Niagara Rehabilitation and Nursing Center
Niagara Falls · 4.1 mi · 160 beds
Citations0Substantiated0
Our Lady of Peace Nursing Care Residence
5285 LEWISTON ROAD, Lewiston, NY, 14092
Nursing home250 licensed beds0 citations on record
2 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 3 deficiencies against Our Lady of Peace Nursing Care Residence in Lewiston, New York at its most recent standard inspection on 2024-10-15. 1 finding has been recorded at the actual-harm level. Medicare rates it 5 out of 5 overall.
5 / 5Medicare overall rating
250certified beds
3deficiencies at the last inspection
0immediate-jeopardy findings on record
1actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.8
Potential for minimal harmThe least serious band.2
Most recentDCBDDGDDDDD
The last 11 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-10-15 · standard survey · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0836 · 2024-10-15 · standard survey · No actual harm, potential for minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2024-10-15 · standard survey · No actual harm, potential for minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-07-25 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2023-07-25 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2022-11-23 · standard survey · Actual harm to a resident
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2022-11-23 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2022-11-23 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2020-01-10 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2020-01-10 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0758 · 2020-01-10 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below5 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS3.3904
Nursing staff turnoverShare of nursing staff who left in a year53.3%
Ownership
Who owns Our Lady of Peace Nursing Care Residence
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ASCENSION HEALTH SENIOR CARE | Organization | 100% | since 07/01/2015 |
| SHADBOLT, ERIN | Individual | NOT APPLICABLE | since 01/01/2024 |
| SMOOT, KENNETH | Individual | NOT APPLICABLE | since 01/01/2024 |
| MUSGRAVE, LISA | Individual | NOT APPLICABLE | since 01/01/2024 |
| BOTHWELL, DENISE | Individual | NOT APPLICABLE | since 09/05/2023 |
| SAUVAGEAU, PHILIP | Individual | NOT APPLICABLE | since 04/01/2012 |
| ASCENSION HEALTH SENIOR CARE | Organization | NOT APPLICABLE | since 07/01/2015 |
| HEALTH DIMENSIONS CONSULTING INC | Organization | NOT APPLICABLE | since 03/13/2024 |
| MEDICAL SOLUTIONS LLC | Organization | NOT APPLICABLE | since 06/14/2017 |
| MINIMUM DATA SET CONSULTANT LLC | Organization | NOT APPLICABLE | since 06/07/2021 |
| SHIFTMED, LLC | Organization | NOT APPLICABLE | since 06/07/2021 |
| BOTHWELL, DENISE | Individual | NOT APPLICABLE | since 09/05/2023 |
Part of the ASCENSION LIVING group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Schoellkopf Health Center
Niagara Falls · 4.3 mi · 120 beds
Citations0Substantiated0
Contact
Ask Our Lady of Peace Nursing Care Residence a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 335843.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction