82/100
Above average
5285 Lewiston Road, Lewiston, NY 14092
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: October 15, 2024 (1 year ago).
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Administration Deficiencies
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.
No actual harm, minimal potential
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, minimal potential
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, 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.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Actual harm to a resident
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Part of ASCENSION LIVING, which operates 16 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| SHADBOLT, ERIN | Individual | CORPORATE DIRECTOR | — |
| SMOOT, KENNETH | Individual | CORPORATE DIRECTOR | — |
| MUSGRAVE, LISA | Individual | CORPORATE OFFICER | — |
| BOTHWELL, DENISE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SAUVAGEAU, PHILIP | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ASCENSION HEALTH SENIOR CARE | Organization | ADP OF THE SNF | — |
| HEALTH DIMENSIONS CONSULTING INC | Organization | ADP OF THE SNF | — |
| MEDICAL SOLUTIONS LLC | Organization | ADP OF THE SNF | — |
| MINIMUM DATA SET CONSULTANT LLC | Organization | ADP OF THE SNF | — |
| SHIFTMED, LLC | Organization | ADP OF THE SNF | — |
| BOTHWELL, DENISE | Individual | ADP OF THE SNF | — |
| MUSGRAVE, LISA | Individual | ADP OF THE SNF | — |
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Our Lady Of Peace Nursing Care Residence holds an ElderGrade of B (82 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 11 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Our Lady Of Peace Nursing Care Residence is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.