B

OUR LADY OF PEACE INC

751 HILLSDALE DRIVE, CHARLOTTESVILLE, VA 22901
Score: 79 / 100

Our Lady Of Peace Inc earns a solid B grade from CMS data, with a score of 79/100. Performing above average across most metrics, this Charlottesville facility ranks in the 81th percentile among Virginia nursing homes.

Our Lady Of Peace Inc provides above-average staffing with 4.28 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 19 deficiencies at Our Lady Of Peace Inc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.28 3.8 Above Average
Registered Nurses (RN) 0.97 0.7 Above Average
Licensed Practical Nurses (LPN) 0.69 0.7 Average
Certified Nursing Assistants (CNA) 2.61 2.4 Average
Weekend Total Nursing 3.87 3.8 Average
Weekend RN Hours 0.63 0.7 Below Average

🔍 Inspection & Deficiency History

19
Total Deficiencies
Jan 11, 2023
Most Recent Inspection
🟠 19 Moderate
View recent deficiencies (5 shown)
  • Tag 0686 Severity G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jan 11, 2023 · Quality of Life and Care Deficiencies
  • Tag 0692 Severity G
    Provide enough food/fluids to maintain a resident's health.
    Jan 11, 2023 · Quality of Life and Care Deficiencies
  • Tag 0657 Severity E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jan 11, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 11, 2023 · Resident Assessment and Care Planning Deficiencies
  • Tag 0661 Severity D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    Jan 11, 2023 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.1% 4.5% Better
Falls with major injury 1.7% 3.0% Better
On antipsychotic medication 33.9% 14.5% Worse
Urinary tract infections 4.3% 2.5% Worse
ADL decline (daily activities) 18.0% 14.0% Worse
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 10.7% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 79 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Church related
Certified Beds
30
Provider Type
Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 11, 2023
Deficiencies (Cycle 1)
6