Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Queens Boulevard Extended Care Facility

Woodside, NY · 280 certified beds · Last Life Safety survey June 21, 2024

CMS Certification Number 335791 · first certified December 1995

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NY

23 citations — more than 80% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (December 2025 to August 2026). Most NY facilities have been surveyed by January 2027. This facility’s last Life Safety survey was June 2024. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

2 of the 23 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 23 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility23NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
12019-08202022-0522024-06
Citations at each Life Safety survey
Survey dateCitations
August 9, 20191
May 25, 202220
June 21, 20242

Most-cited tags

Most-cited tags at this facility
K-03112K-03212K-09231K-03461K-03241E-00041K-02811K-02231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0311Have an enclosure around a vertical opening shaft.22024-06-21
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-06-21
K-0923Have proper medical gas storage and administration areas.12022-05-25
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12022-05-25
K-0324Provide properly protected cooking facilities.12022-05-25
E-0004Develop and maintain an Emergency Preparedness Program (EP).12022-05-25
K-0281Install proper backup exit lighting.12022-05-25
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12022-05-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Egress Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Egress Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2
Construction Deficiencies1
Services Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 21, 2024 — 2 citations

Citations issued on June 21, 2024
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (July 2, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 2, 2024)

May 25, 2022 — 20 citations

Citations issued on May 25, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (August 4, 2022)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (August 4, 2022)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (August 4, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 4, 2022)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (August 4, 2022)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 4, 2022)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (August 4, 2022)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (August 4, 2022)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (August 4, 2022)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (August 4, 2022)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (August 4, 2022)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 4, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 4, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 4, 2022)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (August 4, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 4, 2022)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (August 4, 2022)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (August 4, 2022)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (August 4, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (August 4, 2022)

August 9, 2019 — 1 citation

Citations issued on August 9, 2019
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 30, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.