Queen of Peace Residence
110 30 221st St, Queens Village, NY 11429


Queen of Peace Residence is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 335606. The address is 110 30 221st St, Queens Village, NY 11429. The zip code is 11429. The phone number is 7184641800.


Queen of Peace Residence · 110 30 221st St, Queens Village, NY 11429

Federal Provider Number 335606
Provider Name QUEEN OF PEACE RESIDENCE
Address 110 30 221ST ST
QUEENS VILLAGE, NY 11429
Phone Number 7184641800
SSA County Code 590
County Name Queens
Ownership Type Non profit - Corporation
Certified Beds 53
Certified Beds Residents 52
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR
Date First Approved to Provide Medicare Medicaid Services 01/01/1977
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.93462
Reported LPN Staffing Hours per Resident per Day 0.31154
Reported RN Staffing Hours per Resident per Day 1.00096
Reported Licensed Staffing Hours per Resident per Day 1.3125
Reported Total Nurse Staffing Hours per Resident per Day 4.24712
Reported Physical Therapist Staffing Hours per Resident Per Day 0.05481
Expected CNA Staffing Hours per Resident per Day 2.30863
Expected LPN Staffing Hours per Resident per Day 0.64236
Expected RN Staffing Hours per Resident per Day 0.92231
Expected Total Nurse Staffing Hours per Resident per Day 3.8733
Adjusted CNA Staffing Hours per Resident per Day 3.11903
Adjusted LPN Staffing Hours per Resident per Day 0.40255
Adjusted RN Staffing Hours per Resident per Day 0.81091
Adjusted Total Nurse Staffing Hours per Resident per Day 4.41993
Cycle 1 Standard Survey Health Date 10/28/2016
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 11/20/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Standard Health Survey Date 11/25/2014
Total Weighted Health Survey Score 5.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Queen of Peace Residence

Owner Name Role Association Date
ANDRADES, SANDRA (Individual) DIRECTOR since 05/01/2010
ANDRADES, SANDRA (Individual) OFFICER since 05/01/2010
FERRUCCI, CAROL ANN (Individual) DIRECTOR since 01/01/2015
FERRUCCI, CAROL ANN (Individual) OFFICER since 01/01/2015
MCLOUGHLIN, SHEILA (Individual) DIRECTOR since 08/14/2007
MCLOUGHLIN, SHEILA (Individual) OFFICER since 08/14/2007
VADUKKOOT, CELINE (Individual) DIRECTOR since 05/17/2011
VADUKKOOT, CELINE (Individual) OFFICER since 05/17/2011
VADUKKOOT, CELINE (Individual) OPERATIONAL/MANAGERIAL CONTROL since 05/01/2011

Queens Village · Nursing Home

Windsor Park Nursing Home 212 40 Hillside Avenue, Queens Village, NY 11427

NY · Nursing Home

Ferncliff Nursing Home Co Inc 21 Ferncliff Drive, Rhinebeck, NY 12572
St Peters Nursing and Rehabilitation Center 301 Hackett Blvd, Albany, NY 12208
The Chateau At Brooklyn Rehab & Nursing Ctr 3457 Nostrand Avenue, Brooklyn, NY 11229
Cortland Regional Medical Center Inc 134 Homer Avenue, Cortland, NY 13045
Our Lady of Mercy Life Center 2 Mercycare Lane, Guilderland, NY 12084
Flushing Hospital Medical Center T C U 45th Avenue and Parsons Boulevard, Flushing, NY 11355
Bay Park Center for Nrsg and Rehab L L C 801 Co Op City Blvd, Bronx, NY 10475
Catskill Regional Medical Center S N F 68 Bushville Road, Harris, NY 12742
Wesley Gardens Corporation 3 Upton Park, Rochester, NY 14607
Daughters of Sarah Nursing Center 180 Washington Ave Ext, Albany, NY 12203
Andrus On Hudson 185 Old Broadway, Hastings On Hudson, NY 10706
Schaffer Extended Care Center, Inc 16 Guion Place, New Rochelle, NY 10802
Quantum Rehabilitation and Care Center 63 Oakcrest Avenue, Middle Island, NY 11953
Samaritan Senior Village, Inc 22691 Campus Drive, Watertown, NY 13601
Absolut Ctr for Nursing & Rehab Allegany L L C 2178 North Fifth Street, Allegany, NY 14706
Elderwood At Lake Placid 185 Old Military Road, Lake Placid, NY 12946
Waterview Hills Rehabilitation and Nrsg Ctr 537 Route 22, Purdy Station, NY 10578
Palisade Nursing Home Company 5901 Palisade Avenue, Bronx, NY 10471
Brothers of Mercy Nursing & Rehabilitation Center 10570 Bergtold Road, Clarence, NY 14031
Mcauley Residence 1503 Military Road, Kenmore, NY 14217
Hamilton Park Nursing and Rehabilitation Center 691 92nd Street, Brooklyn, NY 11228
Upper East Side Rehabilitation and Nursing Center 211 East 79 St, New York, NY 10021
Adira At Riverside Rehabilitation & Nursing 120 Odell Avenue, Yonkers, NY 10701
Sunshine Children's Home and Rehab Center 15 Spring Valley Road, Ossining, NY 10562
N Y S Vets Home At Oxford 4211 State Highway 220, Oxford, NY 13830
Cortlandt Healthcare L L C 110 Oregon Road, Cortlandt Manor, NY 10567
Lutheran Center At Poughkeepsie Inc 965 Dutchess Turnpike, Poughkeepsie, NY 12603
Nathan Littauer Hospital Nursing 99 East State Street, Gloversville, NY 12078
Garden Gate Health Care Facility 2365 Union Road, Cheektowaga, NY 14227
West Lawrence Care Center L L C 1410 Seagirt Blvd, Far Rockaway, NY 11691
Canterbury Woods 725 Renaissance Drive, Williamsville, NY 14221
St Anns Nursing Home Co Inc ( The Heritage) 920 Cherry Ridge Blvd, Webster, NY 14580
The Capital Living Nursing & Rehabilitation Centre 526 Altamont Ave, Schenectady, NY 12303
The Osborn 101 Theall Road, Rye, NY 10580
The Hurlbut 1177 East Henrietta Rd, Rochester, NY 14623
Cortland Park Rehabilitation and Nursing Center 193 Clinton Avenue, Cortland, NY 13045
St Marys Hospital for Children Inc 29 01 216 Street, Bayside, NY 11360
Absolut Ctr for Nursing & Rehab Houghton L L C 9876 Luckey Drive, Houghton, NY 14744
The New Jewish Home, Sarah Neuman 845 Palmer Avenue, Mamaroneck, NY 10543
Our Lady of Consolation Geriatric Care Center 111 Beach Drive, West Islip, NY 11795