Because of its designation as the widest avenue on Manhattan's East Side, Park Avenue originally carried the tracks of the New York and Harlem Railroad built in the 1830s, just a few years after the adoption of the Manhattan street grid.

The essential difference can be summarized this way: a nursing home is more of a permanent residence for people in need of 24/7 care, while a skilled nursing facility is a temporary residence for patients undergoing medically necessary rehabilitation treatment.

162 Medicare/Medicaid Nursing Homes & Skilled Nursing Facilities (SNF) in Houston and Suburbs.

Although the name “Park Avenue” was first used for part of Fourth Avenue around 1860, it was not until 1888 that a section of the street was officially renamed. The new name, while describing the improvements made to the street, was largely a marketing move.