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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 23rd out of 59 homes in Virginia.| Staff type | Hours / day | 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.
| 58m per day | ▲ 41% State avg: 41m 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.
| 41m per day | ▼ 32% State avg: 1h 0m 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.
| 2h 37m per day | ▲ 24% State avg: 2h 7m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 38m per day | ▲ 10% State avg: 3h 19m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 38m per day | ▲ 36% State avg: 28m per day · National avg: 28m per day |
Higher than the Virginia average: 85.7%Our Lady Of Peace is administrated by Ms. Rachel Lindberg.
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 8 | 32 | This facility has 75% fewer total deficiencies than a typical Virginia nursing home (8 vs. VA avg 32).↓ 75% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 2 | 8 | This facility has 75% fewer deficiencies per year than a typical Virginia nursing home (2 vs. VA avg 8).↓ 75% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.1 | 2.3 | This facility has 52% fewer deficiencies per inspection than a typical Virginia nursing home (1.1 vs. VA avg 2.3).↓ 52% better |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 14 | This facility has 50% fewer total inspections than a typical Virginia nursing home (7 vs. VA avg 14).↓ 50% better |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 1 | 9 | This facility has 89% fewer inspections with violations than a typical Virginia nursing home (1 vs. VA avg 9).↓ 89% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 14% | 64% | This facility has 50 percentage points lower inspection violation rate than a typical Virginia nursing home (14% vs. VA avg 64%).↓ 50% better |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 3 | 7 | This facility has 57% fewer total complaints than a typical Virginia nursing home (3 vs. VA avg 7).↓ 57% better |
|
Complaints per year
Average complaints per year since 2022.
| 0.8 | 1.8 | This facility has 56% fewer complaints per year than a typical Virginia nursing home (0.8 vs. VA avg 1.8).↓ 56% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 11, 2024, identified some deficiencies alongside areas of compliance, resulting in mixed findings. Earlier inspections showed mostly compliance, with prior renewal inspections in October 2023 and April 2022 finding no violations. Deficiencies noted in past reports primarily involved documentation issues, medication administration timing, and incomplete risk assessments. Complaint investigations conducted in 2022 and early 2024 were unsubstantiated and did not result in enforcement actions or fines, which were not listed in the available reports. The facility’s inspection history suggests some recurring documentation and procedural issues, but recent inspections indicate a generally stable compliance pattern without escalating concerns.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsOur Lady Of Peace is located in CHARLOTTESVILLE, Virginia.
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0.0 miles from city center
Estimated distance in miles from Charlottesville's city center to Our Lady Of Peace's address, calculated via Google Maps.
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These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
0.32
78% better than Virginia averageVirginia average: 1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.05
26% better than Virginia averageVirginia average: 1.41
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
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Our Lady Of Peace has a walk score of 99. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to VA state health department records, Our Lady Of Peace's license expires on October 31, 2026.
Our Lady Of Peace's occupancy is 99%.
Ms. Rachel Lindberg is the administrator of Our Lady Of Peace.
Our Lady Of Peace has 140 beds.
Our Lady Of Peace has had 7 recently reported deficiencies.
Yes — there are 4 photos of Our Lady Of Peace in the photo gallery on this page.
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