Queen Of Peace Residence - Queens Village Nursing Home
General Information
UPDATEFederal Provider Number
335606
Provider Name
QUEEN OF PEACE RESIDENCE
Provider Address
110 30 221ST ST
QUEENS VILLAGE, NY 11429
QUEENS VILLAGE, NY 11429
Provider Phone Number
7184641800
Provider SSA County
590
Provider County Name
Queens
Ownership Type
Non profit - Corporation
Number of Certified Beds
53
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
QUEEN OF PEACE RESIDENCE
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.71346
Reported LPN Staffing Hours per Resident per Day
0.19808
Reported RN Staffing Hours per Resident per Day
1.19423
Reported Licensed Staffing Hours per Resident per Day
1.39231
Reported Total Nurse Staffing Hours per Resident per Day
4.10577
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05481
Expected CNA Staffing Hours per Resident per Day
2.34908
Expected LPN Staffing Hours per Resident per Day
0.60225
Expected RN Staffing Hours per Resident per Day
0.84194
Expected Total Nurse Staffing Hours per Resident per Day
3.79328
Adjusted CNA Staffing Hours per Resident per Day
2.83430
Adjusted LPN Staffing Hours per Resident per Day
0.27299
Adjusted RN Staffing Hours per Resident per Day
1.05984
Adjusted Total Nurse Staffing Hours per Resident per Day
4.36296
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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Hollis Park Manor Nursing Home
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Chapin Home For The Aging
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Margaret Tietz Center For Nursing
164 11 Chapin Parkway |
JAMAICA NY 11432 | 3.5 miles away
Meadow Park Rehab Hlth Ctr L L C
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Silvercrest Center For Nursing And Rehabilitation
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Little Neck Care Center
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Jamaica Hospital T C U
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Jamaica Hospital Nursing Home
89-40 135th Street |
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Ozanam Hall Of Queens Nursing
42 41 201st Street |
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St Marys Hospital For Children Inc
29 01 216 Street |
BAYSIDE NY 11360 | 5.2 miles away
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