Ledgewood Manor
Ledgewood Manor is a 60-bed nursing home in WINDHAM, Maine. CMS has certified it for Medicare and Medicaid since 1993-01-01. It averages 47.5 residents a day.
What harm was found in the violations cited at Ledgewood Manor?
CMS lists 33 health-inspection deficiencies for Ledgewood Manor since 2019-10-31, 12 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2025-04-29.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-04-29 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-02-26 | F0578, F0655, F0689, F0755, F0812 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-02-26 | F0656, F0695 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-02-26 | F0623, F0625, F0637 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Assess the resident when there is a significant change in condition | B |
| 2024-10-08 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2022-06-14 | F0880, F0882, F0886 | Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Perform COVID19 testing on residents and staff. | F |
| 2022-06-14 | F0657, F0812, F0947 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2022-06-14 | F0584, F0645, F0883, F0887 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D |
| 2022-06-14 | F0567 | Honor the resident's right to manage his or her financial affairs. | C |
| 2022-06-14 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | B |
| 2019-10-31 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2019-10-31 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2019-10-31 | F0656, F0661, F0692, F0838, F0883 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide enough food/fluids to maintain a resident's health. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2019-10-31 | F0623, F0730 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Observe each nurse aide's job performance and give regular training. | B |
How is Ledgewood Manor staffed relative to the ME average?
| Measure | This facility | ME average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.04152 | 4.33770 |
| Average number of residents per day | 47.5 | 65.2 |
Who owns Ledgewood Manor?
Ledgewood Manor is registered with CMS as For profit - Individual, operates under the legal business name LEDGEWOOD MANOR INC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BENNETT, EDISON, BENNETT, JEAN | since 02/11/1980 |
| CORPORATE DIRECTOR | BENNETT, NATHANIEL, BROWN, JESSICA | since 02/22/2015 |
| OPERATIONAL/MANAGERIAL CONTROL | PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLC, BENNETT, EDISON, BENNETT, NATHANIEL, BROWN, JESSICA, CADIGAN, CATHARINE | since 01/01/1980 |
| ADP OF THE SNF | PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLC, BENNETT, EDISON, CADIGAN, CATHARINE | since 07/14/2025 |