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Home / Maine / Windham

Ledgewood Manor

200 Route 115, Windham, ME 04062 · Cumberland County · (207) 892-2261

60 certified beds, about 48 residents a day · For profit - Individual · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 205137 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 28, 2026, inspectors cited 10 health deficiencies (the Maine average is 10.8, the national average 9.2).

None of its 34 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 4.04 hours per resident per day, against 4.34 across Maine and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

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.

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 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
11E
4F
Potential for minimal harm
0A
5B
1C
May 28, 2026Standard inspection · 10 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on record review and interviews related to mandatory submission of staffing information, the facility failed to ensure complete and accurate direct care staffing information based on payroll data was submitted to CMS (Centers for Medicare and Medicaid Services) for fiscal year quarter 1 2026 (October 1, 2025 - December 31, 2025). This has the potential to affect all residents (47 Residents).
  2. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 12, 2026
    Inspectors wroteBased on observation and interview, the facility failed to adequately provide maintenance and housekeeping services necessary to maintain the physical environment in good repair and in a clean, sanitary condition. This was evidenced by the widespread use of heavy adhesive tape (duct tape) to patch and repair damaged floors, sinks, and handrails across multiple resident rooms and common areas, creating un-cleanable surfaces. In addition, the facility failed to maintain floors and ceiling tiles in good structural repair, and failed to clean patient care equipment. An environmental tour conducted by two (2) surveyors on May 28, 2026, starting at 9:37 AM, revealed the following environmental deficiencies throughout the facility: [...]
  3. E
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 9, 2026
    Inspectors wroteBased on interview and review of the facility's Quality Assurance and Performance Improvement (QAPI) Program, the facility failed to present evidence that the required members attended 3 of 5 quarterly committee meetings provided from April 2025 through April 2026.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 9, 2026
    Inspectors wroteBased on observations, interviews, record reviews, and policy review, the facility failed to develop and implement an Infection Control Program designed to prevent the transmission of infection related to linen handling for 1 of 3 days of survey, and Enhanced Barrier Precautions (EBP) for 5 of 8 residents reviewed for indwelling foley catheters (R2, R8, R17, R44, and R45).
  5. 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 3, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to develop and implement a resident's care plan in the area of Enhanced Barrier Precautions (EBP) for Multi-drug Resistant Organisms (MDRO's) for 1 of 8 residents reviewed with indwelling urinary catheters (R8).
  6. 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 26, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to ensure a valid physician's order was obtained before administering an antibiotic to 1 of 1 residents reviewed for dialysis care (R2).
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2026
    Inspectors wroteBased on record review and interview, the facility failed to monitor side effects of psychotropic medications for 1 of 5 residents reviewed for unnecessary medications (R6).
  8. 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 22, 2026
    Inspectors wroteBased on observation and interview, the facility failed to ensure that medications were stored properly as evidenced by unattended medication left at a resident's bedside, allowing residents and unauthorized persons access to the medication on 1 of 2 units (Wing 2).
  9. 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 · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to ensure that clinical records were complete and contained accurate information for 1 of 6 residents whose Medication Administration Records (MAR) and Treatment Administration Records (TAR) were reviewed. (R17)
  10. B
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) July 3, 2026
    Inspectors wroteBased on record reviews and interviews, the facility failed to complete a Minimum Data Set (MDS) upon a resident's discharge (R40). Additionally, the facility failed to adequately capture the presence of a resident's wounds on the MDS for 1 of 2 residents reviewed for pressure ulcers (R8).
April 29, 2025Complaint inspection · 1 citation
  1. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interviews, the facility failed to ensure professional standards of quality were met for controlled medication administration for 1 of 1 resident reviewed.
February 26, 2025Standard inspection · 10 citations
  1. E
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure that the resident and/or resident representative was provided with written information concerning the right to formulate an advanced directive for 2 of 5 residents (Residents #24, #38), and failed to ensure a physician's order included the resident's preference for resuscitation (Resident #17).
  2. 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) April 11, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to complete a baseline care plan, as required, within 48 hours of admission to the facility for 5 of 16 residents sampled. (Resident #38, Resident #39, Resident #242, Resident #243 and Resident #244).
  3. E
    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, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observations, interviews, and a review of Safety Data Sheets (SDS), the facility failed to ensure that the resident's environment was free of accident hazards relating to the storage of chemicals and over-the-counter medications for 1 of 3 survey days. (2/24/25)
  4. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on facility policy and clinical record reviews, observations and interviews, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation by failing to ensure that two people who are authorized to administer medications signed the Shift Count page indicating that they counted all controlled substances at the change of shift for multiple shifts, on 2 of 2 units reviewed.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure the facility was maintained in a clean and sanitary manner for the kitchen counter, fans, ceiling vents and floors. In addition, the facility failed to ensure the kitchen ice machine and food preparation sink were plumbed in accordance with code requirements to prevent food contamination. Further, the facility lacked evidence that the sanitizing bucket and sanitizing sink solutions, dishwashing temperatures were documented and within the appropriate range for 3 of 3 days of survey.
  6. 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) April 11, 2025
    Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan that addressed the use of psychotropic drug use and nutrition for 1 of 5 residents reviewed for unnecessary medications. (#21).
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on observation, interview, clinical record and policy review, the facility failed to provide a sanitary environment to help prevent the development and transmission of disease and infection related to respiratory care for 1 of 2 residents (Resident's #24).
  8. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on record reviews and interviews, the facility failed to issue a written transfer/discharge notice to a resident or their legal representative for a facility-initiated transfer/discharge for 3 out 3 of of sampled residents transferred/discharged to an acute care facility.(#6, #21 & #40)
  9. B
    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.
    F625 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on record reviews and interviews, the facility failed to issue a written bed hold notice to a resident, known family member or legal representative for 3 of 3 sampled residents who had been transferred to an acute care facility (#6, #21, & #40).
  10. B
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) April 11, 2025
    Inspectors wroteBased on interview and record review, the facility failed to conduct a comprehensive Minimum Data Set 3.0 (MDS 3.0) assessment within 14 calendar days after a resident experienced a significant change of condition and hospice services were initiated for 3 of 16 sampled residents (Resident #23, Resident #29, and Resident #31).
October 8, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 8, 2024
    Inspectors wroteBased on record review and interviews, the facility failed to ensure that an alleged violation of resident sexual abuse was reported to the State Agency within 24 hours when an incident occurred for 1 of 6 residents reviewed for neglect/abuse (#1).
June 14, 2022Standard inspection · 12 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on record review and interview, the facility failed to establish a facility wide Infection Prevention and Control Program (IPCP) which included standards, policies and procedures that are current, based on national standards and reviewed annually for COVID-19. This has the potential to affect all residents.
  2. 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) June 29, 2022
    Inspectors wroteBased on interview and record review, the facility failed to designate a qualified staff member to function as the Infection Preventionist, who is responsible for the facility's Infection Control Program. This has the potential to affect all residents in the facility.
  3. F
    Perform COVID19 testing on residents and staff.
    F886 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on record review and interview, the facility failed to follow the Centers for Disease Control and Prevention (CDC) guidelines and the Center for Medicare and Medicaid Services (CMS) August 26, 2020, revised 3/10/22, Quality, Survey and Certification Group (QSO)-20-38-Nursing Home (NH) for testing of staff who are not up to date with COVID-19 vaccination. This has the potential to affect all residents at the facility (31 residents).
  4. 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) June 29, 2022
    Inspectors wroteBased on interviews and record review, the facility failed to review and revise the care plan by an interdisciplinary team (IDT) meeting, which included the participation of the resident and resident's representative, after each Minimum Data Set (MDS) 3.0 assessments, for 3 of 17 residents whose care plans were reviewed (#11, #24, #26)
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure that food was stored, prepared and served in a sanitary manner for 2 of 3 days of survey. Findings The facilities policies: Hood/Filters, revised 10/2010 states, All hoods/filters shall be free of soil build up. and Note: Filters shall be cleaned at least weekly. Hood shall be cleaned at least monthly. Freezer, Walk-in, revised 10/2010 states, All freezers shall be cleaned and sanitized at least once a month and as needed. Procedure #9 wash gaskets, use a brush if needed, and replace when necessary and Note: check all gasket thoroughly, check thermometer. Refrigerator, Reach-in revised 10/2010 states, All refrigerators shall be cleaned and sanitized at least once a month and as needed. #7 Scrub inside and outside, give special attention to: [...]
  6. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on Facility Assessment review, in-service review, and interview, the facility failed to monitor and ensure Certified Nursing Assistants (CNA) attended the required annual in-service education which included abuse and Dementia in-services for 5 of 5 randomly selected CNA's employed greater than 1 year (#1, #2, #3, #4 & #5).
  7. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on observations and interviews, the facility failed to provide maintenance services necessary to maintain the building in good repair and in a sanitary condition for 4 of 17 residents sampled (#17, #18, #26, #29) for 2 of 2 environmental tours.
  8. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on interview and record reviews, the facility failed to coordinate assessments for Pre-admission Screening and Resident Review (PASRR) Level I and Level II program for 1 of 4 records reviewed. (#12)
  9. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on record review and interview, the facility failed to screen and determine eligibility for immunizations for 1 of 9 residents reviewed for pneumococcal and influenza vaccinations (#13).
  10. D
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on record review and interview, the facility failed to screen and determine eligibility for immunizations for 1 of 9 residents reviewed for COVID-19 vaccinations (#13).
  11. C
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on interview and record review, the facility failed to deposit the resident's personal funds into an interest bearing account for all residents having personal funds with the facility.
  12. B
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 29, 2022
    Inspectors wroteBased on review of the Quarterly Quality Performance improvement Committee meeting attendance sheets and interview, the facility failed to ensure that the Medical Director attended 2 of 5 quarterly meetings. In addition, the facility failed to ensure that a Infection Preventionist attended 5 of 5 meetings and the Director of Nursing attended 1 of 5 meetings.

Fire safety inspections

27 fire safety citations on file: 12 on May 28, 2026, 11 on February 26, 2025, 4 on June 14, 2022.

Every fire safety citation27 citations
  1. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · May 28, 2026 · Corrected (the home has a date of correction)
  2. F
    Establish roles under a Waiver declared by secretary.
    E 26 · May 28, 2026 · Corrected (the home has a date of correction)
  3. F
    Establish staff and initial training requirements.
    E 37 · May 28, 2026 · Corrected (the home has a date of correction)
  4. F
    Conduct testing and exercise requirements.
    E 39 · May 28, 2026 · Corrected (the home has a date of correction)
  5. F
    Have properly located and lighted "Exit" signs.
    K 293 · May 28, 2026 · Corrected (the home has a date of correction)
  6. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 28, 2026 · Corrected (the home has a date of correction)
  7. E
    Have simulated fire drills held at unexpected times.
    K 712 · May 28, 2026 · Corrected (the home has a date of correction)
  8. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · May 28, 2026 · Corrected (the home has a date of correction)
  9. D
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · May 28, 2026 · Corrected (the home has a date of correction)
  10. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 28, 2026 · Corrected (the home has a date of correction)
  11. D
    Provide properly sized and located linen or trash receptacles.
    K 754 · May 28, 2026 · Corrected (the home has a date of correction)
  12. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 28, 2026 · Corrected (the home has a date of correction)
  13. F
    Create arrangements with other facilities to receive patients.
    E 25 · February 26, 2025 · Corrected (the home has a date of correction)
  14. F
    Establish staff and initial training requirements.
    E 37 · February 26, 2025 · Corrected (the home has a date of correction)
  15. F
    Conduct testing and exercise requirements.
    E 39 · February 26, 2025 · Corrected (the home has a date of correction)
  16. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 26, 2025 · Corrected (the home has a date of correction)
  17. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · February 26, 2025 · Corrected (the home has a date of correction)
  18. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 26, 2025 · Corrected (the home has a date of correction)
  19. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · February 26, 2025 · Corrected (the home has a date of correction)
  20. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 26, 2025 · Corrected (the home has a date of correction)
  21. D
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · February 26, 2025 · Corrected (the home has a date of correction)
  22. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 26, 2025 · Corrected (the home has a date of correction)
  23. D
    Have proper medical gas storage and administration areas.
    K 923 · February 26, 2025 · Corrected (the home has a date of correction)
  24. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 14, 2022 · Corrected (the home has a date of correction)
  25. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 14, 2022 · Corrected (the home has a date of correction)
  26. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · June 14, 2022 · Corrected (the home has a date of correction)
  27. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · June 14, 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.

MeasureThis homeMaineUnited States
All nursing staff (RN, LPN and aides)4.044.343.86
Registered nurses0.651.050.69
All nursing staff on weekends3.803.923.42
Nurse aides2.93
Licensed practical nurses0.46
Nursing staff turnover (share who left in a year)not reported46.7%45.8%
Registered nurse turnovernot reported40.2%42.9%
Administrators who leftnot reported

CMS expects 3.55 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 4.14 on weekdays and 3.80 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 31.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.29 in April to June 2025 to 4.04 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.040.654.143.80 31.6%1 of 9048
Jul to Sep 20254.110.524.213.84 23.4%2 of 9244
Apr to Jun 20254.290.484.384.07 22.2%3 of 9143
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Maine, Jan to Mar 20264.351.064.523.959.2%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.

Quality measures

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

MeasureThis homeMaineUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
32.324.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
6.21.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.54.13.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.125.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.04.34.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.520.215.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.41.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.01.8

Owners and operators

Legal business name: LEDGEWOOD MANOR INC.

NameRoleTypeShareSince
Bennett, Edison5% or greater direct ownership interestIndividual51%02/11/1980
Bennett, Jean5% or greater direct ownership interestIndividual49%02/11/1980
Bennett, NathanielCorporate directorIndividual02/22/2015
Brown, JessicaCorporate directorIndividual05/31/2021
Preferred Therapy Outpatient Services of Me, LLCOperational/managerial controlOrganization12/03/2018
Bennett, EdisonOperational/managerial controlIndividual01/01/1980
Bennett, NathanielOperational/managerial controlIndividual02/22/2015
Brown, JessicaOperational/managerial controlIndividual05/31/2021
Cadigan, CatharineOperational/managerial controlIndividual10/01/2024
Preferred Therapy Outpatient Services of Me, LLCAdp of the SNFOrganization07/14/2025
Bennett, EdisonAdp of the SNFIndividual07/29/2025
Cadigan, CatharineAdp of the SNFIndividual10/01/2024

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on May 28, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on May 28, 2026: "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."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on May 28, 2026: "Provide and implement an infection prevention and control program."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 3 problems in this area, most recently on May 28, 2026: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.80 hours per resident per day, below the Maine average of 3.92.

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Common questions

What is Ledgewood Manor's Medicare star rating?
CMS rates Ledgewood Manor 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ledgewood Manor get at its last inspection?
10 health deficiencies at the standard inspection on May 28, 2026. The Maine average is 10.8.
Has Ledgewood Manor been fined?
CMS lists no fines in the last three years.
Does Ledgewood Manor 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 Ledgewood Manor?
CMS lists 12 owners and managers. Legal business name: LEDGEWOOD MANOR INC.

Sources

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