nursing home in Lewiston, NY
Our Lady of Peace Nursing Care Residence
5285 Lewiston Road, Lewiston, NY 14092 · (716) 298-2900
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Our Lady of Peace Nursing Care Residence at a glance
Our Lady of Peace Nursing Care Residence is a 250-bed non-profit nursing home in Lewiston, New York (Niagara County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the New York average of 3.
Residents receive about 3.4 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.6 hours.
Its most recent standard health inspection (October 15, 2024) found 3 health citations. The New York average is 8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 53.3% per year (state average 40.3%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 250
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ascension Living
- Medicare-certified since
- June 12, 2003
- Resident/family council
- Resident
- County
- Niagara County
- CMS Certification Number
- 335843
Ratings
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.8 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.39 hrs | 3.63 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.44 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.90 hrs | 2.15 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.04 hrs | 3.18 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 53.3% | 40.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 39.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 8 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 10 | 62.2 | 80.6 | Better |
Penalties
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,070 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 250 | 188 | 107 | |
| Average residents per day | 173 | 168 | 86 | |
| Occupancy | 69% | 90.5% | 80.9% |
Long-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.5% | 3.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.6% | 6.5% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 13.4% | 13.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.2% | 1.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.1% | 0.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.8% | 14.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 13.2% | 12.5% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.4% | 5.8% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.7% | 19.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.1% | 13.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 10.2% | 19.5% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 91.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | New York avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 84.1% | 78.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88.6% | 77.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 9 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Tag K0901 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | 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 · Tag K0222 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected December 13, 2024 |
| October 15, 2024 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | D Potential harm, isolated | Corrected December 13, 2024 |
| October 15, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 13, 2024 |
| October 15, 2024 Standard | 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. Administration Deficiencies · Tag F0836 | C No harm, widespread | Corrected December 13, 2024 |
| October 15, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | B No harm, pattern | Corrected December 13, 2024 |
| November 23, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected January 20, 2023 |
| November 23, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected January 20, 2023 |
| November 23, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected January 20, 2023 |
| November 23, 2022 Fire safety | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Tag K0225 | E Potential harm, pattern | Corrected January 20, 2023 |
| November 23, 2022 Fire safety | Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0908 | E Potential harm, pattern | Corrected January 20, 2023 |
| November 23, 2022 Fire safety | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Tag E0032 | C No harm, widespread | Corrected January 20, 2023 |
| November 23, 2022 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | C No harm, widespread | Corrected January 20, 2023 |
| November 23, 2022 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | C No harm, widespread | Corrected January 20, 2023 |
| November 23, 2022 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected January 20, 2023 |
| November 23, 2022 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 20, 2023 |
| November 23, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 20, 2023 |
| January 10, 2020 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected February 25, 2020 |
| January 10, 2020 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected February 25, 2020 |
| January 10, 2020 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | C No harm, widespread | Corrected February 25, 2020 |
| January 10, 2020 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected February 25, 2020 |
| January 10, 2020 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected February 25, 2020 |
| January 10, 2020 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 25, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE Organization | 5% or greater direct ownership interest | 100% | 07/01/2015 |
| ASCENSION HEALTH SENIOR CARE Organization | adp of the snf | NOT APPLICABLE | 07/01/2015 |
| BOTHWELL, DENISE Individual | adp of the snf | NOT APPLICABLE | 09/05/2023 |
| HEALTH DIMENSIONS CONSULTING INC Organization | adp of the snf | NOT APPLICABLE | 03/13/2024 |
| MEDICAL SOLUTIONS LLC Organization | adp of the snf | NOT APPLICABLE | 06/14/2017 |
| MINIMUM DATA SET CONSULTANT LLC Organization | adp of the snf | NOT APPLICABLE | 06/07/2021 |
| MUSGRAVE, LISA Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SAUVAGEAU, PHILIP Individual | adp of the snf | NOT APPLICABLE | 04/01/2012 |
| SHADBOLT, ERIN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SHIFTMED, LLC Organization | adp of the snf | NOT APPLICABLE | 06/07/2021 |
| SMOOT, KENNETH Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SHADBOLT, ERIN Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| SMOOT, KENNETH Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| MUSGRAVE, LISA Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| BOTHWELL, DENISE Individual | operational/managerial control | NOT APPLICABLE | 09/05/2023 |
| SAUVAGEAU, PHILIP Individual | operational/managerial control | NOT APPLICABLE | 04/01/2012 |
Other nursing homes near Our Lady of Peace Nursing Care Residence
Niagara Rehabilitation and Nursing Center
822 Cedar Avenue, Niagara Falls, NY 14301 · 4.1 mi
For-profit · 160 beds · Part of The Sherman Family
★★★★★2Below average- ★★★★★3Average
Elderwood at Wheatfield
2600 Niagara Falls Boulevard, Niagara Falls, NY 14304 · 7.9 mi
For-profit · 123 beds · Part of Elderwood
★★★★★2Below averageElderwood at Grand Island
2850 Grand Island Blvd, Grand Island, NY 14072 · 8.5 mi
For-profit · 90 beds · Part of Elderwood
★★★★★3AverageNorth Gate Health Care Facility
7264 Nash Road, North Tonawanda, NY 14120 · 10.4 mi
For-profit · 200 beds · Part of The McGuire Group
★★★★★4Above averageDegraff Memorial Hospital-Skilled Nursing Facility
445 Tremont Street, North Tonawanda, NY 14120 · 12.6 mi
For-profit · 80 beds
★★★★★4Above average
Frequently asked questions
What is Our Lady of Peace Nursing Care Residence's rating?
Our Lady of Peace Nursing Care Residence has 5 out of 5 stars on the CMS overall star rating. The average for New York nursing homes is 3 stars.
How many inspection citations did Our Lady of Peace Nursing Care Residence receive?
Its most recent standard health inspection found 3 citations, compared with a New York average of 8. Every citation is listed on this page with its severity.
Does Our Lady of Peace Nursing Care Residence accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Our Lady of Peace Nursing Care Residence?
It is non profit - corporation and part of Ascension Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Our Lady of Peace Nursing Care Residence and how do I contact it?
Our Lady of Peace Nursing Care Residence is at 5285 Lewiston Road, Lewiston, NY 14092. Phone: (716) 298-2900.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.