Bayside, NY

Ozanam Hall Of Queens Nursing Home Inc

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

42 41 201st Street, Bayside, NY

(718) 423-2000

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

432

Certified beds

Average residents

372

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Carmelite Sisters For The Aged And Infirmed

Operator or chain grouping

Approved since

1972-09-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing

LPN hours / resident day

0.52

Licensed practical nurse staffing

Aide hours / resident day

2.34

Nurse aide staffing

Weekend hours

3.40

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

32%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.7
0.1 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.3
0.2 pts better
1.8
0.7 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 74.8%
91.2%
16.4 pts worse
93.4%
18.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.4%
95.3%
1.1 pts better
95.5%
0.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
3.0%
About the same
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 9.9%
18.5%
8.6 pts better
11.4%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.9%
6.1%
2.8 pts worse
5.4%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.5%
13.5%
4 pts better
19.6%
10.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.9%
14.8%
6.9 pts better
16.7%
8.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 23.0%
15.1%
7.9 pts worse
16.3%
6.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 17.0%
15.5%
1.5 pts worse
14.9%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.6%
0.1 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.9%
1.4%
2.5 pts worse
1.7%
2.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.1%
20.8%
4.3 pts worse
19.8%
5.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.5%
6.9%
3.4 pts better
5.1%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 45.6%
76.7%
31.1 pts worse
81.7%
36.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.3%
9.7%
2.4 pts better
12.0%
4.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.3%
1.2%
0.1 pts worse
1.6%
0.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 67.0%
78.8%
11.8 pts worse
79.7%
12.7 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.4%
20.6%
0.2 pts better
23.9%
3.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-03 · Fire 2024-10-03

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-07-19 · Fire 2022-07-19

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-10-21 · Fire 2019-10-21

5 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-10-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-27

E · Potential for more than minimal harm 2024-10-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-27

E · Potential for more than minimal harm 2024-10-03

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-03

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-11-27

C · Minimal harm 2024-10-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-27

F · Potential for more than minimal harm 2022-07-19

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-09-18

F · Potential for more than minimal harm 2022-07-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-09-09

E · Potential for more than minimal harm 2022-07-19

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-10-10

D · Potential for more than minimal harm 2022-07-19

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-09-18

D · Potential for more than minimal harm 2022-07-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-18

D · Potential for more than minimal harm 2022-07-19

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-09-18

D · Potential for more than minimal harm 2022-07-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-09-18

D · Potential for more than minimal harm 2022-07-19

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2022-09-18

E · Potential for more than minimal harm 2019-10-21

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2019-12-18

C · Minimal harm 2019-10-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-16

C · Minimal harm 2019-10-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-12-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-03

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-03

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-03

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-03

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-10-03

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-27

E · Potential for more than minimal harm 2022-07-19

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-07-19

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-07-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-07-19

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-07-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-31

D · Potential for more than minimal harm 2019-10-21

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2019-12-15

D · Potential for more than minimal harm 2019-10-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-12-15

D · Potential for more than minimal harm 2019-10-21

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-12-15

D · Potential for more than minimal harm 2019-10-21

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2019-12-11

C · Minimal harm 2019-10-21

F577 · Resident Rights Deficiencies

Health

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

Corrected 2019-11-29

Penalties and ownership

What sits behind the stars

Ownership

Carmelite Sisters For The Aged And Infirm, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 3 facilities 1969-03-18
Roman Catholic Disocese Of Brooklyn

5% Or Greater Direct Ownership Interest · Organization

50% 1 facilities 1969-03-18
Bowden, Mary

Operational/Managerial Control · Individual

0% 2 facilities 2015-03-01
Bowden, Mary

Corporate Director · Individual

0% 2 facilities 2015-03-01
Bowden, Mary

Contracted Managing Employee · Individual

0% 2 facilities 2015-03-01
Devlin, Leslee

Corporate Director · Individual

0% 1 facilities 2007-06-11
Fonti, Joseph

Corporate Officer · Individual

0% 1 facilities 2023-05-09
Gathers, Patricia

Corporate Officer · Individual

0% 4 facilities 2021-06-01
Gelfant, Michael

Corporate Director · Individual

0% 1 facilities 2021-04-16
Heery, Mary

Corporate Officer · Individual

0% 6 facilities 2015-03-01
Kasper, Rose Marie

Corporate Director · Individual

0% 4 facilities 2015-03-01
Keating, Patrick

Corporate Director · Individual

0% 2 facilities 2017-10-25
Lynch, Patricia

Corporate Director · Individual

0% 3 facilities 1989-05-02
Mcaleer, Marty

Corporate Director · Individual

0% 1 facilities 2018-06-01
Pfeffer, Theresa

Corporate Director · Individual

0% 4 facilities 2023-12-11
Powers, Keith

Corporate Director · Individual

0% 1 facilities 1997-03-04
Reilly, Patrica

Corporate Director · Individual

0% 1 facilities 2013-12-01
Tullis, Neola

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-21

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