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SHIMON LEFKOWITZ

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

5

States

3

Beds

694

Avg score

67.8

Avg turnover

37%

Federal fines

$240,971

Flags across this group

1 home is in or a candidate for the Special Focus Facility programme.

All 5 homes

B

78/100

Townview Health And Rehabilitation Center

Canonsburg, PA · Washington County

CMS 3/5118 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
39%
Serious cites
0

Townview runs about 3.56 nurse hours per resident per day, roughly 8% under the national average, and weekends drop further, about 6% below its own weekday staffing. Turnover sits at 38.8%, better than the 45.8% national figure, so the same faces are more likely to stick around, though the current record carries 16 deficiencies, including four tied to abuse and one serious enough to put a resident in harm's way. Inspectors last visited in October 2024. The staffing star comes in at 4 out of 5, but state inspectors gave it 3s on health inspections and quality measures.

B

74/100

The Heritage Rehabilitation And Health Care Center

Brooklyn, NY · Kings County

CMS 5/579 bedsFor-profitMedicaid
Nurse hours
3.23 /day
Staff turnover
35%
Serious cites
0

The Heritage in Brooklyn runs a 79-bed for-profit operation, and its inspection record is genuinely strong, a five-star health inspection rating with a survey done as recently as May 2025. But the staffing numbers tell a different story: 3.23 nurse hours per resident per day sits about 16% under the national average, weekends dip roughly another 10% below its own weekdays, and CMS gives it just two stars for staffing. Turnover at 34.8% is better than the 45.8% national figure, so the people who stay tend to stick. The record shows 14 deficiencies, including one at harm level and two tied to abuse, which is what separates a solid inspection from a clean one.

C

67/100

Palm Gardens Center For Nursing And Rehabilitation

Brooklyn, NY · Kings County

CMS 2/5240 bedsFor-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
32%
Serious cites
0

Palm Gardens runs 4.34 nurse hours per resident day, roughly 12% above the national average, and its 31.5% turnover is notably better than the 45.8% typical elsewhere. Those are real positives, and weekend coverage only dips about 7% below weekday levels. The catch is quality: CMS gives it 1 out of 5 stars on quality measures, with 16 deficiencies on record, one abuse-related, none at harm or jeopardy level, and a December 2025 inspection. A 240-bed for-profit LLC in Brooklyn carrying that quality score against otherwise decent staffing tells you the care process, not the hours, is where the trouble sits.

C

66/100

Center For Extended Care At Amherst

Amherst, MA · Hampshire County

CMS 1/5134 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
39%
Serious cites
0

Center For Extended Care At Amherst runs 134 certified beds under for-profit partnership ownership, and its staffing sits at 3.34 nurse hours per resident day, roughly 14% under the national figure of 3.86, with weekends about 3% thinner than weekdays. Turnover of 39.3% is better than the 45.8% national average, so the workforce is comparatively stable, but the inspection record is where this home struggles: 34 deficiencies, including 5 at harm or jeopardy level and 2 tied to abuse, plus one fine of $28,915. The most recent inspection was June 2025, and the low health inspection rating reflects how much has accumulated on that record.

D

54/100

Medway Country Manor Skilled Nursing & Rehabilitat

Medway, MA · Norfolk County

123 bedsFor-profitMedicaid
Nurse hours
3.24 /day
Staff turnover
41%
Serious cites
0

Special Focus Facility

Medway Country Manor runs 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86, and weekend staffing dips about 6% below what it manages on weekdays. The inspection record is the heavier issue: 67 deficiencies on file, seven at the harm or jeopardy level and six tied to abuse, plus four CMS fines totaling $280,591. Turnover at 40.8% is actually a little better than the 45.8% national figure, and the last inspection was recent, in March 2026. But CMS has placed this home in its Special Focus Facility program, which is reserved for a small share of homes with a persistent pattern of serious problems.