Queens Boulevard Extended Care Facility
Queens Boulevard Extended Care Facility Information
| Facility Name | Queens Boulevard Extended Care Facility |
| Location | 61 11 Queens Boulevard, Woodside, NY 11377 |
| County (SSA Code) | Queens (590) |
| Phone Number | 718-205-0288 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 280 |
| Average Number of Residents | 181.7 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1995-12-29 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.81382 |
| Reported LPN Staffing Hours per Resident per Day | 0.46091 |
| Reported RN Staffing - Hours per Resident per Day | 1.33294 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.79385 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.60767 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05504 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.28923 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.84883 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.47413 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.61219 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.06682 |
| Total Weighted Health Survey Score for three cycles | 16 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-09 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2017-10-16 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-07-22 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |