Starfile

Starfile / Virginia

OUR LADY OF PEACE INC

751 HILLSDALE DRIVE, CHARLOTTESVILLE, VA 22901 · CCN 49A007

Ratings

Overall
★★★★☆ 4
Health inspection
★★★☆☆ 3
Quality measures
★★★★☆ 4
Staffing
★★★★★ 5

Facility

Ownership type
Non profit - Church related
Certified beds
30
Avg residents/day
29.5
Phone
4349731155

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityVirginia avgNational avgvs state
12023-01-12614.49.5-8.4 better
22021-03-25512.39.8-7.3 better
32019-07-11811.99.3-3.9 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning3

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.2836.7%
RN staffing (reported)0.9733.3%
Total nurse staffing (adjusted)4.98

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (19)2 actual harm

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-12 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  2. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-12 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  3. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-01-12 · Health · corrected 2023-03-07

    Potential for more than minimal harm

  4. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-12 · Health · corrected 2023-04-07

    Potential for more than minimal harm

  5. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-01-12 · Health · corrected 2023-03-07

    Actual harm

  6. GF0692Provide enough food/fluids to maintain a resident's health.2023-01-12 · Health · corrected 2023-03-07

    Actual harm

  7. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-03-25 · Health · corrected 2021-04-30

    Potential for more than minimal harm

  8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-03-25 · Health · corrected 2021-04-30

    Potential for more than minimal harm

  9. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-03-25 · Health · corrected 2021-04-30

    Potential for more than minimal harm

  10. 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.2021-03-25 · Health · corrected 2021-04-30

    Potential for more than minimal harm

  11. EF0880Provide and implement an infection prevention and control program.2021-03-25 · Health · corrected 2021-04-30

    Potential for more than minimal harm

  12. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

  13. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

  14. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

  15. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

  16. 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.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

  17. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

  18. DF0880Provide and implement an infection prevention and control program.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

  19. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2019-07-11 · Health · corrected 2019-08-15

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in CHARLOTTESVILLE

NameOverallBeds
WESTMINSTER CANTERBURY BLUE RI★★★★★27
MONROE HEALTH & REHAB CENTER★★★★☆180
CHARLOTTESVILLE HEALTH & REHABILITATION CENTER★★★☆☆105
ALBEMARLE HEALTH & REHABILITATION CENTER★★☆☆☆120
COLONNADES HEALTH CARE CENTER★★☆☆☆34

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.