Queens Boulevard Extended Care Facility — nursing home in Woodside, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 280 CMS-certified beds (not state-licensed beds)
Licensed beds: 280 state-licensed beds · New York State Department of Health
State license: 7003410N active · licensee Queens Boulevard Extended Care Facility Management LLC
Average residents per day: 269.8 CMS, MDS-derived
CMS Certification Number: 335791
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 29, 1995
Ownership type: For profit - Limited Liability company
Operator (legal business name): Queens Boulevard Extended Care Facility Management LLC
CMS chain: Not part of a CMS-reported chain
Phone: (718) 205-0288
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 21, 2024

Citations

35

12 health · 23 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E8	F10
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335791
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 280
First approved: Dec 29, 1995
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 7003410N
State facility ID: 5904
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 280
Bed certifications: RHCF: 280
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: Queens Boulevard Extended Care Facility Management LLC · LLC
Initially licensed: Dec 18, 1995
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 21, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 21, 2024	Health	Health Complaint, Health Standard	4	Potential harm	—	Open →
May 25, 2022	Fire safety	Fire Safety Standard	20	Potential harm	—	Open →
May 25, 2022	Health	Health Standard	7	Potential harm	—	Open →
Aug 9, 2019	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 9, 2019	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E8	F10
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 21, 2024	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 2, 2024
Jun 21, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 2, 2024
Jun 21, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 2, 2024	Complaint
Jun 21, 2024	F-0638	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 2, 2024
Jun 21, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 2, 2024
Jun 21, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 2, 2024
May 25, 2022	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Aug 4, 2022
May 25, 2022	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0222	Add 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. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2022
May 25, 2022	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2022
May 25, 2022	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 4, 2022
May 25, 2022	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 4, 2022
May 25, 2022	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2022
May 25, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2022
May 25, 2022	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2022
May 25, 2022	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0541	Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 4, 2022
May 25, 2022	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0915	Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 4, 2022
May 25, 2022	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 4, 2022
May 25, 2022	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 30, 2022
May 25, 2022	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2022
May 25, 2022	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2022
May 25, 2022	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2022
May 25, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2022
May 25, 2022	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 30, 2022
May 25, 2022	F-0919	Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 30, 2022
Aug 9, 2019	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 30, 2019
Aug 9, 2019	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 25, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.71

State avg 3.69US avg 3.90

Registered nurse (RN)0.98

State avg 0.73US avg 0.69

Licensed practical nurse0.25

State avg 0.76US avg 0.86

Nurse aide2.47

State avg 2.20US avg 2.35

Weekend total nurse3.55

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.81 (case-mix index 1.84).

Staff turnover

Total nursing staff turnover38.5%

State avg 40.3%US avg 45.3%

Registered nurse turnover44.2%

State avg 39.6%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 21, 2024
Cycle 1 health score: 16
Total weighted score: 20

Operating entity

Queens Boulevard Extended Care Facility Management LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

31

Organizations

1

Individuals

29

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Anthony Clemenza	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Jan 15, 2014
James Clemenza	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Jan 14, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Anthony Clemenza	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Jan 15, 2014
James Clemenza	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Jan 14, 2015
Kalpesh Amin	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 26, 2024
Emma Al-Ebbinni	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 5, 2022
Naomi Apuhin	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 12, 2023
Paul Bufano	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 12, 2024
Al Castro	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 30, 2011
Carol Cavanagh	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 17, 2023
Stefanie Chodkowski	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 30, 2023
Amanda Clemenza	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 10, 2022
Anthony Clemenza	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 5, 2023
Niccolo Garcia	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 7, 2020
Kam Kui	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 30, 2016
Diana Matthias	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 9, 2022
Jonathan Mawere	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 15, 2014
Mary Murray	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 6, 2023
Paul Pezulich	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 17, 2021
Charles Roche	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 26, 2021
Maureen Sammon	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 27, 2025
Norrele Silvero	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 21, 2022
Kathy Singh	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2022
Jason Torres	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 12, 2023
Vanessa Velez	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 17, 2021
Jonathan Mawere	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 15, 2014
Kalpesh Amin	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 26, 2024
Anthony Abbate	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 15, 2014
Anthony Clemenza	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 23, 2024
James Clemenza	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 23, 2024
William Hallett	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 15, 2014
Kevin Howe	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2023
Jonathan Mawere	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 15, 2014

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: 61 11 Queens Boulevard, Woodside, NY 11377
ZIP: 11377
County: Queens County FIPS 36081
State: New York
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Regal Heights Rehabilitation and Health Care Cente 70-05 35th Avenue, Jackson Heights, NY 11372 CCN 335820	1.2 km	280	Feb 17, 2026	40	—
Central Queens Rehab & Nursing Center 69 95 Queens Midtown Expressway, Maspeth, NY 11378 CCN 335472	1.9 km	200	Aug 4, 2025	4010 open	—
Dry Harbor Nursing Home 61 35 Dry Harbor Road, Middle Village, NY 11379 CCN 335416	3.6 km	360	Apr 22, 2025	30	—
New York Center for Rehabilitation & Nursing 26-13 21st Street, Astoria, NY 11102 CCN 335838	3.7 km	280	May 13, 2025	16	—
Coler Rehabilitation and Nursing Care Center 900 Main Street, Roosevelt Island, NY 10044 CCN 335063	4.3 km	815	Apr 6, 2026	40	—
Park Terrace Care Center 59 20 Van Doren Street, Corona, NY 11368 CCN 335317	4.4 km	200	Sep 9, 2025	391 harm	$14k
Rego Park Nursing Home 111-26 Corona Avenue, Flushing, NY 11368 CCN 335379	4.7 km	200	Jan 16, 2025	30	—
Mary Manning Walsh Nursing Home Co Inc 1339 York Avenue, New York, NY 10021 CCN 335050	4.8 km	362	Dec 1, 2025	22	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335791	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335791	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	5904	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	5904	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335791

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction