OUR LADY OF PEACE NURSING CARE RESIDENCE - LEWISTON, NY

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Addresss:

5285 LEWISTON ROAD
LEWISTON, NY, 14092

Phone (make sure to verify first before calling): (716) 298-2900

Number of Certified Beds: 250
Total Number of Residents: 249
Percent of Occupied Beds: 100%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 4 Stars

Other nearby hospitals and nursing homes

FAIRCHILD MANOR NURSING HOME (1.46 miles)
MOUNT ST MARY'S HOSPITAL AND HEALTH CENTER (0.38 miles)
MT ST MARYS LONG TERM CARE FACILITY, INC. (NIAGARA FALLS, 2.96 miles)
NIAGARA FALLS KIDNEY CARE CENTER (NIAGARA FALLS, 4.23 miles)
NIAGARA REHABILITATION AND NURSING CENTER (NIAGARA FALLS, 4.01 miles)
ST MARYS MANOR (NIAGARA FALLS, 4.40 miles)
UCPA OF NIAGARA COUNTY (NIAGARA FALLS, 4.69 miles)

Employment Full-Time Equivalent

Administrative Staff - Full Time: 5.36

Administrative Staff - Part Time: 1.31

Certified Nurse Aides - Full Time: 4.29

Certified Nurse Aides - Part Time: 23.69

Food Service Personnel - Full Time: 25.71

Food Service Personnel - Part Time: 18.84

Housekeeping Personnel - Full Time: 20.36

Licensed Practical/ Vocational Nurses - Full Time: 35.36

Licensed Practical/ Vocational Nurses - Part Time: 10.93

Medical Directors - Under Contract: 0.11

Mental Health Services Personnel - Under Contract: 0.14

Nurses With Administrative Duties - Full Time: 17.14

Persons Not Included In Any Other Categories - Full Time: 7.50

Registered Nurses - Full Time: 5.36

Rn Director Of Nursing - Full Time: 1.07

Social Workers - Full Time: 4.29

Activities Professionals - Full Time: 1.07

Dentists - Under Contract: 0.07

Nurses With Administrative Duties - Part Time: 1.63

Pharmacists - Under Contract: 0.14

Podiatrists - Under Contract: 0.10

Other Physicians - Under Contract: 0.34

Dietitians - Full Time: 3.21

Sppech Pathologists - Full Time: 1.07

Persons Not Included In Any Other Categories - Part Time: 1.43

Registered Nurses - Part Time: 1.83

Housekeeping Personnel - Part Time: 7.61

Occupational Therapists - Full Time: 2.14

Physical Therapists - Full Time: 3.21

Occupational Therapy Assistants - Full Time: 3.21

Physical Therapy Aide - Full Time: 3.21

Number Of Beds

Total: 250

Total Certified: 250

For Residents With Alzeheimers: 42

For Residents With Specialized Rehab Needs: 40

Provided Services

Activities Services Are Provided Onsite To Residents

Clinical Laboratory Services Are Provided Onsite To Residents

Dental Services Are Provided Onsite To Residents

Diagnostic Xray Services Are Provided Onsite To Residents

Dietary Services Are Provided Onsite To Non Residents

Dietary Services Are Provided Onsite To Residents

Housekeeping Services Are Provided Onsite To Residents

Mental Health Services Are Provided Onsite To Residents

Nursing Services Are Provided Onsite To Residents

Occupational Therapy Services Are Provided Onsite To Residents

Pharmacy Services Are Provided Onsite To Residents

Physical Therapy Services Are Provided Onsite To Residents

Physician Services Are Provided Onsite To Residents

Podiatry Services Are Provided Onsite To Residents

Social Work Services Are Provided Onsite To Residents

Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.700
New York:	0.637

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.990
New York:	0.790

Total Number of Licensed Staff Hours Per Resident Per Day

Here:	1.690
State:	1.425

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.100
New York:	0.080

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.100
New York:	0.081

Complaint Deficiency

Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Signs that state that exit doors are to be kept closed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly installed electrical wiring and equipment
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Provide doctors orders for the resident's immediate care, at the time the resident was admitted
- Harm: Immediate jeopardy to resident health or safety
- Scope: Few
Rooms that can be unlocked from inside without a key
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep all essential equipment working safely
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Properly protected cooking facilities
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure services provided by the nursing facility meet professional standards of quality
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents are safe from serious medication errors
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents receive proper treatment and assistive devices to maintain their vision and hearing
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	11.2%
New York:	15.6%

Percent of long-stay residents who self-report moderate to severe pain

Here:	2.6%
New York:	7.6%

Percent of long-stay high-risk residents with pressure ulcers

Here:	6.8%
New York:	8.4%

Percent of long-stay residents who lose too much weight

This Nursing Home:	3.0%
New York:	6.4%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

Here:	20.6%
New York:	41.1%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

Here:	6.2%
New York:	3.1%

Percent of long-stay residents with a urinary tract infection

Here:	11.9%
New York:	6.8%

Percent of long-stay residents who have depressive symptoms

Here:	1.0%
State:	12.6%

Percent of long-stay residents who were physically restrained

Here:	0.5%
New York:	2.3%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	4.5%
New York:	2.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	96.7%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
State:	97.3%

Percent of short-stay residents who self-report moderate to severe pain

Here:	40.1%
New York:	16.9%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	1.3%
New York:	1.8%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	97.4%
New York:	86.9%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	93.0%
New York:	85.0%

Percent of short-stay residents who newly received an antipsychotic medication

This Nursing Home:	1.3%
State:	3.1%

Percent of long-stay residents who received an antipsychotic medication

Here:	12.8%
New York:	20.8%

OUR LADY OF PEACE NURSING CARE RESIDENCE - LEWISTON, NY

Staff Information

Complaint Deficiency

Quality Measures

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