| Our Lady of Peace Nursing Care Residence | |
| 5285 Lewiston Road, Lewiston, New York 14092 | |
| (716) 298-2900 | |
| Name | Our Lady of Peace Nursing Care Residence |
|---|---|
| Location | 5285 Lewiston Road, Lewiston, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 250 |
| Occupancy Rate | 69.04% |
| Medicare ID (CCN) | 335843 |
| Legal Business Name | Our Lady of Peace Inc |
| Ownership Type | Non Profit - Corporation |
| Chain | Ascension Living (12 nursing homes) |
| Chain Average Overall Rating | 2.8 out of 5 |
| NPI Number | 1720073539 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Our Lady of Peace Inc. |
| Doing Business As | Ascension Living Our Lady of Peace |
| Address | 5285 Lewiston Rd, Lewiston, NY 14092 |
| Phone Number | 716-298-2900 |
| NPI Number | 1649187501 |
| Match | Possible same name, address or phone number |
| Organization Name | Olp SNF Opco LLC |
| Doing Business As | Our Lady of Peace Nursing Care Residence |
| Address | 5285 Lewiston Rd, Lewiston, NY 14092 |
| Phone Number | 716-298-2900 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.39 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.05 | 0.86 |
| Nurse aide hours per resident per day | 1.9 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.04 | 3.42 |
| RN hours per resident per day on the weekend | 0.3 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 53.3% | 45.8% |
| Registered nurse turnover | 50% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Oct 15, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 13, 2024 |
| Oct 15, 2024 | 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, Standard inspection | Minimal harm potential, widespread | Corrected by Dec 13, 2024 |
| Oct 15, 2024 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Minimal harm potential, pattern | Corrected by Dec 13, 2024 |
| Nov 23, 2022 | 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, Standard inspection | Actual harm, isolated | Corrected by Jan 20, 2023 |
| Nov 23, 2022 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2023 |
| Nov 23, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 20, 2023 |
| Jan 10, 2020 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 25, 2020 |
| Jan 10, 2020 | 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, Standard inspection | Potential for harm, isolated | Corrected by Feb 25, 2020 |
| Jan 10, 2020 | 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, Standard inspection | Potential for harm, isolated | Corrected by Feb 25, 2020 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.82 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.38 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.14 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.18 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.75 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.47 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.82 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.59 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.65 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.19 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.07 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.07 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.57 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.16 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.39 | 15.38 |