Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Palm Gardens Center For Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment was involved in an incident where an LPN pulled them into an elevator, resulting in the resident falling. The incident was witnessed by several staff members, and video footage confirmed the events. The facility's policy on abuse was not adhered to, as the LPN's actions posed a potential for harm.
A facility failed to report a CNA administering medications without a license to the NYSDOH within 24 hours and did not notify local law enforcement. The incident involved 15 residents, many with severe cognitive impairments, and the CNA accessed the eMAR to administer 106 medications. The facility's policy required prompt reporting of such incidents, but the DON and Administrator misunderstood the reporting requirements.
A CNA at a facility administered medications to 15 residents without a nursing license, violating New York State Education Law and facility policy. The CNA was mistakenly allowed to perform LPN duties, including administering critical medications, due to a lack of verification by the supervising RN. This incident involved residents with severe cognitive impairments and complex medical conditions.
Resident Abuse Incident Involving LPN
Penalty
Summary
The facility failed to protect a resident from abuse, as evidenced by an incident involving a Licensed Practical Nurse (LPN) and a resident. On the evening of March 19, 2025, the LPN, returning from a break, encountered the resident in the first-floor lobby. The resident, who was severely cognitively impaired and had a history of aggressive behavior, was being verbally redirected by other staff members. Despite the resident's combative state, the LPN took the resident's hand and pulled them towards and into the elevator, resulting in the resident tumbling and sitting on the elevator floor. The incident was witnessed by several staff members, including Certified Nursing Assistants (CNAs), a Security Guard, and a Registered Nurse Supervisor. The facility's video surveillance footage corroborated the sequence of events, showing the LPN pulling the resident into the elevator and the resident falling. The resident was then pulled along the floor out of the elevator on their designated floor. The staff present did not physically intervene, and the Registered Nurse Supervisor later stated that they were in shock at the rapid unfolding of events. The resident, who was admitted with a diagnosis of severe cognitive impairment, did not recall the incident and denied any pain when assessed later. The facility's policy on abuse, mistreatment, neglect, and exploitation was in place to prevent such occurrences, but the actions of the LPN were contrary to these guidelines. The policy emphasized that abuse does not have to be intentional and can be considered abuse if there is potential for harm, which was evident in this situation.
Failure to Report Unauthorized Medication Administration
Penalty
Summary
The facility failed to implement policies and procedures for reporting a reasonable suspicion of a crime in accordance with section 1150B of the Social Security Act. On 07/10/2023, the Administrator and the Director of Nursing received a report that a Certified Nursing Assistant (CNA) administered medications to 15 residents without a nursing license. The facility reported the incident to the New York State Department of Health (NYSDOH) on 07/14/2023, four days after the incident occurred, which was not within the required 24-hour timeframe. Additionally, the facility did not report the incident to local law enforcement as required. The report highlights that the facility's policy, titled 'Reporting Abuse to State Agencies and Other Entities/Individuals,' mandates that all alleged or suspected violations or crimes be promptly reported to appropriate state agencies and other entities as required by law. Despite this policy, the facility did not adhere to the required reporting procedures. The Director of Nursing stated that they were unaware of the requirement to report the incident to local law enforcement and believed they had five days to report to the NYSDOH, not 24 hours. The incident involved 15 residents, many of whom were severely impaired in cognition, with diagnoses including respiratory failure, tracheostomy, diabetes, and other serious conditions. The CNA used their username and password to access the electronic Medication Administration Record (eMAR) and administered a total of 106 medications. The facility's investigation concluded that the CNA posed as a nurse and provided care to residents, leading to their termination. However, there was no documented evidence of abuse, neglect, or mistreatment of the residents.
Unauthorized Medication Administration by CNA
Penalty
Summary
The facility failed to comply with New York State Education Law and its own medication administration policy, resulting in a Certified Nursing Assistant (CNA) performing duties reserved for licensed nursing staff. On July 10, 2023, CNA #1 identified themselves as a Licensed Practical Nurse (LPN) and was permitted by Registered Nurse Supervisor #1 (RNS #1) to administer medications to residents, despite not holding a nursing license. This action was in direct violation of the New York Education Law Section 6512, which prohibits unauthorized practice of a profession, and Section 6509, which defines professional misconduct as allowing an unlicensed person to perform activities requiring a license. The incident involved 15 residents, all of whom received medications from CNA #1 during the evening shift. The electronic Medication Administration Record (eMAR) documented that CNA #1 administered various medications, including insulin, heparin, and other critical drugs, to residents with severe cognitive impairments and complex medical conditions such as tracheostomy, diabetes, and respiratory failure. The facility's policy clearly states that only licensed Registered Nurses (RNs) and LPNs are authorized to prepare, administer, and record medications, yet this policy was not adhered to. Interviews revealed that RNS #1 did not verify CNA #1's credentials or check the staffing schedule, leading to the unauthorized administration of medications. CNA #1 admitted to working as a nurse without a license and administering medications, including narcotics, to residents. The Assistant Director of Nursing (ADON) and Director of Nursing (DON) confirmed that staff verification procedures were not followed, contributing to the breach of professional standards and regulations.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Brooklyn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Caton Park Rehab And Nursing Center, L L C | 0.6 mi | — | 1 | 0 |
| Ditmas Park Care Center | 0.8 mi | — | 0 | 0 |
| The Monarch At Brooklyn Rehab And Nursing Center | 1.3 mi | — | 0 | 0 |
| The Heritage Rehabilitation And Health Care Center | 1.3 mi | — | 0 | 0 |
| Boro Park Center For Rehabilitation And Healthcare | 1.4 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.