01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-24 | 4 | 2025-11-24 | 7 |
| Cycle 2 | 2023-06-20 | 3 | 2023-06-20 | 4 |
| Cycle 3 | 2021-11-22 | 1 | 2021-11-22 | 3 |
CMS CCN 3356062026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Queen Of Peace Residence
110-30 221St Street · Queens Village, NY 11429 · Queens County
Certified beds53CMS provider file
Recent citation rows22current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
22 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-24 · HEALTHF0577Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-11-24 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-11-24 · HEALTHF0730Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-11-24 · HEALTHF0947Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-12-192025-11-24 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-01-162025-11-24 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-01-162025-11-24 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-01-162025-11-24 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-01-162025-11-24 · FIREK0912Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Correction field: Deficient, Provider has date of correction · 2026-01-162025-11-24 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-01-162025-11-24 · FIREK0921Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2026-01-162023-06-20 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2023-08-182023-06-20 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-08-182023-06-20 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2023-08-182023-06-20 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2023-07-272023-06-20 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2023-07-272023-06-20 · FIREK0918Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2023-07-272023-06-20 · FIREK0921Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2023-07-272021-11-22 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2021-12-162021-11-22 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2022-03-182021-11-22 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-03-182021-11-22 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2022-01-2103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- FERRUCCI, CAROLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2015
- BALLESTEROS, CHERYLLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/28/2023
- BEUTLER, JERIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/06/2021
- FERRUCCI, CAROLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2015
- ORMEROD, PATRICEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/06/2021
- HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOROrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1966
- BALLESTEROS, CHERYLLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/28/2023
- BEUTLER, JERIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/06/2021
- FERRUCCI, CAROLIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/09/2014
- JOHNSON, ERIKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/26/2009
- ORMEROD, PATRICEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/06/2021
- HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOROrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/1966
- BALLESTEROS, CHERYLLIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/28/2023
- BEUTLER, JERIIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/06/2021
- FERRUCCI, CAROLIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/09/2014
- JOHNSON, ERIKIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/26/2009
- ORMEROD, PATRICEIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/06/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours7.17per resident day
RN hours2.04per resident day
Weekend nurse hours6.78per resident day
Staff turnover28.6%CMS reported field
06 / LOCAL RECORDS
Open the Queens Village ledger →