The Monarch at Brooklyn Rehabilitation and Nursing

Name: The Monarch at Brooklyn Rehabilitation and Nursing
Address: 135 Linden Boulevard, Brooklyn, NY, 11226, US
Telephone: 7186936060

135 Linden Boulevard, Brooklyn, NY 11226 · Kings County · 200 certified beds · avg 193 residents/day · certified since Oct 1, 1976

Part of chain: CARERITE CENTERS (34 facilities, chain avg rating 3.6★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.73

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 14, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 14, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 14, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 14, 2025	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 3, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 15, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Sep 15, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 3, 2022	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 3, 2022	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 3, 2022	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 3, 2022	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jan 3, 2022	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 3, 2022	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jan 3, 2022	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 3).

Year	Citations	Worst severity that year
2022	7	F
2023	10	E
2025	5	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.73	3.58	3.95	bottom 10% in New York; bottom 7% in the U.S.
Registered Nurse hours	0.59	0.68	0.69	top 45% in New York; top 49% in the U.S.
Weekend total nurse staffing	2.50	3.13	3.50	bottom 15% in New York; bottom 9% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.47	0.48	0.48	top 32% in New York; top 36% in the U.S.
Total nursing staff turnover (%)	44.1	40.3	45.8	bottom 40% in New York; top 48% in the U.S.
RN turnover (%)	52.5	39.8	42.9	bottom 22% in New York; bottom 32% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.84, RN 0.62, weekend 2.60. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Hoffman, Elky	Individual	5% or Greater Indirect Ownership Interest	50%	07/01/2021
JHSL 135 Opco LLC	Organization	5% or Greater Direct Ownership Interest	50%	07/01/2021
Zelman, Eliezer	Individual	5% or Greater Direct Ownership Interest	50%	07/01/2021
McLean-Davis, Winsome	Individual	W-2 Managing Employee	NOT APPLICABLE	07/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Caton Park Rehabilitation and Nursing Center, LLC	0.8 mi	Brooklyn, NY	★★★★☆	4/5
Ditmas Park Care Center	0.9 mi	Brooklyn, NY	★★★★★	4/5
Dr Susan Smith McKinney Nursing and Rehabilitation	0.9 mi	Brooklyn, NY	★★★★★	5/5
Rutland Nursing Home, INC	1.1 mi	Brooklyn, NY	★★★☆☆	2/5
Palm Gardens Center for Nursing and Rehabilitation	1.3 mi	Brooklyn, NY	★★☆☆☆	3/5
Downtown Brooklyn Nursing & Rehabilitation Center	1.6 mi	Brooklyn, NY	★★★★★	4/5
Crown Heights Center for Nursing and Rehabilitatio	1.6 mi	Brooklyn, NY	★★★☆☆	2/5
Brooklyn Center for Rehabilitation and Residential	2.1 mi	Brooklyn, NY	★★☆☆☆	2/5
Schulman and Schachne Institute for Nursing and Re	2.1 mi	Brooklyn, NY	★★★☆☆	2/5
Concord Nursing and Rehabilitation Center	2.3 mi	Brooklyn, NY	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Brooklyn →

Facility data as of CMS processing date 2026-08-01. CCN 335560.

The Care File

Visit checklist — The Monarch at Brooklyn Rehabilitation and Nursing

135 Linden Boulevard, Brooklyn, NY 11226 · 7186936060

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335560 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)