B90

OUR LADY OF PEACE NURSING CARE RESIDENCE

Grade B 90/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

250

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

5285 LEWISTON ROAD, LEWISTON, NY 14092
7162982900

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.51h
LPN
1.14h
CNA
2.41h
Total
4.05h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ASCENSION HEALTH SENIOR CARE

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jul 2015

100%

BOTHWELL, DENISE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2023

SAUVAGEAU, PHILIP

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2012

SHADBOLT, ERIN

IndividualCORPORATE DIRECTORSince Jan 2024

SMOOT, KENNETH

IndividualCORPORATE DIRECTORSince Jan 2024

MUSGRAVE, LISA

IndividualCORPORATE OFFICERSince Jan 2024

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (11)

October 15, 2024Health3 deficiencies
0607BNo harm, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 13, 2024
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 13, 2024
0836CNo harm, Widespread

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

Corrected Dec 13, 2024
July 25, 2023Health2 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 22, 2023
0656DMinimal harm, Isolated

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

Corrected Sep 22, 2023
November 23, 2022Health3 deficiencies1 severe
0600GActual harm, Isolated

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

Corrected Jan 20, 2023
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 20, 2023
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 20, 2023
January 10, 2020Health3 deficiencies
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 25, 2020
0756DMinimal harm, Isolated

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

Corrected Feb 25, 2020
0758DMinimal harm, Isolated

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

Corrected Feb 25, 2020

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Frequently Asked Questions

What is the CareGrader rating for OUR LADY OF PEACE NURSING CARE RESIDENCE?

OUR LADY OF PEACE NURSING CARE RESIDENCE in LEWISTON, New York has a CareGrader grade of B (Good), with a composite score of 89.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for OUR LADY OF PEACE NURSING CARE RESIDENCE?

OUR LADY OF PEACE NURSING CARE RESIDENCE has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does OUR LADY OF PEACE NURSING CARE RESIDENCE have?

OUR LADY OF PEACE NURSING CARE RESIDENCE has 11 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

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 148 current residents (59% occupancy). The facility is located at 5285 LEWISTON ROAD, LEWISTON, New York 14092. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.