Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Our Lady Of Peace Nursing Care Residence during CMS and state inspections, most recent first.
Two residents in an LTC facility did not receive necessary personal hygiene and incontinent care. One resident was not assisted with removing unwanted facial hair, while another did not receive timely incontinent care, and staff failed to follow proper glove changes and hand hygiene. Facility policies on care were not adhered to, leading to inadequate care.
The facility failed to comply with the 2020 Fire Code of New York State by not conducting weekly tests of carbon monoxide alarms as required. Observations showed that alarms were installed on all resident use floors and the basement, but were only tested monthly, contrary to the manufacturer's guidelines. This deficiency affected areas with natural gas fuel-burning appliances, and the facility's incomplete user guide lacked necessary testing information.
The facility failed to verify the New York State Nurse Aide Registry for an LPN and a Nutritional Services Aide before their employment, as required. The facility's policies did not include the necessary verification process, leading to the deficiency identified during the survey.
Deficiencies in Personal Hygiene and Incontinent Care
Penalty
Summary
The facility failed to provide necessary services for residents who were unable to carry out activities of daily living, specifically in maintaining good grooming and personal hygiene. Resident #66, who was diagnosed with unspecified dementia, hypertension, and type 2 diabetes, was observed with unwanted facial hair that was not removed despite the resident's spouse stating that the resident did not like the facial hair. The facility's policy required staff to assist with shaving based on preference or need, but observations showed that the staff did not offer or attempt to remove the facial hair during morning care. Interviews with staff, including a Certified Nurse Aide and the Director of Nursing, revealed that shaving should be part of morning care when facial hair is noticed, yet it was not performed for Resident #66. Resident #100, who had diagnoses including unspecified dementia, a history of transient ischemic accident, and spinal stenosis, did not receive timely incontinent care. The resident was observed in the common area expressing the need to use the bathroom, but staff did not respond promptly. The resident was later found to have soiled themselves, and during the provision of incontinent care, staff failed to perform complete perineal care, did not change gloves appropriately, and did not apply a moisture barrier cream as per the care plan. Interviews with Certified Nurse Aides and the Assistant Director of Nursing highlighted the failure to follow proper procedures for incontinent care, including the importance of changing gloves to prevent cross-contamination. The facility's policies on AM and HS care, peri care, and hand hygiene were not adhered to, leading to deficiencies in the care provided to Residents #66 and #100. The staff's failure to follow established protocols for personal hygiene and incontinent care resulted in inadequate care for these residents, as evidenced by the observations and interviews conducted during the survey. The Director of Nursing acknowledged the expectations for care, but the lack of adherence to these standards was evident in the care provided to the residents.
Non-Compliance with Fire Code: Inadequate Carbon Monoxide Alarm Testing
Penalty
Summary
The facility was found to be non-compliant with the 2020 Fire Code of New York State, specifically Section 915, which mandates carbon monoxide detection in all rooms and sleeping areas with fuel-burning appliances. Observations revealed that the facility had installed battery-operated combination photoelectric smoke and carbon monoxide alarms with a voice message system on all three resident use floors and in the basement. However, the facility failed to adhere to the manufacturer's guidelines for weekly testing of these alarms, as they were only tested monthly. The facility's logs confirmed that the alarms were checked monthly from January to October 2024, which does not meet the required testing frequency. The deficiency affected all three resident use floors and the basement, where natural gas fuel-burning appliances were installed. During an interview, the Maintenance Supervisor confirmed the monthly testing schedule and provided logs as evidence. However, the user guide provided by the facility was incomplete, lacking information on the required testing procedures. This oversight in maintenance and testing of carbon monoxide alarms represents a failure to comply with both state fire codes and professional standards, potentially compromising resident safety.
Failure to Verify Nurse Aide Registry Before Employment
Penalty
Summary
The facility failed to implement written policies and procedures for screening employees to prevent abuse, neglect, and exploitation of residents, as well as the misappropriation of resident property. Specifically, the facility did not verify the New York State Nurse Aide Registry for two employees, an Agency Licensed Practical Nurse and a Nutritional Services Aide, before their employment. This verification is required to ensure that employees do not pose a risk to residents. The policy titled 'Contingent Worker' did not include documentation regarding the New York State Nurse Aide Registry verification process. Employee #5, an Agency Licensed Practical Nurse, was hired and worked in the facility before the Nurse Aide Registry verification was completed. Similarly, Employee #7, a Nutritional Services Aide, worked in the facility before their verification was completed. The facility lacked evidence of verification prior to their employment dates. Interviews with the Associate Experience Advisor confirmed that the Nurse Aide Registry verifications for both employees were completed after they had already started working. The facility's policies, including the 'New Hire Procedure,' did not address the necessary verification process, leading to the deficiency identified during the survey.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lewiston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Niagara Rehabilitation And Nursing Center | 4.1 mi | ★★★★★ | 1 | 0 |
| Schoellkopf Health Center | 4.3 mi | ★★★★★ | 13 | 0 |
| Elderwood At Wheatfield | 7.9 mi | ★★★★★ | 0 | 0 |
| Elderwood At Grand Island | 8.5 mi | ★★★★★ | 1 | 0 |
| North Gate Health Care Facility | 10.4 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.