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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Our Lady of Peace Nursing Care Residence is a 250-bed skilled nursing and rehabilitation facility at 5285 Lewiston Road in Lewiston, New York, operated by a non-profit in Niagara County. The facility provides skilled nursing, memory care, rehabilitation, and respite services. It accepts Medicare and private pay. 24-hour staffing is available.
The facility is scored five stars by CMS, with all four sub-ratings above New York average. Staffing is the strongest driver: nurse hours run 4h 12m per resident daily, 20 percent above state average, placing the facility 60th of 388 New York SNFs. Inspections from 2021 through 2025 show no citations or deficiencies, with the latest inspection in 2025 returning clean. Prior enforcement actions related to quality of care predate the current inspection window and have not recurred. No fines or enforcement actions appear in the recent record. Occupancy is at 70 percent, well below New York’s 88.3 percent average, indicating current availability across care levels.
On-site amenities include a chapel offering interdenominational services and a barber and salon.
With current availability and a clean recent compliance record, the community is well-suited for residents seeking skilled nursing or memory care within a non-profit, faith-affiliated setting in Niagara County.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 59th out of 387 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 38% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 2m per day | ▲ 35% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 54m per day | ▼ 13% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 1m per day | ▼ 5% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 67% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 35% State avg: 28m per day · National avg: 28m per day |
Lower than the New York average: 88.3%Our Lady of Peace Nursing Care Residence is legally operated by Our Lady of Peace Nursing Care Residence (Not for Profit).
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.
At the New York State average for nursing homes (83/100)
Inspection score: 83 out of 100. Letter grade B. At the New York State average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 1 enforcement action. 33% of New York State nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 27 | 13 | This facility has 108% more total citations than a typical New York State nursing home (27 vs. NY avg 13).↑ 108% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 23 | 20 | This facility has 15% more health citations than a typical New York State nursing home (23 vs. NY avg 20).↑ 15% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 4 | 4 | This facility has life safety citations in line with the New York State average (4 vs. NY avg 4).— At avg |
|
Citations per year
Average citations per year since 2020.
| 4.5 | 2.2 | This facility has 105% more citations per year than a typical New York State nursing home (4.5 vs. NY avg 2.2).↑ 105% worse |
|
Citations per inspection
Average citations per inspection.
| 2.7 | 1.4 | This facility has 93% more citations per inspection than a typical New York State nursing home (2.7 vs. NY avg 1.4).↑ 93% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 10 | 9 | This facility has 11% more total inspections than a typical New York State nursing home (10 vs. NY avg 9).↑ 11% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 3 | 4 | This facility has 25% fewer inspections with citations than a typical New York State nursing home (3 vs. NY avg 4).↓ 25% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 30% | 44% | This facility has 14 percentage points lower inspection citation rate than a typical New York State nursing home (30% vs. NY avg 44%).↓ 14% better |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 84 | 79 | This facility has 6% more total complaints than a typical New York State nursing home (84 vs. NY avg 79).↑ 6% worse |
|
Complaints per year
Average complaints per year since 2020.
| 14 | 13.2 | This facility has 6% more complaints per year than a typical New York State nursing home (14 vs. NY avg 13.2).↑ 6% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.48 | 0.50 | This facility has 4% fewer complaints per bed than a typical New York State nursing home (0.48 vs. NY avg 0.5).↓ 4% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 20 | 15 | This facility has 33% more complaint investigations than a typical New York State nursing home (20 vs. NY avg 15).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York State average 3.6
Last Health inspection on Oct 2024
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 11 citations resulted from standard inspections; and 2 of 11 resulted from complaint investigations.
100% better than New York State averageNew York State average: 0.2
400% worse than New York State averageNew York State average: 0.2
Corrected
Corrected
Corrected
Corrected
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
18
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
4
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
13
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2008
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
Apr 28, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1093% more staff per resident than New York average
0% compared with New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 27 RN Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
72 total: 43 full-time employees and 29 contractors.
72
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
123 total: 78 full-time employees and 45 contractors.
123
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8,168 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 78 | 45 | 123 | 28,642 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 43 | 29 | 72 | 15,528 | 92 | 100% | 8.3 |
| Registered Nurse | 27 | 0 | 27 | 5,052 | 92 | 100% | 8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,731 | 89 | 97% | 7.3 |
| Dental Services Staff | 3 | 0 | 3 | 1,222 | 88 | 96% | 6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 962 | 63 | 68% | 8 |
| Speech Language Pathologist | 0 | 7 | 7 | 948 | 58 | 63% | 6.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 936 | 73 | 79% | 8 |
| Occupational Therapy Aide | 0 | 3 | 3 | 856 | 40 | 43% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 578 | 48 | 52% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 500 | 63 | 68% | 7.9 |
| Qualified Social Worker | 0 | 2 | 2 | 455 | 64 | 70% | 7.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 428 | 54 | 59% | 7.9 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.9
20% better than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
30% better than New York State averageNew York State average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.1%
20% better than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
14.3%
14% better than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.5%
51% better than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
13% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
4.3%
41% better than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.2%
85% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
4.5%
26% better than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.2%
99% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
11.7%
7% better than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
7% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.60
65% better than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.49
64% better than New York State averageNew York State average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.9%
In line with New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.1%
7% better than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
2.0%
90% better than New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
1.9%
80% better than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
66.7%
24% better than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.3%
9% better than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
67% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
123Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Our Lady of Peace Nursing Care Residence based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #226 / 382Payroll — State benchmarkedThis home is ranked 226th out of 382 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Lewiston's city center to Our Lady of Peace Nursing Care Residence's address, calculated via Google Maps.
Add your location
Our Lady of Peace Nursing Care Residence is located in Lewiston, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Our Lady of Peace Nursing Care Residence is Our Lady of Peace Nursing Care Residence (Not for Profit).
Our Lady of Peace Nursing Care Residence has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Our Lady of Peace Nursing Care Residence's license number is 3121303N.
Our Lady of Peace Nursing Care Residence's occupancy is 70%.
Our Lady of Peace Nursing Care Residence has 250 beds.
Our Lady of Peace Nursing Care Residence has had 27 recently reported deficiencies.
Yes — there are 5 photos of Our Lady of Peace Nursing Care Residence in the photo gallery on this page.
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