OUR LADY OF PEACE INC
26 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
Serious inspection findings
2023-01-12 — ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2023-01-12 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.71
state median 3.10
Weekend staffing gap
+3%
more nursing hours on weekends · state median −7%
RN hours / resident / day
0.35
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
12
with residents present
Nursing staff turnover
34%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
CMS records no penalties for this facility.
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-19 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-19 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-19 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-19 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-03-19 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-19 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-19 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-03-19 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-19 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-19 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-19 | F0700 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-19 | F0744 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-03-19 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-03-19 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-03-19 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-01-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-01-12 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-01-12 | F0661 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-01-12 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-01-12 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-01-12 | F0692 | Quality of Life and Care Deficiencies | G | not recorded |
| 2021-03-25 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-03-25 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-03-25 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2021-03-25 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-03-25 | F0880 | Infection Control Deficiencies | E | not recorded |