Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Monarch At Brooklyn Rehab And Nursing Center during CMS and state inspections, most recent first.
A deficiency was cited due to the facility's failure to keep an area free from accident hazards and to provide adequate supervision to prevent accidents. The environment lacked proper hazard controls and sufficient monitoring, increasing the risk of accidents.
Dirty Unit 4 Floors and Odor: The hallway, dayroom entrance, and pantry in Unit 4 were observed with dark stains, yellow grease-like buildup, and a heavy old odor while 26 residents were in the day room. An LPN said the area had always been dirty and that housekeeping had been told, while the RN supervisor and DON of housekeeping acknowledged the condition and said the unit's dementia population made cleaning take more time.
Care plans were not reviewed and revised after a resident's quarterly MDS. A resident with acute embolism, DM, and dementia had care plans for anticoagulant therapy and psychoactive drug use, but there was no documented evidence they were updated after the quarterly assessment or after Quetiapine was discontinued. RN, DON, and Admin interviews confirmed the care plans were expected to be updated with the MDS process.
MDS assessments contained inaccurate resident information. One resident’s annual MDS failed to capture multiple falls documented in the care plan, while another resident’s annual MDS incorrectly listed PTSD despite no supporting diagnosis in the medical record. The MDS Coordinator acknowledged the fall coding should have been included and confirmed the PTSD diagnosis was not present.
A resident with severe cognitive impairment reported to their family that they were struck on the head and upper back. The RN Supervisor assessed the resident and found no injuries, and the allegation was reported internally. However, the facility did not report the alleged abuse to the Department of Health within the required two-hour window, instead submitting the report more than 24 hours later, in violation of state regulations.
Failure to Maintain Accident-Free Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which could contribute to the risk of accidents for residents. Specific actions or inactions leading to this deficiency include the lack of appropriate hazard controls and insufficient monitoring or supervision in the affected area. No additional details about individual residents, their medical history, or their condition at the time of the deficiency are provided in the report.
Dirty Unit 4 Floors and Odor
Penalty
Summary
The facility failed to maintain a resident's right to a safe, clean, comfortable, and homelike environment in Unit 4. During observation, the hallway in front of the nursing station and elevator, the entrance by the dayroom, and the pantry were seen with dirt, dark brown stains, and old yellow-colored grease-like stains on the floor, along with a heavy strong old odor. There were 26 residents in the day room at the time of the observation. Interviews confirmed the condition of the unit had been ongoing. An LPN stated the hallway in front of the elevator and toward the day room had always been dirty and said residents on the dementia unit throw food and spit liquids on the floor, adding that housekeeping had been informed but nothing was done. The nursing supervisor stated management was aware of the dirty floor and that the environmental issues were being worked on. Housekeeping staff stated their duties included keeping the floor clean, removing garbage, and that evening staff were responsible for scrubbing or mopping the floor. The Director of Housekeeping stated there was at least one housekeeper on each unit and two evening porters who picked up garbage and dirty linen and buffed the hallway, and acknowledged awareness of the dirty floor in Unit 4.
Care Plans Not Reviewed After Quarterly Assessment
Penalty
Summary
The facility did not ensure that residents' Comprehensive Care Plans were reviewed and revised after each assessment. For Resident #8, who had diagnoses including acute embolism, diabetes mellitus, and non-Alzheimer's dementia, the quarterly MDS documented severe cognitive impairment and use of an anticoagulant. The resident had physician orders for Xarelto 20 mg daily for acute embolism and thrombus of the lower right extremity, and had also been prescribed Quetiapine for bipolar disorder before it was decreased and then discontinued. The Anticoagulation Therapy Comprehensive Care Plan was created for the resident's anticoagulant use and was updated on 03/31/2025 to state the plan of care was reviewed and would continue for the next 90 days, but there was no documented evidence that it was reviewed and revised after the quarterly MDS completed on 06/13/2025. The Psychoactive Drug Use Comprehensive Care Plan was also created for the resident's psychoactive medication use and was updated on 04/17/2025 to reflect the psychiatrist's dose reduction plan for Quetiapine, but there was no documented evidence that it was reviewed and revised after the quarterly MDS completed on 06/13/2025 or after Quetiapine was discontinued on 04/27/2025. During interviews, the RN supervisor stated that care plans are updated quarterly before the MDS is completed and that staff can see which care plans need updating in the electronic medical record, but she was not aware the resident's care plans were overdue. The DON and Administrator stated that care plans are updated quarterly with MDS assessments and were unaware why these care plans were not updated when the quarterly MDS was completed.
MDS assessments contained inaccurate resident information
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments accurately reflected resident status for 2 of 35 sampled residents. For Resident #188, who had diagnoses of anoxic brain injury, seizure, depression, and asthma, the annual MDS did not document any fall occurrence even though the care plan for falls listed actual falls on 09/18/2024, 12/14/2024, 02/01/2025, 03/07/2025, 04/02/2025, and 04/27/2025. The MDS Coordinator stated that Resident #188 had falls after the last assessment and that the annual MDS should have been coded for those falls. For Resident #12, who had unspecified dementia, schizophrenia, and major depressive disorder, the annual MDS documented severely impaired cognition, no behavior symptoms, and a diagnosis of Post Traumatic Stress Disorder. A review of the medical record did not reveal any diagnosis of Post Traumatic Stress Disorder. The MDS Coordinator stated they did not check the assessment for accuracy because the assessors were professionals, but after reviewing the record and speaking with the assessor, they confirmed that Resident #12 had no diagnosis of Post Traumatic Stress Disorder.
Failure to Timely Report Alleged Abuse to Authorities
Penalty
Summary
The facility failed to ensure that an alleged violation involving abuse was reported to the appropriate authorities within the required timeframe. On the evening of 07/10/2024, a resident's family informed the Registered Nurse Supervisor that the resident, who had diagnoses including Alzheimer's Disease, Depression, and Hypertension and was documented as having severely impaired cognition, reported being hit on the left side of the head and upper back. The nurse assessed the resident and found no physical injuries or pain. The allegation was reported to the Director of Nursing after 9:00 PM the same evening. Despite the facility's policy requiring immediate reporting of such allegations to the Administrator, Director of Nursing, and state authorities, the incident was not reported to the New York State Department of Health until the following evening, more than 24 hours after the initial allegation. Interviews with staff confirmed the delay in reporting, and the facility's investigation concluded the allegation was inconclusive. The deficiency was identified for failing to report the alleged abuse within the mandated two-hour timeframe as required by state regulations.
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What surveyors actually found near you
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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.
Illustrative
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Illustrative
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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 Rehabilitation And Nursing Center, Llc | 0.8 mi | ★★★★★ | 1 | 0 |
| Ditmas Park Care Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Dr Susan Smith Mckinney Nursing And Rehabilitation | 0.9 mi | ★★★★★ | 0 | 0 |
| Rutland Nursing Home, Inc | 1.1 mi | ★★★★★ | 1 | 0 |
| Palm Gardens Center For Nursing And Rehabilitation | 1.3 mi | ★★★★★ | 12 | 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 July 2026) and official state health department websites.