Our Lady Of Peace Nursing Care Residence - Lewiston Nursing Home

General Information

UPDATE
Federal Provider Number
335843
Provider Name
OUR LADY OF PEACE NURSING CARE RESIDENCE
Provider Address
5285 LEWISTON ROAD
LEWISTON, NY 14092
Provider Phone Number
7162982900
Provider SSA County
500
Provider County Name
Niagara
Ownership Type
Non profit - Church related
Number of Certified Beds
250
Number of Residents in Certified Beds
238
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OUR LADY OF PEACE INC.
Date First Approved to Provide Medicare and Medicaid services
2003-06-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36282
Reported LPN Staffing Hours per Resident per Day
0.91828
Reported RN Staffing Hours per Resident per Day
0.63929
Reported Licensed Staffing Hours per Resident per Day
1.55756
Reported Total Nurse Staffing Hours per Resident per Day
3.92039
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08908
Expected CNA Staffing Hours per Resident per Day
2.57467
Expected LPN Staffing Hours per Resident per Day
0.66133
Expected RN Staffing Hours per Resident per Day
1.10852
Expected Total Nurse Staffing Hours per Resident per Day
4.34452
Adjusted CNA Staffing Hours per Resident per Day
2.25181
Adjusted LPN Staffing Hours per Resident per Day
1.15249
Adjusted RN Staffing Hours per Resident per Day
0.43091
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63739
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-04-13
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-03-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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