Nursing homeActive
Our Lady Of Peace Nursing Care Residence
5285 Lewiston Road, Lewiston, NY 140927162982900250 certified beds · 173 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2020
Deficiencies
9
● 2● 6● 1
Penalties · 3 yrs
—
none on file
Last survey
2024-10-15
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · New York State Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-10-15 | Standard | 210 | CMS-2567 (Care Compare) | — |
| 2022-11-23 | Standard | 021 | CMS-2567 (Care Compare) | — |
| 2020-01-10 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · New York State Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-13Record 335843-20241015-F677
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity BPaperwork
Abuse & neglect
Pattern; potential for minimal harm.Corrected 2024-12-13Record 335843-20241015-F607
F836Ensure 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-12-13Record 335843-20241015-F836
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-01-20Record 335843-20221123-F600
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-20Record 335843-20221123-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-20Record 335843-20221123-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-25Record 335843-20200110-F689
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-25Record 335843-20200110-F756
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-25Record 335843-20200110-F758
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.44
Facility
New York
National
New York 0.71 · National 0.69
Total nurse hours per resident day3.39
Facility
New York
National
New York 3.62 · National 3.86
Weekend total nurse hours3.04
Facility
New York
National
New York 3.18 · National 3.42
Total nursing staff turnover53%
Facility
New York
National
New York 40% · National 46%
Registered nurse turnover50%
Facility
New York
National
New York 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | New York | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.6% | 6.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.4% | 13.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.2% | 1.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.8% | 14.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.4% | 5.8% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.1% | 13.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ascension Health Senior Care Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bothwell, Denise Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sauvageau, Philip Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ascension Health Senior Care Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bothwell, Denise Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Health Dimensions Consulting Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Medical Solutions LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Minimum Data Set Consultant LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Musgrave, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Musgrave, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sauvageau, Philip Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shadbolt, Erin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shadbolt, Erin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Shiftmed, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Smoot, Kenneth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Smoot, Kenneth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Ascension Living — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New York.
No county cost figures on file for Niagara.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Niagara Rehabilitation and Nursing Center Niagara Falls | 4.1 mi | 2026-04-08 | 0130 |
| Schoellkopf Health Center Niagara Falls | 4.3 mi | 2025-08-22 | 1110 |
| Elderwood at Grand Island Grand Island | 8.5 mi | 2025-12-02 | 060 |
| Elderwood at Wheatfield Niagara Falls | 7.9 mi | 2024-08-14 | 2100 |
| North Gate Health Care Facility North Tonawanda | 10.4 mi | 2026-05-13 | 0110 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |