OUR LADY OF PEACE NURSING CARE RESIDENCE

5285 LEWISTON ROAD
LEWISTON, NY, 14092
7162982900
CCN: 335843
5
Overall
4
Health
4
Staffing
5
Quality
ChainASCENSION LIVING
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ASCENSION HEALTH SENIOR CARE5% OR GREATER DIRECT OWNERSHIP INTEREST100%
SHADBOLT, ERINCORPORATE DIRECTORNOT APPLICABLE
SMOOT, KENNETHCORPORATE DIRECTORNOT APPLICABLE
MUSGRAVE, LISACORPORATE OFFICERNOT APPLICABLE
BOTHWELL, DENISEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAUVAGEAU, PHILIPOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (11)
2024-10-15 · Health
C
F836 · 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.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
B
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2023-07-25 · Health
D
F656 · 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.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
2022-11-23 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
G
F600 · 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.
2020-01-10 · Health
D
F758 · Pharmacy Service Deficiencies
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
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.57
3.68
RN Hrs/Resident/Day
0.45
0.54
LPN Hrs/Resident/Day
1.00
0.81
CNA Hrs/Resident/Day
2.12
2.33
PT Hrs/Resident/Day
0.07
0.12
Data as of 2026-03-01