QUEENS BOULEVARD EXTENDED CARE FACILITY
61 11 QUEENS BOULEVARD
WOODSIDE, NY, 11377
7182050288
CCN: 335791
4
Overall4
Health2
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| CLEMENZA, ANTHONY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| CLEMENZA, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| MAWERE, JONATHAN | CORPORATE OFFICER | NOT APPLICABLE |
| AL-EBBINNI, EMMA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| APUHIN, NAOMI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BUFANO, PAUL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CASTRO, AL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CAVANAGH, CAROL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CHODKOWSKI, STEFANIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CLEMENZA, AMANDA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CLEMENZA, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GARCIA, NICCOLO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KUI, KAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MATTHIAS, DIANA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MAWERE, JONATHAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MURRAY, MARY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PEZULICH, PAUL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROCHE, CHARLES | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SAMMON, MAUREEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SILVERO, NORRELE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SINGH, KATHY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| TORRES, JASON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VELEZ, VANESSA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KALPESH AMIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (12)
2024-06-21 · Health
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F638 · Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2022-05-25 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F578 · Resident Rights Deficiencies
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.
2019-08-09 · Health
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.87
RN Hrs/Resident/Day0.54
1.03
LPN Hrs/Resident/Day0.81
0.22
CNA Hrs/Resident/Day2.33
2.62
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01