Our Lady Of Peace INC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 30 beds and averages 29.7 residents a day — about 99% occupied, or roughly 0 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.80 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.65 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.79 hrs/resident/day on weekends vs 4.31 on weekdays — 12% thinner on weekends. RN hours go from 0.86 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 12 most serious are shown; the remaining 14 are one tap away and print in full.

• Actual harm · G2023-01-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, staff interview, and facility document review, the facility staff failed to provide treatment and services for the prevention of an unstageable pressure ulcers for one of 13 residents, Resident #23. This was identified as harm. The facility also failed to accurately complete weekly skin observations for one of thirteen residents, Resident #15. Findings were: 1. Resident #23 was admitted to the facility with the following diagnoses, including but not limited to: Dementia with agitation, depressive disorder, anxiety, and psoriasis. The most recent MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 11/01/2022. Resident #23 was assessed as having difficulty with both long and short term memory, as well as having difficulty with daily decision making skills. On 01/11/2022 at approximately 4:30 p.m., the hospice note section of the clinical record was reviewed. An IDG (interdisciplinary group) Comprehensive assessment dated [DATE]…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-01-12 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and clinical record review, the facility staff failed to implement interventions for a significant weight loss for one of 13 residents, Resident #23. During a six month time span from 06/09/2022 until 12/07/2022, Resident #23 lost 21.50% (23 pounds). Resident #23 was not assessed by the registered dietician at the facility, nor were any interventions put in place to address her significant weight loss. This was identified as harm by the survey team. Findings were: Resident #23 was admitted to the facility with the following diagnoses, including but not limited to: Dementia with agitation, depressive disorder, anxiety, and psoriasis. The most recent MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 11/01/2022. Resident #23 was assessed as having difficulty with both long and short term memory, as well as having difficulty with daily decision making skills. On 01/11/2023, at approximately 9:00 a.m., Resident #23 was observed sitting…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-03-19 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility document review, the facility staff failed to properly dispose of trash in one of one facility dumpster.The findings include:On 3/17/26 at 11:09 a.m., the Director of Maintenance and the Director of Dining Services accompanied the surveyor outside the building for observation of the dumpster. The dumpster did not have a cover over it. The Director of Dining Services attempted to close the two piece lid to the dumpster. The two pieces did not cover the entire top to the dumpster; multiple areas remained open to air even after the lid pieces were pulled over the top. The Director of Maintenance stated the dumpster is emptied every day and had not been closed since it had been emptied earlier in the morning. He stated the dish washing staff is responsible for making sure the lid is closed after the dumpster is emptied each morning. He agreed that the dumpster was not completely covered with the current lid and stated he would call the dumpster company to order a new one. He stated that the dumpster should be covered at all times to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-19 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, staff interview and facility document review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for five of 19 residents in the survey sample, Residents #9, #6, #18, #17 and #8. The findings include:1. For Resident #9 (R9), the facility staff failed to develop the comprehensive care plan to address nutritional needs and weight loss. R9 was admitted to the facility with diagnoses that included but were not limited to protein-calorie malnutrition (1), dementia (2) and bariatric surgery status (3). On the most recent minimum data set (MDS), a quarterly assessment with an assessment of reference date (ARD) of 1/28/2026, the resident was assessed as being severely impaired for making daily decisions and not having a weight loss. Review of the comprehensive care plan failed to evidence a focus/goal or interventions regarding nutritional needs or weight loss. Review of R9's weights documented the following weight…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-19 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interview, and facility document review, the facility staff failed to provide person-centered activities based on the comprehensive assessment and resident preferences for one of 19 residents in the survey sample, Resident #18.The findings include:For Resident #18 (R18) the facility staff failed to provide meaningful, person centered activities based on his preferences and holistic needs in February and March 2026.During the course of the survey, the following observations were made:On 3/17/26 at 11:40 a.m., R18 was seated in a wheelchair in the middle of the hallway. He was leaning forward in his wheelchair grasping at his right ankle. Two staff members passed the resident and neither acknowledged nor attempted to assist the resident.On 3/17/26 at 11:41 a.m., a staff member approached R18 and repositioned his wheelchair so it was facing the widest open part of the hallway.On 3/17/26 at 11:47 a.m., R18 self-propelled the wheelchair to the door of the biohazard room. He repeatedly reached for the wheels on his wheelchair and reached out to touch the door.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-19 · tag F0744 — failed to care for residents with dementia — pattern
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to provide care and services to promote the highest level of wellbeing for residents with dementia for two 19 in the survey sample, Residents #18 and #17.The findings include:1. For Resident #18 (R18), the facility staff failed to provide person-centered care focusing on the resident's dementia diagnosis and related behavioral symptoms.R18 was admitted to the facility on [DATE] with diagnoses including dementia and hallucinations. On the most recent MDS (minimum data set), a quarterly assessment with an ARD (assessment reference date) of 11/20/25, R18 was coded as having severe problems with both short and long term memory. During the course of the survey, the following observations were made:On 3/17/26 at 11:40 a.m., R18 was seated in a wheelchair in the middle of the hallway. He was leaning forward in his wheelchair grasping at his right ankle. Two staff members passed the resident and neither…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-19 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility document review, the facility staff failed to prepare, store, and serve food in a sanitary manner in one of one facility kitchen, and in one of one satellite kitchen.The findings include:On 3/17/26, the facility staff failed to cover raw food in a refrigerator, to label food that had been opened in the refrigerator and freezer, to maintain the dishwasher drain so that it washed dishes in a sanitary manner, to maintain the kitchen floor and appliance knobs in a sanitary manner, and to serve food in a sanitary manner.On 3/17/26 at 10:29 a.m., observation was made of the main facility kitchen. The walk in refrigerator contained a sheet pan with two raw slabs of meat; both slabs were uncovered. The Dining Services Director, who accompanied the surveyor, stated the meat did not need to be covered because the meat was going to be cooked later that morning in preparation for the evening meal. This refrigerator also contained a 5 pound roll of ground beef that was open but without a date. The walk in freezer contained four different open…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and clinical record review, the facility staff failed to maintain dignity for one of 19 residents in the survey sample, Resident #8. The findings include:For Resident #8 (R8), the facility staff failed to maintain the resident's urinary catheter bag in a dignified manner. A review of R8's clinical record revealed a physician's order dated 2/13/26 for a urinary catheter. On 3/18/26 at 8:38 a.m., R8 was observed in a wheelchair in the hall and the resident's urinary catheter bag was visible with urine in the bag. On 3/18/26 at 10:53 a.m., R8 was observed in a chair in the day room and the resident's urinary catheter bag was visible with urine in the bag. On 3/18/26 at 2:39 p.m., an interview was conducted with LPN (Licensed Practical Nurse) #1. LPN #1 stated a urinary catheter bag should not be visible for everyone to see, for privacy reasons. On 3/18/26 at 5:25 p.m., the Executive Director and the Director of Nursing were made aware of the above findings. The facility did not provide a policy regarding urinary catheters. No further information…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to meet education and consent requirements for the administration of an antipsychotic medication for one of 19 residents, Resident #17.The findings include: For Resident #17 (R17), the facility staff failed to provide evidence of education to the resident or RR (resident representative) of the risks and benefits, alternatives for treatment, and informed consent for the initiation of dosage of Seroquel (1) on 12/5/25.A review of R17's clinical record revealed the following order written 12/5/25: Seroquel Oral Tablet 25 mg (milligrams Give 1 tablet by mouth in the evening related to unspecified dementia with other behavioral disturbance.A review of R17's MARs (medication administration records) for December 2025, January 2026, February 2026, and March 2026 revealed that the resident had been receiving the medication as ordered.Further review of R17's clinical record failed to reveal evidence that the resident or his RR had been educated on the risks and benefits of the Seroquel,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and clinical record review, the facility staff failed to maintain an accurate MDS (minimum data set) assessment for one of 19 residents in the survey sample, Resident #5. The findings include:For Resident #5 (R5), the facility staff failed to accurately code the resident's quarterly MDS assessment with an assessment reference date of 2/17/26 regarding section P. Restraints and Alarms. A review of R5's quarterly MDS assessment with an assessment reference date of 2/17/26 revealed the resident was coded as having a restraint. On 3/17/26 at 2:06 p.m., and 3/18/26 at 7:40 a.m., R5 was observed and did not have a restraint. On 3/18/26 at 12:09 p.m., an interview was conducted with the Health Services Administrator. The Health Services Administrator stated the physical restraint coded on R5's MDS assessment was an entry error. On 3/18/26 at 5:25 p.m., the Executive Director and the Director of Nursing were made aware of the above findings. The Centers for Medicare and Medicaid Services Resident Assessment Instrument manual documented, SECTION P:…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-19 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of 19 residents in the survey sample, Residents #2 and #4. The findings include:1. For Resident #2 (R2), the facility staff failed to review and revise the resident's comprehensive care plan for falls. A review of R2's clinical record revealed the resident fell and did not sustain an injury on 12/21/25. A review of R2's comprehensive care plan dated (initiated on 5/29/25) failed to reveal that the care plan was reviewed and revised regarding the 12/21/25 fall. On 3/18/26 at 2:28 p.m., an interview was conducted with LPN (Licensed Practical Nurse) #1. LPN #1 stated the care plan is a pathway to keeping residents healthier, and to making sure negative things do not happen to residents. LPN #1 stated the care plan should be reviewed and revised after a fall. On 3/18/26 at 5:25 p.m., the Executive Director and the Director of Nursing were made aware of the above findings. The facility policy titled, Comprehensive…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-19 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of practice for one of 19 residents in the survey sample, Resident #17.The findings include:For Resident #17 (R17), the facility failed to have a licensed nurse administer medications to the resident on 1/7/26.A review of a facility synopsis of events dated 1/13/26 revealed, in part: Nurse delegated medication administration task outside scope of practice to aide.This is both initial and final investigation report.Nurse directed CNA (certified nursing assistant) to administer three medications to nursing home resident and CNA complied. Resident did not have any adverse effects from the incident. Both staff were suspended pending investigation and reported to the Board of nursing.On 1/7/26, [LPN (licensed practical nurse) #3] was overheard by the RN (registered nurse) supervisor telling a CNA to administer medications to [R17] and was witnessed handing a medication cup with medications to the CNA. [LPN #3].Due to the serious nature of incident,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in VA