Show Inspection Reports
Total Health inspections
4
Near State average
State average:
N/A
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Our Lady of Peace Nursing Care Residence
Our Lady of Peace Nursing Care Residence
Our Lady of Peace Nursing Care Residence is an Assisted Living Home in New York
Our Lady of Peace… is an Assisted Living Home in New York
Our Lady of Peace in Lewiston, NY is a senior living community that helps provide personalized care. It offers skilled nursing, rehabilitation, and memory support services. The community emphasizes a comfortable, homelike setting with a focus on dignity and quality of life.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
High-capacity home
May provide extensive amenities, services and programs.
Total beds
250
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
48.4%
Residents per day (avg)
142
Occupancy rate
48.4%
Residents per day (avg)
142
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
67% of new residents, usually for short-term rehab.
Typical stay
7 days
Private pay
33% of new residents, often for short stays.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit home
Church
Home revenue
$30.7M
Operating deficit
-$4.1M
Voluntary non-profit home
Church
Home revenue
$30,728,971.00
Operating deficit
$-4,128,442.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$27.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$34.9M
250-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
License Status
ActiveFacility Type
Nursing Home
Additional licensing details
License number:
3121303N
CMS Certification Number:
335843
County:
Niagara
Ownership & operating entity
Owner name:
Our Lady of Peace Nursing Care Residence (Not for Profit)
Safety & Compliance
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Rehabilitation, Memory Support
Religious Services
Yes
Dining & Nutrition
Food Description
Three delicious, nutritious meals and snacks daily.
Meals Included
Yes
Inspection History
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
3 inspections
3 with citations, 0 without citations
85 complaints
34 complaints per 100 occupied beds
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
Latest inspection
Date:November 23, 2022
Type:Other
38 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
2 enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
November 23, 2022: Stipulation & Order #: NH-23-022
A formal agreement with the state to correct serious or repeated issues.
January 19, 2012: Stipulation & Order #: NH-16-091
A formal agreement with the state to correct serious or repeated issues.
Compare Assisted Living around Usa
The information below is reported by the New York State Department of Health.
Our Lady of Peace Nursing Care Residence
-37%
+17%
-45%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NY 14092
250
No
-
BOTHWELL, DENISE
48.4%
$27,499,781.00
$7,507,919.00
27.3%
141.50
4.1926
1
11
1
-37%+17%-45%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
-
4
-
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Our Lady of Peace Nursing Care Residence
Type of care:
SNF
AL
Community:
NY 14092
Bed Count:
250
Pets Allowed:
No
Operator:
BOTHWELL, DENISE
CCN:
335843
Occupancy:
48.4%
Home Revenue:
$27,499,781.00
Payroll Costs:
$7,507,919.00
Payroll %:
27.3%
Avg Residents/Day:
141.50
Overall Rating:
Adj Nurse Hours:
4.1926
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
11
Severe Citations:
1
RN share vs State Avg:
-37%
-37%
Staffing vs State Avg:
+17%
+17%
Occupancy vs State Avg:
-45%
-45%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Our Lady of Peace Nursing Care Residence
0.0 miles from city center
Lewiston, NY 14092
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
243
Total Staff
113
Employees
130
Contractors
56,018
Total Hours (Quarter)
77
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 19 | 8.5 | No |
| Licensed Practical Nurse | 61 | 7.8 | Yes |
| Certified Nursing Assistant | 130 | 8.3 | Yes |
Staff by Category
Administration ⓘ
1 staff
7.9hs shift avg
Nursing Staff ⓘ
212 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
4 staff
8hs shift avg
Therapy Services ⓘ
15 staff
7.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
6.4hs shift avg
Dietary Services ⓘ
6 staff
7.4hs shift avg
Other Services ⓘ
3 staff
6.7hs shift avg
Contractor Analysis
31.1%
of total hours from contractors
17,394 contractor hours this quarter
Speech Language Pathologist: 4
Certified Nursing Assistant: 76
Physical Therapy Assistant: 4
Occupational Therapy Aide: 3
Licensed Practical Nurse: 36
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Physical Therapy Aide: 1
Medication Aide/Technician: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 54 | 76 | 130 | 27,998 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 25 | 36 | 61 | 12,779 | 91 | 100% | 7.8 |
| Registered Nurse | 19 | 0 | 19 | 5,012 | 91 | 100% | 8.5 |
| Other Dietary Services Staff | 6 | 0 | 6 | 2,055 | 91 | 100% | 7.4 |
| Occupational Therapy Aide | 0 | 3 | 3 | 1,304 | 64 | 70% | 8.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 999 | 68 | 75% | 7.7 |
| Speech Language Pathologist | 0 | 4 | 4 | 995 | 65 | 71% | 6.2 |
| Dental Services Staff | 3 | 0 | 3 | 969 | 71 | 78% | 6.7 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 960 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 878 | 69 | 76% | 8.1 |
| Administrator | 1 | 0 | 1 | 460 | 58 | 64% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 432 | 54 | 59% | 8 |
| Physical Therapy Aide | 0 | 1 | 1 | 400 | 62 | 68% | 6.4 |
| Qualified Social Worker | 0 | 2 | 2 | 392 | 60 | 66% | 6.4 |
| RN Director of Nursing | 1 | 0 | 1 | 355 | 44 | 48% | 8.1 |
| Medication Aide/Technician | 0 | 1 | 1 | 30 | 3 | 3% | 10 |
Health Inspection History
Total Health citations
11
Near State average
State average:
N/A
2.75 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
9 citations
Complaint investigations
2 citations
Breakdown of citations
Critical Health citations
0
Near State average
State average:
N/A
Serious Health citations
1
Near State average
State average:
N/A
Moderate Health citations
8
Minor Health citations
2
Citations history (last 3 years)
Abuse/Neglect minor citation
Oct 15, 2024
Corrected
Administration minor citation
Oct 15, 2024
Corrected
Quality of Care moderate citation
Oct 15, 2024
Corrected
Abuse/Neglect moderate citation
Jul 25, 2023
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Ascension Health Alliance
Resident Census by Payment Source
123
Total Residents
Medicare
10
(8.1%)
ⓘ
Medicaid
93
(75.6%)
ⓘ
Private Pay/Other
20
(16.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
7.9
20% better than State average
State average:
9.8
Functional decline score
12.6
30% better than State average
State average:
18.1
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
13.1%
20% below State average.
Walking Ability Worsened
14.3%
14% below State average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
10.5%
51% below State average.
Safety & clinical stability
Falls with Major Injury
3.4%
13% above State average.
High Risk Residents with Pressure Ulcers
4.3%
41% below State average.
Urinary Tract Infection
0.2%
85% below State average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.2%
99% below State average.
Antipsychotic Use
11.7%
7% below State average.
Preventive care
Pneumococcal Vaccine
98.1%
7% above State average.
Influenza Vaccine
100.0%
5% above State average.
Nutrition & physical health
Lost Too Much Weight
4.5%
26% below State average.Short-stay resident measures
Pneumococcal Vaccine
77.9%
Near State average
Antipsychotic medication increase
0.0%
100% better than State average
Influenza Vaccine
84.1%
7% better than State average Financial Trends
Historical financial and operational data for Our Lady of Peace Nursing Care Residence based on CMS SNF Cost Reports.
Occupancy Rate
48.4%
↑ 0.5pp vs 2022
Net Income
-$4,128,442
↑ ~$325K vs 2022
Total Payroll
$11,954,519
↑ ~$443K vs 2022
Profit Margin
-15.0%
↑ 3.8pp vs 2022
Loading trend charts...
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