What is Ledgecrest Health Care Center's Medicare star rating?

CMS rates Ledgecrest Health Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Ledgecrest Health Care Center get at its last inspection?

6 health deficiencies at the standard inspection on April 20, 2026. The Connecticut average is 13.4.

Has Ledgecrest Health Care Center been fined?

CMS lists no fines in the last three years.

Does Ledgecrest Health Care Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Ledgecrest Health Care Center?

CMS lists 6 owners and managers, and links the home to Apple Rehab. Legal business name: LEDGECREST HEALTH CARE CENTER. INC..

Ledgecrest Health Care Center: Inspections & Ratings

The record in brief

At its most recent standard inspection, on April 20, 2026, inspectors cited 6 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

None of its 28 health citations since June 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.41 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

36.7% of nursing staff left within the year CMS measured (Connecticut average 37.4%).

CMS links it to Apple Rehab, an affiliated group of 20 nursing homes.

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.

906/22

209/23

201/24

508/24

106/25

211/25

704/26

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 28 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

21D

Potential for minimal harm

April 20, 2026Standard inspection, Complaint inspection · 7 citations

E

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

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 1, 2026

Inspectors wroteBased on review of the clinical record, facility documentation, and facility policy for 3 of 4 sampled residents (Resident #3, #15, #33) reviewed for the facility Water Management Plan, the facility failed to ensure a comprehensive Resident Care Plan that included a potential exposure to Legionella (a bacteria that causes Legionnaires Disease) and for the only sampled resident (Resident #47) reviewed for communication, the facility failed to develop a baseline Resident Care Plan identifying the need for a translator.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2026

Inspectors wroteBased on observations, review of the clinical record, facility documentation, facility policy and interviews for 1 of 2 sampled residents (Resident #47) reviewed for dignity, the facility failed to ensure toileting for a dependent resident was provided in a dignified manner.
D

Provide activities to meet all resident's needs.

F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2026

Inspectors wroteBased on observations, review of the clinical record, facility policy and interviews for 2 of 2 sampled residents (Resident #3 and Resident #31) reviewed for activities, the facility failed to ensure activity preferences were provided.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2026

Inspectors wroteBased on observations, review of the clinical record, facility documentation, facility policy and interviews for the only sampled resident (Resident #3) reviewed for positioning and mobility, the facility failed to ensure a custom wheelchair was regularly reviewed per the facility policy and physician orders.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2026

Inspectors wroteBased on review of the clinical record, facility documentation/policy, and interviews for one (1) of one (1) sampled resident (Resident #53) reviewed for adequate supervision, the facility failed to ensure adequate supervision and implementation of interventions following an initial physical altercation, when staff did not maintain continuous observation of Resident #53 despite known agitation and violent behavior. This failure was not in accordance with facility policy requiring one-to-one supervision during emergent situations and subsequently Resident #53 re-engaged in violent behavior, resulting in a second altercation and injuries to both the resident and a staff member.
D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2026

Inspectors wroteBased on observations, interviews, facility record review and policy review for 1 of 1 medication rooms reviewed, the facility failed to ensure emergency stock controlled (narcotic) medications were not expired and were not administered past the labeled expiration date.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 1, 2026

Inspectors wroteBased on observation, interviews, facility documentation review and policy review for 2 of 2 sampled residents (Resident #6 and Resident #22) reviewed for the Infection Control program, the facility failed to follow the manufacturer's guidelines for disinfecting and cleaning a multi-use glucometer (blood device used to measure blood sugar levels).

November 21, 2025Complaint inspection · 2 citations

D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 1, 2025

Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for one (1) of three (3) sampled residents (Resident #2) who was a new admission, the facility failed to develop and implement interventions to address a resident who was incontinent of urine.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 1, 2025

Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for one (1) of two (2) sampled residents (Resident #1) who received a scheduled and as needed pain medication, the facility failed to document the administration and follow up of the as needed pain medication.

June 2, 2025Complaint inspection · 1 citation

D

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

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 14, 2025

Inspectors wroteBased on clinical record review, facility documentation, facility policy, and interviews for one of three residents (Resident #1) reviewed for accidents, the facility failed to ensure staff did not move a resident with visible head injuries after an unwitnessed fall with major injuries (closed head injuries and multiple fractures).

August 14, 2024Standard inspection, Complaint inspection · 5 citations

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024

Inspectors wroteBased on clinical record review, facility documentation review, facility policy and interviews for 1 of 3 sample residents (Resident #149) reviewed for abuse, the facility failed to ensure Resident # 149 was free from physical abuse by Resident #28.
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024

Inspectors wroteBased on review of the clinical record, review of facility policy and interviews for 1 of 4 Residents (Resident #31) reviewed for Pressure Ulcers, the facility failed to ensure staff obtained a physician's order for the use of fastening offloading boot devices, monitoring the effectiveness of the boot devices as a nursing measure and failed to ensure all staff was made aware of the wound physician's recommendation to stop using the green offloading boots.
D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2024

Inspectors wroteBased on review of the clinical record, review of facility policy and interviews for the 1 of 1 sampled resident (Resident #45)) reviewed for urinary retention, the facility failed to follow their policy regarding the maximum amount of urine to be removed at one time.
D

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

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024

Inspectors wroteBased on clinical record reviews, review of facility policy and interviews for 2 of 4 residents (Resident#31) reviewed for pressure ulcers and (Resident # 44) reviewed for nutrition, the facility failed to ensure the residents were reweigh for potential weight loss per the facility policy and the dietician was notified of a weight loss.
D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024

Inspectors wroteBased on clinical record review and staff interviews for 1 of 5 residents for (Resident #41) reviewed for Unnecessary Medications, the facility failed to ensure monthly Medication Regimen Reviews (MRR) were completed for a resident on psychotropic medications.

January 30, 2024Complaint inspection · 2 citations

D

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

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024

Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for one of three sampled residents (Resident #1) who sustained a third degree burn to left foot, the facility failed to ensure a new treatment order was transcribed into the Electronic Treatment Administration Record (eTAR) in accordance with the standards of practice.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2024

Inspectors wroteBased on clinical record reviews, facility documentation, facility policy, and interviews for one of three sampled residents (Resident #2) who was dependent on staff for getting in and out of the bed and chair and was at risk for falls, the facility failed to follow the plan of care to ensure the resident was in a supervised area when out of bed.

September 15, 2023Complaint inspection · 2 citations

D

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023

Inspectors wroteBased on clinical record reviews, observations, facility documentation review, facility policy review and interviews for one of three residents (Resident #1), reviewed for abuse, the facility failed to ensure the resident was treated in dignified manner.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 27, 2023

Inspectors wroteBased on clinical record reviews, facility documentation review, facility policy review, and interviews for one of three residents (Resident #2), reviewed for quality of care, the facility failed to ensure the resident was provided a weekly shower per the plan of care.

June 8, 2022Standard inspection · 9 citations

F

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

F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on review of the facility Infection Control program, review of facility documentation, review of facility policy and interviews, the facility failed to designate one or more individual(s) as the Infection Preventionist (IP) on a full time basis.
E

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

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on observation, review of the clinical record, facility documentation, and interviews for 1 of 2 residents (Resident #17) reviewed for pressure ulcers, the facility failed to revise the care plan to meet the needs of the resident.
E

Plan the resident's discharge to meet the resident's goals and needs.

F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy and interviews for one of 3 residents (Resident #44) reviewed for discharge, the facility failed to develop and implement a comprehensive plan of care with interventions to address the resident's discharge needs and failed to ensure application to community housing was completed in a complete and accurate manner.
D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 1 resident (Resident #38) reviewed for rehabilitation and restorative needs, the facility failed to develop a comprehensive care plan related to the use of a customized wheelchair and a 24 hour positioning plan.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #36) reviewed for pressure ulcers, the facility failed to follow physician orders for the continuous application of bilateral heel protectors.
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.

F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 of 1 resident (Resident #38) reviewed for rehabilitation and restorative needs, the facility failed to ensure a 24-hour positioning plan was comprehensive related to the amount of time Resident #38 was to be out of bed in the customized wheelchair (CWC), failed to communicate the CWC 24-hour positioning plan to nursing and failed to ensure monthly documentation was completed related to CWC compliance as per facility policy. Resident #38 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, dysphagia, and pain in the left knee. A physician's order dated 10/28/21 directed for Resident #38 to be out of bed into a wheelchair for all meals daily. [...]
C

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on review of the facility Infection Control program, facility documentation, facility policy, and interviews, the facility failed to perform environmental rounds per facility policy.
B

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F644 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased upon clinical record review and interview for 1 of 1 resident (Resident #41) reviewed for PASRR, the facility failed to ensure the Level of Care Utilization Review Agency was notified when Resident #41 was diagnosed with a new onset of mental illness.
B

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

F694 · Quality of Life and Care · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) July 20, 2022

Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews reviewed for infection control, the facility failed to complete Intravenous (IV) competencies for licensed staff on a yearly basis.

Fire safety inspections

7 fire safety citations on file: 4 on April 20, 2026, 1 on August 14, 2024, 2 on June 8, 2022.

Every fire safety citation7 citations

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

K 761 · April 20, 2026 · Corrected (the home has a date of correction)
D
Have exits that are accessible at all times.

K 271 · April 20, 2026 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 20, 2026 · Corrected (the home has a date of correction)
D
Have restrictions on the use of highly flammable decorations.

K 753 · April 20, 2026 · Corrected (the home has a date of correction)
D
Properly provide smoke detection systems in areas open to corridors.

K 347 · August 14, 2024 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · June 8, 2022 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · June 8, 2022 · Corrected (the home has a date of correction)

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	Connecticut	United States
All nursing staff (RN, LPN and aides)	3.41	3.73	3.86
Registered nurses	0.79	0.69	0.69
All nursing staff on weekends	3.08	3.37	3.42
Nurse aides	2.00
Licensed practical nurses	0.61
Nursing staff turnover (share who left in a year)	36.7%	37.4%	45.8%
Registered nurse turnover	30.0%	38.6%	42.9%
Administrators who left	1

CMS expects 3.57 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 3.54 on weekdays and 3.08 on weekends, 13% 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 3.36 in April to June 2025 to 3.41 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	3.41	0.79	3.54	3.08	0.0%	0 of 90	46
Oct to Dec 2025	3.35	0.79	3.49	3.01	0.0%	0 of 92	47
Jul to Sep 2025	3.31	0.75	3.45	2.96	0.0%	0 of 92	48
Apr to Jun 2025	3.36	0.68	3.50	3.02	0.0%	0 of 91	47
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Connecticut, Jan to Mar 2026	3.66	0.61	3.80	3.31	6.0%	1.3% 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 Connecticut

Job	Median	Middle half	Employed
Connecticut, all employers
CNAs (nursing assistants)	$21.53	$20.14 to $22.68	21,380
LPNs and LVNs	$35.43	$32.05 to $36.94	8,540
Registered nurses	$49.39	$41.40 to $58.58	40,110
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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Connecticut	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	20.1	17.9	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	2.0	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.3	1.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.7	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.5	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	16.7	16.4	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.6	4.0	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	21.2	17.8	15.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Ledgecrest Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.3% this home

No different from the national rate

US median of homes 51.5% · Connecticut: 75 better, 2 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 27 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · Connecticut: 0 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 27 eligible stays.