42.6% of registered nurse care is provided by outside agency workers, a level more than double what is typically considered stable for resident-staff relationships.
Further data points to a decline in clinical performance, as reflected in the overall quality measure rating dropped to 1 out of 5 stars. This score covers both short-term rehabilitation and long-term resident outcomes. Inspection history reflects a recent increase in findings, with 7 deficiencies noted in December 2025, including issues related to respiratory care, resident dignity, and fire safety obstructions. While the facility maintains a stable administration with zero departures in the last year and has improved its total nursing turnover rate to 28.6% (below the state average of 40.5%), the heavy reliance on agency staffing and the low quality measure scores remain the primary drivers of its current 2-star overall CMS rating.
Contract staff levels are significantly elevated, with 34.6% of all nursing care and 42.6% of registered nurse hours provided by agency workers.
The facility received the lowest possible rating (1 out of 5) for both long-stay and short-stay quality measures, indicating performance below federal benchmarks.
Recent inspection findings cited concerns regarding the adequacy of daily nursing staff levels and the posting of required staffing information.
This shows how the facility's federal ratings have changed over the past 24 months. Consistent high ratings suggest stable quality, while declining trends may warrant further investigation.
| Category | Apr 24 | Jun 24 | Aug 24 | Oct 24 | Dec 24 | Mar 25 | May 25 | Jul 25 | Nov 25 | Jan 26 | Mar 26 | Trend |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall | 3★ | 3★ | 1★ | 3★ | 3★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | |
| Staffing | 2★ | 2★ | 1★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | 2★ | |
| Health | 3★ | 3★ | 2★ | 3★ | 3★ | 3★ | 3★ | 3★ | 3★ | 3★ | 3★ |
Staffing depth is the strongest predictor of care quality. Facilities routinely cut staff on evenings and weekends — the shifts when falls happen and call lights go unanswered.
RN Hours Specifically
State avg total staffing: 3.7 hrs/resident/day
0
administrators departed in past year
Stable28.6%
State avg: 40.5%
35.3%
State avg: 40.5%
34.6%
of nursing hours from contract/agency staff
Very high — low continuitySource: PBJ data, 2025Q3
A facility's location matters — nearby hospitals, pharmacies, and public transit can make visits easier and ensure quick access to emergency care.
Walk Score
79
Very Walkable
Transit Score
98
Excellent Transit
Median Income
$87,759
Median Home Value
$920,900
Poverty Rate
13.3%
Age 65+
13.7%
Median Age
37
Pop. Density
73,318/mi²
Median Rent
$1,879
Google reviews provide firsthand accounts from residents' families and visitors.
Federal and state inspectors conduct regular surveys of every nursing home. Deficiencies listed here are problems found during those inspections.
| Date | Tag | Category | Description | Severity | Corrected | Type | IC |
|---|---|---|---|---|---|---|---|
| 12/3/2025 | 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Minimal harm | 1/29/2026 | Standard | |
| 12/3/2025 | 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | No harm | 1/29/2026 | Standard | |
| 12/3/2025 | 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | Minimal harm | 1/29/2026 | Standard | |
| 12/3/2025 | 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Actual harm | 1/29/2026 | Standard | |
| 12/3/2025 | 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | No harm | 1/29/2026 | Standard | |
| 12/3/2025 | 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Minimal harm | 1/29/2026 | Standard | |
| 12/3/2025 | 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Actual harm | 1/29/2026 | Standard | |
| 8/31/2023 | 0570 | Resident Rights Deficiencies | Assure the security of all personal funds of residents deposited with the facility. | Actual harm | 10/23/2023 | Standard | |
| 8/31/2023 | 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | Minimal harm | 10/23/2023 | Standard | |
| 8/31/2023 | 0688 | Quality of Life and Care Deficiencies | 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. | Minimal harm | 10/23/2023 | Standard |
When inspection deficiencies are serious enough, the government may impose financial penalties or deny Medicare/Medicaid payments.
No penalties or fines recorded for this facility.
Ownership structure and changes can affect facility quality.
Facilities in Chain
5
Chain Avg Rating
2.8 ★
Years Operating
54
| Owner Name | Type | Role | Ownership % | Association Date |
|---|---|---|---|---|
| LEFKOWITZ, SHIMON | Individual | — | 100% | 12/6/2007 |
| LEFKOWITZ, SHIMON | Individual | — | — | 12/6/2007 |
| LEFKOWITZ, SHIMON | Individual | — | 100% | 12/6/2007 |
| LEFKOWITZ, SHIMON | Individual | — | — | 12/6/2007 |
Recent news articles, lawsuits, and media coverage mentioning this facility.
Palm Gardens Center for Nursing and Rehabilitation in Brooklyn, NY is listed among the worst nursing homes in New York City, with references to prior lawsuits against rehabilitation and nursing homes in the area highlighting issues like neglect and fraud.
Details legal actions against Centers Health Care nursing facilities, including a June 2023 lawsuit by NY AG for fraud, neglect, and misuse of funds leading to resident deaths and mistreatment, and a November 2024 $45 million settlement.
Data updated: March 1, 2026 · CMS, OSCAR, state inspection records
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