PALM GARDENS CENTER FOR NURSING AND REHABILITATION
snfNY
615 AVENUE C, BROOKLYN, NY 11218 · CCN 335328
Composite
55.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
240
Model
v1.2
Reads as: riskier than 55.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later lease_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
4.48
3.33
3.28
2.90–3.77
RN
0.75
0.43
0.39
0.25–0.58
Weekend total
4.09
3.03
3.11
—
Weekday total
4.64
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
224.3
4.48
0.75
0.74
2.99
4.09
39.1%
2025Q3
92
231.2
4.43
0.77
0.68
2.98
3.98
34.6%
2025Q2
91
228.0
4.32
0.74
0.70
2.88
3.88
30.8%
2025Q1
90
227.0
4.30
0.71
0.74
2.85
3.87
28.5%
2024Q4
92
227.9
4.35
0.76
0.72
2.88
3.97
29.0%
2024Q3
92
236.4
4.11
0.64
0.74
2.73
3.74
28.7%
2024Q2
91
235.1
4.07
0.55
0.75
2.77
3.78
29.0%
2024Q1
91
231.5
4.06
0.53
0.78
2.75
3.75
25.9%
2023Q4
92
233.9
4.18
0.58
0.83
2.77
3.83
29.3%
2023Q3
92
226.6
4.16
0.49
0.83
2.84
3.80
27.7%
2023Q2
91
225.7
4.09
0.47
0.81
2.80
3.69
25.9%
2023Q1
90
234.5
3.68
0.41
0.64
2.63
3.35
16.5%
2022Q4
92
241.9
3.50
0.33
0.58
2.59
3.17
12.7%
2022Q3
92
243.3
3.58
0.43
0.55
2.60
3.21
16.6%
2022Q2
91
240.6
3.60
0.47
0.55
2.58
3.23
15.1%
2022Q1
90
233.9
3.84
0.55
0.58
2.71
3.43
5.9%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
16
C × 2D × 9E × 4F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-03
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-01-29
2025-12-03
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2026-01-29
2025-12-03
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-01-29
2025-12-03
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2026-01-29
2025-12-03
Health
F0732
Post nurse staffing information every day.
C
2026-01-29
2025-12-03
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2026-01-29
2025-12-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-01-29
2023-08-31
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
F
2023-10-23
2023-08-31
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-10-23
2023-08-31
Health
F0688
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.
D
2023-10-23
2023-08-31
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-10-23
2023-08-31
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-10-23
2023-08-31
Health
F0758
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
2023-10-23
2023-08-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2023-10-08
2023-08-30
Health · complaint
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
E
2023-10-08
2021-06-18
Health
F0761
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.
D
2021-08-12
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
7
Owner
Role
Pct
From
Status
Source
LEFKOWITZ, SHIMON
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2007-12-06
current
pecos_ownership
PALM GARDENS REALTY LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
PALM GARDENS REALTY LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
SHIMON LEFKOWITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2007-12-06
ended 2026-05-18
pecos_ownership
PALM GARDENS REALTY LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
PALM GARDENS REALTY LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
PALM GARDENS REALTY LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$5,369,357
$1,511,766
—
—
—
1
propco
2023-12-31
$4,057,639
—
—
—
—
1
propco
2022-12-31
$3,332,453
—
—
—
—
1
propco
2021-12-31
$3,809,228
—
—
—
—
1
propco
2020-12-31
$1,675,332
—
—
—
—
1
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 36047
acs median gross
0
$1,643
2024-12-31
CENSUS_ACS5
county 36047
fmr
0
$2,529
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
1
$1,727
2024-12-31
CENSUS_ACS5
county 36047
fmr
1
$2,655
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
2
$1,849
2024-12-31
CENSUS_ACS5
county 36047
fmr
2
$2,910
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
3
$2,157
2024-12-31
CENSUS_ACS5
county 36047
fmr
3
$3,644
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
4
$2,341
2024-12-31
CENSUS_ACS5
county 36047
fmr
4
$3,959
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
5
$1,999
2024-12-31
CENSUS_ACS5
county 36047
acs median gross
$1,833
2024-12-31
CENSUS_ACS5
county 36047
acs recent mover gross
$2,624
2024-12-31
CENSUS_ACS5
zcta 11218
acs median gross
0
$1,684
2024-12-31
CENSUS_ACS5
zcta 11218
acs median gross
1
$1,883
2024-12-31
CENSUS_ACS5
zcta 11218
acs median gross
2
$2,029
2024-12-31
CENSUS_ACS5
zcta 11218
acs median gross
3
$2,575
2024-12-31
CENSUS_ACS5
zcta 11218
acs median gross
4
$2,764
2024-12-31
CENSUS_ACS5
zcta 11218
acs median gross
5
$2,044
2024-12-31
CENSUS_ACS5
zcta 11218
acs median gross
$1,981
2024-12-31
CENSUS_ACS5
zcta 11218
acs recent mover gross
$2,133
2024-12-31
CENSUS_ACS5
zip 11218
payment standard 110
0
$3,047
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 90
0
$2,493
2025-10-01
HUD_USER_SAFMR
zip 11218
safmr
0
$2,770
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 110
1
$3,201
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 90
1
$2,619
2025-10-01
HUD_USER_SAFMR
zip 11218
safmr
1
$2,910
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 110
2
$3,509
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 90
2
$2,871
2025-10-01
HUD_USER_SAFMR
zip 11218
safmr
2
$3,190
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 110
3
$4,389
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 90
3
$3,591
2025-10-01
HUD_USER_SAFMR
zip 11218
safmr
3
$3,990
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 110
4
$4,774
2025-10-01
HUD_USER_SAFMR
zip 11218
payment standard 90
4
$3,906
2025-10-01
HUD_USER_SAFMR
zip 11218
safmr
4
$4,340
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.