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OUR LADY OF PEACE NURSING CARE RESIDENCE

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OUR LADY OF PEACE NURSING CARE RESIDENCE is a non profit - corporation facility in LEWISTON, NY with 250 certified beds and a 5-star overall CMS rating. The facility has 11 deficiency records on file.

5285 LEWISTON ROAD, LEWISTON, NY 14092

Phone: 7162982900

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
335843
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
250
Residents
149
In Hospital
No
County
Niagara
Last Inspection
Oct 15, 2024

Staffing Data

RN Hours
0.45 (nat'l avg: 0.68)
LPN Hours
1.00
CNA Hours
2.12
Total Nursing Hours
3.57 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
37.6%
RN Turnover
11.8%

What the CMS Record Reveals About OUR LADY OF PEACE NURSING CARE RESIDENCE

OUR LADY OF PEACE NURSING CARE RESIDENCE operates 250 certified beds in LEWISTON, NY with approximately 149 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.57 total nursing hours per resident day (national average 3.89), with RN coverage at 0.45 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, OUR LADY OF PEACE NURSING CARE RESIDENCE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 37.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

C — Widespread - No harm Oct 15, 2024 Tag: 0836

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Category: Administration Deficiencies

Corrected: Dec 13, 2024

D — Isolated - Minimal harm Oct 15, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 13, 2024

B — Pattern - No harm Oct 15, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 13, 2024

D — Isolated - Minimal harm Jul 25, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 22, 2023

D — Isolated - Minimal harm Jul 25, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 22, 2023

D — Isolated - Minimal harm Nov 23, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 20, 2023

D — Isolated - Minimal harm Nov 23, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 20, 2023

G — Isolated - Actual harm Nov 23, 2022 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 20, 2023

D — Isolated - Minimal harm Jan 10, 2020 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 25, 2020

D — Isolated - Minimal harm Jan 10, 2020 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Feb 25, 2020

D — Isolated - Minimal harm Jan 10, 2020 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 25, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.2% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 81.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 84.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 8.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for OUR LADY OF PEACE NURSING CARE RESIDENCE?
OUR LADY OF PEACE NURSING CARE RESIDENCE has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at OUR LADY OF PEACE NURSING CARE RESIDENCE?
OUR LADY OF PEACE NURSING CARE RESIDENCE reports 3.57 total nursing hours per resident day (national average: 3.89). RN hours are 0.45 per resident day (national average: 0.68). Nursing staff turnover is 37.6%.
How many beds does OUR LADY OF PEACE NURSING CARE RESIDENCE have?
OUR LADY OF PEACE NURSING CARE RESIDENCE has 250 certified beds with approximately 149 residents. The facility is located at 5285 LEWISTON ROAD, LEWISTON, NY 14092.
Does OUR LADY OF PEACE NURSING CARE RESIDENCE have any deficiencies on record?
Yes, OUR LADY OF PEACE NURSING CARE RESIDENCE has 11 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has OUR LADY OF PEACE NURSING CARE RESIDENCE received any fines or penalties?
No, OUR LADY OF PEACE NURSING CARE RESIDENCE has no fines or penalties on record.
Who owns OUR LADY OF PEACE NURSING CARE RESIDENCE?
OUR LADY OF PEACE NURSING CARE RESIDENCE is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was OUR LADY OF PEACE NURSING CARE RESIDENCE last inspected?
The most recent health inspection for OUR LADY OF PEACE NURSING CARE RESIDENCE was on Oct 15, 2024. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for OUR LADY OF PEACE NURSING CARE RESIDENCE?
OUR LADY OF PEACE NURSING CARE RESIDENCE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial