Has Palm Gardens Center for Nursing and Rehabilitation been fined?

CMS lists no fines in the last three years.

Does Palm Gardens Center for Nursing and Rehabilitation accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Palm Gardens Center for Nursing and Rehabilitation?

CMS lists 2 owners and managers, and links the home to Shimon Lefkowitz. Legal business name: PALM GARDENS CARE CENTER LLC.

Palm Gardens Center for Nursing and Rehabilitation

The record in brief

At its most recent standard inspection, on December 3, 2025, inspectors cited 7 health deficiencies (the New York average is 8.1, the national average 9.2).

None of its 14 health citations since June 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.34 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

31.5% of nursing staff left within the year CMS measured (New York average 40.3%).

CMS links it to Shimon Lefkowitz, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

106/21

608/23

712/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

December 3, 2025Standard inspection · 7 citations

E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 29, 2026

Inspectors wroteBased on record review and interviews conducted during the Recertification survey, the facility did not ensure there was sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the Payroll Based Journal Staffing Data report for 3rd Quarter 2025 triggered for low weekend staffing and review of staffing indicated that actual staffing levels were not maintained at par levels indicated in the Facility Assessment.
E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 29, 2026

Inspectors wroteBased on observation and interviews conducted during the Recertification survey, the facility did not ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety. This was evident during the Kitchen task. Specifically, Dietary staff were observed not wearing hair restraint appropriately while performing tasks in the kitchen.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2026

Inspectors wroteBased on observations and staff interviews conducted during the Recertification survey, the facility did not ensure that each resident was treated with respect, dignity and care in a manner that promotes maintenance or enhancement of their quality of life and recognizes each resident's individuality. This was evident for one (1) out of six (6) units (Unit 7) observed. Specifically, 6 (six) out of 38 residents (Resident #64, #85, #38, #245, #248 and #11) on the 7th floor, were served meals in a disposable 3 (three) compartment white colored foam containers with disposable plastic cutlery.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2026

Inspectors wroteNumber of residents sampled: 4Number of residents cited: 1 Based on observation, record review, and interviews conducted during the Recertification survey, the facility did not ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice. This was evident for one (1) out of four (4) residents (Resident #33) reviewed for Respiratory Care out of 38 sampled residents. Specifically, Resident #33 was observed on multiple occasions using oxygen with an undated nasal cannula.
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 29, 2026

Inspectors wroteNumber of residents sampled: 5Number of residents cited: 1 Based on record review and interviews conducted during the Recertification survey the facility did not ensure that the drug regimen of each resident was reviewed at least once a month by a Licensed Pharmacist. This was evident for 1 of 5 residents (Resident #14) reviewed for Unnecessary Meds, Chemical Restraints/Psychotropic Meds, and Med Regimen Review out of an investigative sample of 38 residents. Specifically, there was no documented evidence the Medication Regimen Review for Resident #14 was completed in August 2025.
C

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 29, 2026

Inspectors wroteBased on observations and interviews conducted during the Recertification survey, the facility did not ensure notice of the availability of the survey results were posted in areas of the facility that are prominent and accessible to the residents and the public. Specifically, there were no posted notices throughout the six (6) resident floors of the facility about the availability of survey results.
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) January 29, 2026

Inspectors wroteBased on observation, record review, and interviews conducted during the Recertification survey, the facility failed to ensure the nursing staff information was posted as required. Specifically, the daily nurse staffing information posting did not include the resident census, total number and actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift and was not maintained for a minimum of 18 months.

August 31, 2023Standard inspection · 6 citations

F

Assure the security of all personal funds of residents deposited with the facility.

F570 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on observation, record review, and interviews during the recertification survey from 8/24/23 - 8/31/23 the facility did not ensure that a surety bond was purchased to assure the security of all personal funds of residents deposited with the facility. This was evident for 60 residents with personal needs accounts (PNA) of 226 total residents. Specifically, the facility had a surety bond for an amount less than the total of all resident PNAs being held by the facility.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023
D

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.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on observations, interviews, and record review during the recertification and abbreviated survey, the facility did not ensure that a resident with limited mobility received appropriate services and assistance to prevent further contractures. This was evident for 1 of 1 resident reviewed for positioning and mobility (Resident #12). Specifically, Resident #12, a resident with a left hand contracture, was observed without a left palm grip hand roll (dole roll) in place as ordered.
D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on observation, record review, and interviews conducted during the recertification survey from 8/24/2023 to 8/31/2023, the facility did not ensure an account of all controlled drugs was maintained and periodically reconciled. This was evident for 1 of 6 units (Unit 6) observed for Medication Storage. Specifically, a Licensed Nurse (LPN) on Unit 6 did not reconcile a narcotics supply count for Resident #184.
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on record review and staff interviews conducted during the Recertification/Complaint survey, the facility did not ensure that irregularities identified by the pharmacist and forwarded to the facility were acted upon. Specifically, the facility failed to document in the resident's medical record that irregularities identified by the Consultant Pharmacist had been reviewed and what, if any, action has been taken to address the issues. This was evident for 1 out of 5 residents reviewed for Unnecessary Medications out of a sample of 35 residents. (Resident # 199) The finding is: The facility's Policy and procedure for Medication Regimen Review dated 11/28/2017, last revised 08/2022 documented: [...]
D

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.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 23, 2023

Inspectors wroteBased on observation, record reviews, and staff interviews during the Recertification / Complaint Survey, the facility did not ensure that residents were free from unnecessary antipsychotic medications. This was evident for 2 of 5 residents reviewed for Unnecessary Medications out of 35 sample residents. (Residents #199, and #206) Specifically, (1) Resident #199 was given antipsychotic medication (Quetiapine) for a documented indication of anxiety when the medication was being used for dementia-related behaviors without documented evidence of ongoing behaviors and the effectiveness of nonpharmacological interventions applied address them. Resident #199 did not receive a gradual dosage reduction of Quetiapine when the psychiatrist first recommended it, and there were no behaviors or rationale documented to explain why the reducation was not done.

June 18, 2021Standard inspection · 1 citation

D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 12, 2021

Inspectors wroteBased on observation, record review, and staff interview conducted during the Recertification survey, the facility did not ensure that medication and biologicals were discarded by expiration date. Specifically, a bottle of expired eye vitamins was observed in the stock medications in the medication room. This was evident on 1 of 6 units reviewed for Medication Storage (Unit 2).

Fire safety inspections

12 fire safety citations on file: 5 on December 3, 2025, 4 on August 31, 2023, 3 on June 18, 2021.

Every fire safety citation12 citations

F
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · December 3, 2025 · Corrected (the home has a date of correction)
E
Meet requirements for sections of health care facilities separated by fire resistive construction.

K 131 · December 3, 2025 · Corrected (the home has a date of correction)
E
Use approved construction type or materials.

K 161 · December 3, 2025 · Corrected (the home has a date of correction)
E
Install an approved automatic sprinkler system.

K 351 · December 3, 2025 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 3, 2025 · Corrected (the home has a date of correction)
F
Have proper power supply for life support equipment.

K 915 · August 31, 2023 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · August 31, 2023 · Corrected (the home has a date of correction)
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · August 31, 2023 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · August 31, 2023 · Corrected (the home has a date of correction)
D
Install proper backup exit lighting.

K 281 · June 18, 2021 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · June 18, 2021 · Corrected (the home has a date of correction)
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · June 18, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	New York	United States
All nursing staff (RN, LPN and aides)	4.34	3.63	3.86
Registered nurses	0.79	0.71	0.69
All nursing staff on weekends	4.02	3.18	3.42
Nurse aides	2.83
Licensed practical nurses	0.71
Nursing staff turnover (share who left in a year)	31.5%	40.3%	45.8%
Registered nurse turnover	38.2%	39.8%	42.9%
Administrators who left	0

CMS expects 5.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.47 on weekdays and 4.02 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 41.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.37 in April to June 2025 to 4.34 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.34	0.79	4.47	4.02	41.0%	0 of 90	232
Oct to Dec 2025	4.53	0.80	4.68	4.14	38.7%	0 of 92	224
Jul to Sep 2025	4.48	0.83	4.66	4.03	34.2%	0 of 92	231
Apr to Jun 2025	4.37	0.80	4.54	3.93	30.4%	0 of 91	228
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
New York, Jan to Mar 2026	3.55	0.68	3.72	3.13	9.8%	0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for New York

Job	Median	Middle half	Employed
New York, all employers
CNAs (nursing assistants)	$23.36	$21.04 to $24.99	87,990
LPNs and LVNs	$32.30	$29.52 to $37.00	39,400
Registered nurses	$52.62	$45.60 to $62.34	205,810
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	New York	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	29.0	14.1	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.2	0.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	6.6	1.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.2	3.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	3.1	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	27.4	12.5	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	22.0	6.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	6.9	13.7	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	27.6	20.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	11.8	9.6	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.9	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.6	1.4	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Palm Gardens Center for Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (41.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

41.1% this home

Worse than the national rate

US median of homes 51.5% · New York: 101 better, 157 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 344 eligible stays.

Potentially preventable readmissions

10.1% this home

No different from the national rate

US median of homes 10.7% · New York: 12 better, 5 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 172 eligible stays.

Infections that led to a hospital stay

9.5% this home

Worse than the national rate

US median of homes 7.1% · New York: 7 better, 21 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 290 eligible stays.

Self-care and mobility at discharge

33.3% this home

Median of homes: New York60.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 225 residents counted.

Falls with major injury

0.2% this home

Median of homes: New York0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 597 residents counted.

New or worsened pressure ulcers

1.4% this home

Median of homes: New York2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 597 residents counted.

Medication list given at discharge

98.1% this home

Median of homes: New York98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 103 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: PALM GARDENS CARE CENTER LLC. CMS links this home to Shimon Lefkowitz, a group of 5 nursing homes averaging 2.8 stars overall.

Name	Role	Type	Share	Since
Lefkowitz, Shimon	5% or greater direct ownership interest	Individual	100%	12/06/2007
Lefkowitz, Shimon	Operational/managerial control	Individual		12/06/2007

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on December 3, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on December 3, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on December 3, 2025: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 3, 2025: "Provide safe and appropriate respiratory care for a resident when needed."

Other nursing homes nearby

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The Heritage Rehabilitation and Health Care Center
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Norwegian Christian Home and Health Center
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Rutland Nursing Home, Inc
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Assisted living in Brooklyn

Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.

Signature Senior Living
Brooklyn, 0.7 mi · licensed for 199 · 24 violations
Ateret Avot Assisted Living
Brooklyn, 1.9 mi · licensed for 85 · 0 violations
Norwegian Christian Home and Health Center
Brooklyn, 2 mi · licensed for 88 · 0 violations
Garden of Eden Assisted Living Program
Brooklyn, 2.5 mi · licensed for 201 · 31 violations
Cumberland Gardens NY Foundation EHP #6
Brooklyn, 2.9 mi · licensed for 47 · 0 violations

Assisted living in New York

New York contacts for a concern about a nursing home

These are the official offices in New York. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: New York State Department of Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: New York State Long Term Care Ombudsman Program, 1-855-582-6769. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: NYS Health Profiles: Nursing Homes, where New York publishes its own records on licensed homes.

Common questions

What is Palm Gardens Center for Nursing and Rehabilitation's Medicare star rating?: CMS rates Palm Gardens Center for Nursing and Rehabilitation 2 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Palm Gardens Center for Nursing and Rehabilitation get at its last inspection?: 7 health deficiencies at the standard inspection on December 3, 2025. The New York average is 8.1.
Has Palm Gardens Center for Nursing and Rehabilitation been fined?: CMS lists no fines in the last three years.
Does Palm Gardens Center for Nursing and Rehabilitation accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Palm Gardens Center for Nursing and Rehabilitation?: CMS lists 2 owners and managers, and links the home to Shimon Lefkowitz. Legal business name: PALM GARDENS CARE CENTER LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.