Public Record
Our Lady of Peace Nursing Care Residence
Operated by Ascension Living
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 250
- Avg. residents per day
- 163.5
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 11
- Fire safety findings
- 28
- Inspections on file
- 7
- Last inspection
- 2024-10-15
*CMS
*CMS
*CMS
*CMS
Citations
11 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0836Generalno actual 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.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0607Generalno actual harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0600Seriousactual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0610Generalpotential for harm
Respond appropriately to all alleged violations.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0758Generalpotential for 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.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety17 deficiencies
- View inspection reportInspection3 deficiencies
- View inspection reportInspection2 deficiencies
- View inspection reportInspectionFire Safety8 deficiencies
- View inspection reportInspection3 deficiencies
- View inspection reportInspectionFire Safety3 deficiencies
- View inspection reportInspection3 deficiencies
Ownership
Ascension Living
16nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Our Lady of Peace Nursing Care Residence?
- Our Lady of Peace Nursing Care Residence is a Medicare- and Medicaid-certified nursing home in Lewiston, NY, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 335843.
- What is the CMS rating for Our Lady of Peace Nursing Care Residence?
- Our Lady of Peace Nursing Care Residence has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Our Lady of Peace Nursing Care Residence have?
- Our Lady of Peace Nursing Care Residence is certified for 250 beds. It serves an average of 163.5 residents per day.
- How many citations does Our Lady of Peace Nursing Care Residence have?
- Our Lady of Peace Nursing Care Residence has 11 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Our Lady of Peace Nursing Care Residence last inspected?
- Our Lady of Peace Nursing Care Residence was last inspected on October 15, 2024. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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