Our Lady Of Peace Nursing Care Residence
Lewiston, Niagara County, New York · CCN 335843 · Non-profit (Corporation) · part of Ascension Living (12 facilities, chain average 2.8 stars)
CMS rates Our Lady Of Peace Nursing Care Residence 5 of 5 overall as of August 2026. 250 certified beds, 173 residents a day on average. 9 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 5 of 5 |
Staffing
| Total nurse staffing | 3.3904 hours per resident per day |
|---|---|
| Registered nurses | 0.43979 hours per resident per day |
| Weekend total | 3.04053 hours per resident per day |
| Nursing staff turnover | 53.3% (registered nurses 50%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-10-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Administration Deficiencies · tag F0836 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-12-13 |
| 2024-10-15 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 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. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-01-20 |
| 2022-11-23 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-20 |
| 2022-11-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-20 |
| 2020-01-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-02-25 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ascension Health Senior Care Organization | 5% or greater direct ownership interest | 100% | 2015-07-01 |
| Ascension Health Senior Care Organization | adp of the snf | — | 2015-07-01 |
| Health Dimensions Consulting Inc. Organization | adp of the snf | — | 2024-03-13 |
| Medical Solutions LLC Organization | adp of the snf | — | 2017-06-14 |
| Minimum Data Set Consultant LLC Organization | adp of the snf | — | 2021-06-07 |
| Shiftmed, LLC Organization | adp of the snf | — | 2021-06-07 |
| Bothwell, Denise Individual | adp of the snf | — | 2023-09-05 |
| Musgrave, Lisa Individual | adp of the snf | — | 2024-01-01 |
| Sauvageau, Philip Individual | adp of the snf | — | 2012-04-01 |
| Shadbolt, Erin Individual | adp of the snf | — | 2024-01-01 |
| Smoot, Kenneth Individual | adp of the snf | — | 2024-01-01 |
| Shadbolt, Erin Individual | corporate director | — | 2024-01-01 |
| Smoot, Kenneth Individual | corporate director | — | 2024-01-01 |
| Musgrave, Lisa Individual | corporate officer | — | 2024-01-01 |
| Bothwell, Denise Individual | operational/managerial control | — | 2023-09-05 |
| Sauvageau, Philip Individual | operational/managerial control | — | 2012-04-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Our Lady Of Peace Nursing Care Residence.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Niagara County.