Our Lady of Peace Nursing Care ResidenceCMS ratings, inspections and fines
- Address
- 5285 Lewiston Road, Lewiston, NY 14092
- CCN
- 335843
- Ownership type
- Non-profit, corporation
- Certified beds
- 250
- Chain
- Ascension Living
- Residents per day
- 173
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Our Lady of Peace Nursing Care Residence an overall rating of 5 of 5 stars. The last standard survey was on 15 Oct 2024. The latest survey cycle has 3 health citations. The median for nursing homes in New York is 7. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Niagara County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 10 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 15 Oct 2024 | 3 | 7 |
| Cycle 2 | 23 Nov 2022 | 3 | 5 |
| Cycle 3 | No date | 3 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | E0 | F0 | |
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | B | Standard survey | 13 Dec 2024 |
| 15 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Dec 2024 |
| 15 Oct 2024 | F0836 | 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. | C | Standard survey | 13 Dec 2024 |
Survey cycle 2: 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Nov 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 20 Jan 2023 |
| 23 Nov 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 20 Jan 2023 |
| 23 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Jan 2023 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jan 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Feb 2020 |
| 10 Jan 2020 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 25 Feb 2020 |
| 10 Jan 2020 | F0758 | 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. | D | Standard survey | 25 Feb 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | 3.39 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.44 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 1.05 | 0.76 | |
| Nurse aides | 1.90 | 2.15 | |
| All nurse staff, weekends | 3.04 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 53.3%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.8% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.2% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Our Lady of Peace Inc
- Chain
- Ascension Living (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ascension Health Senior Care | 5% or greater direct ownership interest | 100% | 1 Jul 2015 |
| Ascension Health Senior Care | Adp of the snf | 1 Jul 2015 | |
| Health Dimensions Consulting Inc | Adp of the snf | 13 Mar 2024 | |
| Medical Solutions LLC | Adp of the snf | 14 Jun 2017 | |
| Minimum Data Set Consultant LLC | Adp of the snf | 7 Jun 2021 | |
| Shiftmed, LLC | Adp of the snf | 7 Jun 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Niagara County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Niagara Rehabilitation and Nursing Center | Niagara Falls | 2 of 5 | 8 | $0 | 15 Jul 2024 | |
| Schoellkopf Health Center | Niagara Falls | 3 of 5 | 8 | $0 | 22 Aug 2025 | |
| Elderwood at Wheatfield | Niagara Falls | 2 of 5 | 12 | $0 | 14 Aug 2024 | |
| North Gate Health Care Facility | North Tonawanda | 4 of 5 | 4 | $0 | 13 May 2026 | |
| Degraff Memorial Hospital-Skilled Nursing Facility | North Tonawanda | 3 of 5 | 5 | $0 | 3 Oct 2024 | |
| Lockport Rehab & Health Care Center | Lockport | 4 of 5 | 5 | $0 | 11 Mar 2026 | |
| Elderwood at Lockport | Lockport | 4 of 5 | 3 | $94,185 | 2 May 2025 | |
| Newfane Rehab & Health Care Center | Newfane | 2 of 5 | 9 | $0 | 5 Jun 2025 | |
| Absolut Center for Nursing and Rehabilitation at G | Gasport | 1 of 5 | 6 | $8,281 | 27 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Our Lady of Peace Nursing Care Residence (CCN 335843). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/our-lady-of-peace-nursing-care-residence-lewiston-ny-335843/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Our Lady of Peace Nursing Care Residence last inspected?
- The latest inspection with a citation in the CMS record was on 15 Oct 2024. It was a standard survey. It gave 3 citations. The standard survey before the last one was on 23 Nov 2022.
- Who operates Our Lady of Peace Nursing Care Residence?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Ascension Living. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Our Lady of Peace Nursing Care Residence a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.