Our Lady of Peace Nursing Care Residence

Nursing Home · Lewiston, NY

CMS overall rating 5/5 Non profit - Corporation

CMS certification number335843

Contact & location

5285 Lewiston Road
Lewiston, NY 14092
Niagara County
Phone
(716) 298-2900
ZIP code
14092 – all care providers

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Facility details

Certified beds
250
Residents per day
172.6 (69% occupied)
Ownership
Non profit - Corporation
Legal name
Our Lady of Peace INC
Chain
Ascension Living (12 facilities, avg 2.8★)
Medicare certified since
June 12, 2003
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.0
Health inspections★★★★★ 5/5
State avg 2.7
Staffing★★★★★ 3/5
State avg 2.8
Quality measures★★★★★ 5/5
State avg 3.9
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.39 (state 3.62 · U.S. 3.86)
Registered nurses (RN)
0.44 (state 0.71 · U.S. 0.69)
Licensed practical nurses
1.05 (state 0.76 · U.S. 0.86)
Nurse aides
1.90 (state 2.15 · U.S. 2.32)
Weekend total
3.04 (state 3.18 · U.S. 3.42)
Nursing staff turnover
53.3 (state 40.3 · U.S. 45.8)%
RN turnover
50.0 (state 39.8 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
October 15, 2024
Health deficiencies (last cycle)
3.0 (state 8.0 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
9 health · 28 fire safety · includes actual harm
DateCitationSeverityStatus
2024-10-15 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-13
2024-10-15 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.
F0836 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-12-13
2024-10-15 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2024-12-13
2022-11-23 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
G
Actual harm
Corrected 2023-01-20
2022-11-23 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-01-20
2022-11-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-01-20
2020-01-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2020-02-25
2020-01-10 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2020-02-25
2020-01-10 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2020-02-25

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Ascension Health Senior Care (organization)5%+ Direct Ownership Interest · 100%
Ascension Health Senior Care (organization)Administrator · NOT APPLICABLE
Bothwell, Denise (individual)Administrator · NOT APPLICABLE
Health Dimensions Consulting INC (organization)Administrator · NOT APPLICABLE
Medical Solutions LLC (organization)Administrator · NOT APPLICABLE
Minimum Data Set Consultant LLC (organization)Administrator · NOT APPLICABLE
Musgrave, Lisa (individual)Administrator · NOT APPLICABLE
Sauvageau, Philip (individual)Administrator · NOT APPLICABLE
Shadbolt, Erin (individual)Administrator · NOT APPLICABLE
Shiftmed, LLC (organization)Administrator · NOT APPLICABLE
Smoot, Kenneth (individual)Administrator · NOT APPLICABLE
Shadbolt, Erin (individual)Corporate Director · NOT APPLICABLE
Smoot, Kenneth (individual)Corporate Director · NOT APPLICABLE
Musgrave, Lisa (individual)Corporate Officer · NOT APPLICABLE
Bothwell, Denise (individual)Operational/managerial Control · NOT APPLICABLE
Sauvageau, Philip (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Our Lady of Peace Nursing Care Residence?

Our Lady of Peace Nursing Care Residence has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in New York.

How many beds does Our Lady of Peace Nursing Care Residence have?

It has 250 certified beds and cares for about 173 residents per day.

Has Our Lady of Peace Nursing Care Residence been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Our Lady of Peace Nursing Care Residence?

It is part of Ascension Living and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Our Lady of Peace Nursing Care Residence?

(716) 298-2900. The facility is located at 5285 Lewiston Road, Lewiston, NY 14092.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.