Our Lady of Peace Nursing Care Residence
5285 Lewiston Road, Lewiston, NY 14092 · Niagara County · 250 certified beds · avg 173 residents/day · certified since Jun 12, 2003
Part of chain: ASCENSION LIVING (12 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 23, 2022 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 15, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 15, 2024 | C · Minimal risk, facility-wide | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Oct 15, 2024 | B · Minimal risk, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Nov 23, 2022 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Nov 23, 2022 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Nov 23, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 10, 2020 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 10, 2020 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jan 10, 2020 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | D |
| 2022 | 3 | 1 | G ▲ |
| 2024 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.93 | 3.58 | 3.95 | top 28% in New York; top 42% in the U.S. |
| Registered Nurse hours | 0.51 | 0.68 | 0.69 | bottom 38% in New York; bottom 39% in the U.S. |
| Weekend total nurse staffing | 3.53 | 3.13 | 3.50 | top 23% in New York; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.48 | 0.48 | bottom 39% in New York; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 53.3 | 40.3 | 45.8 | bottom 19% in New York; bottom 29% in the U.S. |
| RN turnover (%) | 50.0 | 39.8 | 42.9 | bottom 27% in New York; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.44, weekend 3.04. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ascension Health Senior Care | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2015 |
| Ascension Health Senior Care | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2015 |
| Bothwell, Denise | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/05/2023 |
| Bothwell, Denise | Individual | ADP of the SNF | NOT APPLICABLE | 09/05/2023 |
| Health Dimensions Consulting INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/13/2024 |
| Medical Solutions LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/14/2017 |
| Minimum Data Set Consultant LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/07/2021 |
| Musgrave, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Musgrave, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Sauvageau, Philip | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2012 |
| Sauvageau, Philip | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2012 |
| Shadbolt, Erin | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Shadbolt, Erin | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Shiftmed, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/07/2021 |
| Smoot, Kenneth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Smoot, Kenneth | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can you tell me about this citation and confirm your license and compliance status today?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Niagara Rehabilitation and Nursing Center | 4.1 mi | Niagara Falls, NY | ★★☆☆☆ | 2/5 | |
| Schoellkopf Health Center | 4.3 mi | Niagara Falls, NY | ★★★☆☆ | 2/5 | |
| Elderwood at Wheatfield | 7.9 mi | Niagara Falls, NY | ★★☆☆☆ | 2/5 | |
| Elderwood at Grand Island | 8.5 mi | Grand Island, NY | ★★★☆☆ | 3/5 | |
| North Gate Health Care Facility | 10.4 mi | North Tonawanda, NY | ★★★★☆ | 4/5 | |
| Degraff Memorial Hospital-Skilled Nursing Facility | 12.6 mi | North Tonawanda, NY | ★★★☆☆ | 3/5 | |
| Schofield Residence | 14.0 mi | Kenmore, NY | ★★★★☆ | 4/5 | |
| McAuley Residence | 14.4 mi | Kenmore, NY | ★★★★★ | 5/5 | |
| Safire Rehabilitation of Northtowns, L L C | 16.0 mi | Tonawanda, NY | ★☆☆☆☆ | 1/5 | |
| Beechwood Health Care Center, INC. | 16.7 mi | Getzville, NY | ★★★★★ | 5/5 | |
| Elderwood at Amherst | 16.7 mi | Amherst, NY | ★★☆☆☆ | 2/5 | abuse |
| St Catherine Laboure Health Care Center | 18.2 mi | Buffalo, NY | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335843.