QUEENS BOULEVARD EXTENDED CARE FACILITY

61 11 QUEENS BOULEVARD
WOODSIDE, NY, 11377
7182050288
CCN: 335791
4
Overall
4
Health
2
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
CLEMENZA, ANTHONY5% OR GREATER DIRECT OWNERSHIP INTEREST50%
CLEMENZA, JAMES5% OR GREATER DIRECT OWNERSHIP INTEREST50%
MAWERE, JONATHANCORPORATE OFFICERNOT APPLICABLE
AL-EBBINNI, EMMAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
APUHIN, NAOMIOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BUFANO, PAULOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CASTRO, ALOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAVANAGH, CAROLOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CHODKOWSKI, STEFANIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CLEMENZA, AMANDAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CLEMENZA, ANTHONYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GARCIA, NICCOLOOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KUI, KAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MATTHIAS, DIANAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MAWERE, JONATHANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MURRAY, MARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PEZULICH, PAULOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROCHE, CHARLESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAMMON, MAUREENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SILVERO, NORRELEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SINGH, KATHYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TORRES, JASONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VELEZ, VANESSAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KALPESH AMINOPERATIONAL/MANAGERIAL CONTROLNOT 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/Day
3.87
3.68
RN Hrs/Resident/Day
1.03
0.54
LPN Hrs/Resident/Day
0.22
0.81
CNA Hrs/Resident/Day
2.62
2.33
PT Hrs/Resident/Day
0.07
0.12
Data as of 2026-03-01