Home / Virginia / Charlottesville
Our Lady of Peace Inc
751 Hillsdale Drive, Charlottesville, VA 22901 · Albemarle County · (434) 973-1155
30 certified beds, about 30 residents a day · Non profit - Corporation · Medicaid since 1992
Certified for Medicaid
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 49A007 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 19, 2026, inspectors cited 15 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 26 health citations since March 2021, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.16 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
34.3% of nursing staff left within the year CMS measured (Virginia average 48.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
503/21
601/23
1503/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
16D
7E
1F
Potential for minimal harm
0A
0B
0C
March 19, 2026Standard inspection · 15 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to properly dispose of trash in one of one facility dumpster.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased 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.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased 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.
- E Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased 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.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased 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.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased 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.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased 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.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased 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.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased 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.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased 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.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to provide appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for one of 19 residents in the survey sample, Resident #6 (R6).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to implement interventions to prevent accidents for one of 19 residents in the survey sample, Resident #2.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to provide respiratory care and services to two of 19 residents in the survey sample, Residents #4 and #2.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to implement bed rail requirements for one of 19 residents in the survey sample, Resident #26.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to follow infection control practices during medication administration for one of eight residents observed during medication administration, Resident #7.
January 12, 2023Standard inspection · 6 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased 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.
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased 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.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to review and revise a comprehensive care plan for two of thirteen residents. Resident #23's care plan was not revised to include the development and subsequent treatment for bilateral pressure ulcers. Resident #15 did not have a care plan to address wound care.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility staff failed to develop a comprehensive care plan for one of thirteen residents. Resident #15 did not have a care plan to address the use of a cast shoe.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on clinical record review and staff interview, the facility staff failed for one of 13 residents (Resident # 4) in the survey sample to complete a Discharge Minimum Data Set. A Discharge Minimum Data Set (MDS) was not completed upon the resident #4's discharge from the facility.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to follow physicians orders for one of 13 in the survey sample (Resident # 29) and also failed to obtain a physician order for the use of a cast shoe for Resident # 15. facility staff failed to obtain and/or follow physician orders for medical devices for 2 of 13 residents in the survey sample (Resident #29 and Resident #15).
March 25, 2021Standard inspection · 5 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to implement timely interventions for bowel management for one of 13 residents in the survey sample, Resident #13. Resident #13 experienced four occasions without bowel movements for six to eight days before interventions were implemented to treat and/or prevent constipation.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to follow COVID-19 infection control protocols for one of 13 residents in the survey sample. Resident #131 resided in the facility for eight days after admission without quarantine or transmission based precautions as required in COVID-19 infection control protocols.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to develop a baseline care plan regarding COVID-19 for one of 13 residents in the survey sample. Resident #131's baseline care plan included no problems, goals and/or interventions regarding COVID-19 precautions.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to develop a comprehensive care plan for one of 13 residents in the survey sample. Resident #13 had no plan of care developed regarding bowel management.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure one of 13 residents in the survey sample was free of unnecessary psychotropic medications. Resident #26 had physician orders for as needed (PRN) psychotropic medications that extended for more than 14 days without a stop date.
Fire safety inspections
1 fire safety citation on file: 1 on January 12, 2023.
Every fire safety citation1 citation
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.16 | 3.76 | 3.86 |
| Registered nurses | 0.80 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.29 | 3.42 |
| Nurse aides | 2.65 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 34.3% | 48.1% | 45.8% |
| Registered nurse turnover | 50.0% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.25 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.31 on weekdays and 3.79 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.02 in April to June 2025 to 4.16 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.16 | 0.80 | 4.31 | 3.79 | 0.0% | 0 of 90 | 30 |
| Oct to Dec 2025 | 4.10 | 0.74 | 4.28 | 3.64 | 0.0% | 0 of 92 | 30 |
| Jul to Sep 2025 | 4.28 | 0.97 | 4.43 | 3.87 | 0.0% | 0 of 92 | 30 |
| Apr to Jun 2025 | 4.02 | 1.08 | 4.17 | 3.64 | 0.0% | 0 of 91 | 30 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Virginia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.6 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.4 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 31.3 | 14.2 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Our Lady of Peace Inc's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: This nursing home is not required to submit data for the Skilled Nursing Facility Quality Reporting Program.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on March 19, 2026: "Provide activities to meet all resident's needs."
- When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on March 19, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Dispose of garbage and refuse properly."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Other nursing homes nearby
- The Laurels of Charlottesville Charlottesville, 0.4 mi · 3 of 5 stars · 57 citations
- Charlottesville Health & Rehabilitation Center Charlottesville, 1 mi · 2 of 5 stars · 50 citations
- Monroe Health & Rehab Center Charlottesville, 1.1 mi · 4 of 5 stars · 32 citations
- Colonnades Health Care Center Charlottesville, 1.5 mi · 2 of 5 stars · 26 citations
- Cedars Healthcare Center Charlottesville, 1.9 mi · 2 of 5 stars · 54 citations
- Westminster Canterbury Blue Ri Charlottesville, 3.7 mi · 5 of 5 stars · 22 citations
- Albemarle Health & Rehabilitation Center Charlottesville, 5.1 mi · 2 of 5 stars · 61 citations
- Greene Acres Rehabilitation and Nursing Stanardsville, 15.3 mi · 3 of 5 stars · 19 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Our Lady of Peace Inc's Medicare star rating?
- CMS rates Our Lady of Peace Inc 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Our Lady of Peace Inc get at its last inspection?
- 15 health deficiencies at the standard inspection on March 19, 2026. The Virginia average is 14.3.
- Has Our Lady of Peace Inc been fined?
- CMS lists no fines in the last three years.
- Does Our Lady of Peace Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Our Lady of Peace Inc?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.