Woodside, NY

Queens Boulevard Extended Care Facility

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

61 11 Queens Boulevard, Woodside, NY

(718) 205-0288

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

280

Certified beds

Average residents

259

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1995-12-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.03

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.22

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.62

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.87

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.65

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.87

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

2.78

CMS adjusted total nurse staffing hours

Case-mix index

1.91

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

45%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,774

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

35.08

Composite VBP score used to determine payment impact.

Payment multiplier

0.9888

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.81

Baseline 18.67% · Performance 18.28% · Measure score 6.81 · Achievement 6.81 · Improvement 1.89

Healthcare-associated infections

2.63

Baseline 9.02% · Performance 7.76% · Measure score 2.63 · Achievement 0 · Improvement 2.63

Total nurse turnover

4.59

Baseline 45.34% · Performance 44.91% · Measure score 4.59 · Achievement 4.59 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.36 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.18%	10.72% 1.5 pts better	No Different than the National Rate · Eligible stays 409 · Observed rate 7.82% · Lower 95% interval 7.47%
Discharge to community	61.78%	50.57% 11.2 pts better	Better than the National Rate · Eligible stays 415 · Observed rate 59.52% · Lower 95% interval 57.6%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	98.8%	95.27% 3.5 pts better	Numerator 328 · Denominator 332
Falls with major injury	0.3%	0.77% 0.5 pts better	Numerator 1 · Denominator 332
Discharge self-care score	62.72%	53.69% 9 pts better	Numerator 143 · Denominator 228
Discharge mobility score	68.42%	50.94% 17.5 pts better	Numerator 156 · Denominator 228
Pressure ulcers or injuries, new or worsened	3.01%	2.29% 0.7 pts worse	Numerator 10 · Denominator 332 · Adjusted rate 2.2%
Healthcare-associated infections requiring hospitalization	7.76%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 265 · Observed rate 7.92% · Lower 95% interval 5.13%
Staff COVID-19 vaccination coverage	1.77%	8.2% 6.4 pts worse	Numerator 9 · Denominator 509
Staff flu vaccination coverage	91.58%	42% 49.6 pts better	Numerator 500 · Denominator 546
Discharge function score	69.74%	56.45% 13.3 pts better	Numerator 159 · Denominator 228
Transfer of health information to provider	97.87%	95.95% 1.9 pts better	Numerator 92 · Denominator 94
Transfer of health information to patient	98.21%	96.28% 1.9 pts better	Numerator 165 · Denominator 168
Resident COVID-19 vaccinations up to date	24.31%	25.2% 0.9 pts worse	Numerator 44 · Denominator 181

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.7 0.3 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.3 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.3 0.3 pts worse	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.1%	91.2% 1.9 pts better	93.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 89.5% · Q2 94.5% · Q3 94.0% · Q4 94.7% · 4Q avg 93.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.8%	95.3% 2.5 pts worse	95.5% 2.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	3.0% 0.2 pts better	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.7% · Q3 2.2% · Q4 2.6% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	90.5%	18.5% 72 pts worse	11.4% 79.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 93.9% · Q3 90.1% · Q4 87.7% · 4Q avg 90.5%
Percentage of long-stay residents who lose too much weight	3.4%	6.1% 2.7 pts better	5.4% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.2% · Q3 3.5% · Q4 2.9% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.8%	13.5% 2.7 pts better	19.6% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 11.0% · Q3 10.8% · Q4 9.9% · 4Q avg 10.8%
Percentage of long-stay residents who received an antipsychotic medication	12.5%	14.8% 2.3 pts better	16.7% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 12.2% · Q3 10.3% · Q4 14.8% · 4Q avg 12.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	19.1%	15.1% 4 pts worse	16.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 21.5% · Q3 17.7% · Q4 15.6% · 4Q avg 19.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.9%	15.5% 6.4 pts worse	14.9% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 22.3% · Q3 23.3% · Q4 21.1% · 4Q avg 21.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.6% About the same	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 1.2% · Q3 0.3% · Q4 0.6% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	1.4% 1.6 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.3% · Q3 3.4% · Q4 3.3% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.9%	20.8% 7.9 pts better	19.8% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 12.7% · Q3 11.2% · Q4 13.4% · 4Q avg 12.9%
Percentage of long-stay residents with pressure ulcers	8.0%	6.9% 1.1 pts worse	5.1% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 8.5% · Q3 9.4% · Q4 7.5% · 4Q avg 8.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.2%	76.7% 12.5 pts better	81.7% 7.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 84.6% · Q2 89.9% · Q3 93.6% · Q4 88.4% · 4Q avg 89.2%
Percentage of short-stay residents who had an outpatient emergency department visit	9.5%	9.7% 0.2 pts better	12.0% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 9.5% · Observed 7.9% · Expected 9.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.2% 0.4 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.9% · Q3 1.2% · Q4 0.9% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.9%	78.8% 15.1 pts better	79.7% 14.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.9%	20.6% 0.3 pts worse	23.9% 3 pts better	Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 21.3% · Expected 24.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-21 · Fire 2024-06-21

3 health deficiencies

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

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-05-25 · Fire 2022-05-25

8 health deficiencies

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

20 fire-safety deficiencies

Top issue: Egress (7 deficiencies)

Cycle 3 Health 2019-08-09 · Fire 2019-08-09

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-06-21

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-07-02

D · Potential for more than minimal harm 2024-06-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-07-02

F · Potential for more than minimal harm 2022-05-25

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-08-04

F · Potential for more than minimal harm 2022-05-25

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-05-25

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-05-25

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 2022-08-04

E · Potential for more than minimal harm 2022-05-25

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-05-25

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-05-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-05-25

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-08-04

E · Potential for more than minimal harm 2022-05-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-08-04

D · Potential for more than minimal harm 2022-05-25

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-08-04

D · Potential for more than minimal harm 2022-05-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-08-04

D · Potential for more than minimal harm 2022-05-25

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2022-08-04

D · Potential for more than minimal harm 2019-08-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-09-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-06-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-06-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-06-21

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-06-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-08-02

D · Potential for more than minimal harm 2022-05-25

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-06-30

D · Potential for more than minimal harm 2022-05-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-06-30

D · Potential for more than minimal harm 2022-05-25

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-06-30

D · Potential for more than minimal harm 2022-05-25

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 2022-06-30

D · Potential for more than minimal harm 2022-05-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-06-30

D · Potential for more than minimal harm 2022-05-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-30

D · Potential for more than minimal harm 2022-05-25

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2022-06-30

D · Potential for more than minimal harm 2019-08-09

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-09-25

Penalties and ownership

What sits behind the stars

Ownership

Clemenza, Anthony

5% Or Greater Direct Ownership Interest · Individual

50% 3 facilities 2014-01-15

Clemenza, James

5% Or Greater Direct Ownership Interest · Individual

50% 1 facilities 2015-01-14

Al-Ebbinni, Emma