OUR LADY OF PEACE NURSING CARE RESIDENCE
5285 LEWISTON ROAD, LEWISTON, NY 14092 · CCN 335843
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 250
- Avg residents/day
- 148.7
- Phone
- 7162982900
Inspection history vs New York & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | New York avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-10-15 | 3 | 7.7 | 9.5 | -4.7 better |
| 2 | 2022-11-23 | 3 | 6.1 | 9.8 | -3.1 better |
| 3 | 2020-01-10 | 5 | 5.7 | 9.3 | -0.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.57 | 37.6% |
| RN staffing (reported) | 0.45 | 11.8% |
| Total nurse staffing (adjusted) | 4.05 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- ASCENSION LIVING
- Facilities in chain
- 19
- Chain avg overall
- 2.60 / 5
Inspection citations (11)1 actual harm
- BF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-10-15 · Health · corrected 2024-12-13
Potential for minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-15 · Health · corrected 2024-12-13
Potential for more than minimal harm
- CF0836Ensure 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.2024-10-15 · Health · corrected 2024-12-13
Potential for minimal harm
- DF0610Respond appropriately to all alleged violations.2023-07-25 · Health · corrected 2023-09-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-25 · Health · corrected 2023-09-22
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-11-23 · Health · corrected 2023-01-20
Actual harm
- DF0610Respond appropriately to all alleged violations.2022-11-23 · Health · corrected 2023-01-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-11-23 · Health · corrected 2023-01-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-01-10 · Health · corrected 2020-02-25
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2020-01-10 · Health · corrected 2020-02-25
Potential for more than minimal harm
- DF0758Implement 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.2020-01-10 · Health · corrected 2020-02-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-07-01 |
| BOTHWELL, DENISE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-05 |
| SAUVAGEAU, PHILIP | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-04-01 |
| SHADBOLT, ERIN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| SMOOT, KENNETH | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| MUSGRAVE, LISA | Individual | CORPORATE OFFICER | — | 2024-01-01 |
Other facilities in LEWISTON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.