Ledgewood

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 24, 2025

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 6, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 19, 2025

• Create arrangements with other facilities to receive patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 6, 2025

• Establish staff and initial training requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 21, 2025

• Conduct testing and exercise requirements.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 5, 2025

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2025

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 11, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2025

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 7, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 14, 2025

• Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 12, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 12, 2025

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 4, 2025

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 11, 2025

• 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.

  Severity B of L: potential for minimal harm, patternCorrected Apr 11, 2025

• Assess the resident when there is a significant change in condition

  Severity B of L: potential for minimal harm, patternCorrected Apr 11, 2025

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity B of L: potential for minimal harm, patternCorrected Apr 11, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 8, 2024

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 2, 2022

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 2, 2022

• Perform COVID19 testing on residents and staff.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 29, 2022

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 29, 2022

• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 29, 2022

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 29, 2022

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 29, 2022

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 29, 2022

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2022

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2022

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2022

• Have a battery powered remote alarm panel in a location accessible by operating personnel.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 17, 2022

• Install a fire alarm system that can be heard throughout the facility.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 2, 2022

• PASARR screening for Mental disorders or Intellectual Disabilities

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 29, 2022

• Honor the resident's right to manage his or her financial affairs.

  Severity C of L: potential for minimal harm, widespreadCorrected Jun 29, 2022

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity B of L: potential for minimal harm, patternCorrected Jun 29, 2022

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity K of L: immediate jeopardy, patternCorrected Dec 31, 2019

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2020

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 31, 2019

• Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 31, 2019

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 31, 2019

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2020

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 31, 2019

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 31, 2019

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 31, 2019

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2020

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 29, 2020

• Address subsistence needs for staff and patients.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2020

• Establish policies and procedures including evacuation.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2020

• Create arrangements with other facilities to receive patients.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2020

• Provide large enough exits.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2020

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 27, 2020

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 29, 2020

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity B of L: potential for minimal harm, patternCorrected Dec 31, 2019

• Observe each nurse aide's job performance and give regular training.

  Severity B of L: potential for minimal harm, patternCorrected Dec 31, 2019

Ledgewood offers Skilled Nursing / Long Term Care.

Ledgewood is located at 200 Route 115 in Windham, Maine.

Reviews of Ledgewood Manor are mixed, with several families praising attentive, family-like care and cleanliness, while a couple of visitors reported troubling staff behavior and concerns about resident care. Overall it reads as a small, owner-involved skilled nursing home where experiences seem to vary depending on the visit or the staff on duty.

Ledgewood had 5 government inspection visits in the last three years, with 58 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Ledgewood and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.