Provider Name: QUEEN OF PEACE RESIDENCE
Address: 110-30 221ST STREET, QUEENS VILLAGE, NY 11429
Phone: (718) 464-1800
County: Queens (590)
Ownership Type: Non profit - Corporation
Certified Beds: 53
Average Residents Per Day: 42.8 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR
First Approved Date: January 1, 1977
Affiliated Entity: LITTLE SISTERS OF THE POOR (319)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 4 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.27166, LPN Staff Hours Per Day: 0.3555, RN Staff Hours Per Day: 1.2648, Licensed Staff Hours Per Day: 1.6203
Total Nurse Staff Hours Per Day, per resident: 4.89203
Weekend Nurse Staff Hours: 4.65184, Weekend RN Staff Hours: 0.8741
PT Staff Hours Per Day, per resident: 0.0846
Nurse Staff Turnover: 32.3, Nurse Turnover Note:
RN Turnover: 42.9, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1053, Case Mix LPN Hours Per Day: 0.7687, Case Mix RN Hours Per Day: 0.3575
Adjusted Nurse Aide Hours Per Day, per resident: 3.16591, Adjusted LPN Hours Per Day: 0.3413, Adjusted RN Hours Per Day: 1.3330
Total Adjusted Nurse Hours Per Day, per resident: 4.77163
Adjusted Weekend Nurse Hours Per Day, per resident: 4.53734
Health Survey Dates and Scores: Cycle 1: 2021-11-22 (Score: 16), Cycle 2: 2019-11-07 (Score: 0), Cycle 3: 2018-03-16 (Score: 8)
Total Weighted Health Score: 9.333
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 1, Total Penalties Number: 1
Location and GPS: 110-30 221ST STREET,QUEENS VILLAGE,NY,11429 (40.7059, -73.736)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-16
Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-04-24
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-04-24
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0211, Version: New
Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-18
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-03-18
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-21
Type: Fire Safety, Tag: 0351, Version: New
Description: Install an approved automatic sprinkler system.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-04-10
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-05-23