• CMS rates this facility 3/5 stars (average)
• Has 60 certified beds with an average of 44 residents per day (73% occupancy)
• Last health inspection found 11 deficiencies (inspected Feb 26, 2025)
• No fines on record
• Total nursing staff: 4.11 hours per resident per day
• Staff turnover rate: 53.1% (high)
Ledgewood Manor is a 3-star Medicare and Medicaid certified nursing home in Windham, Maine with 60 certified beds. It has been operating since 1993. The facility scored at average compared to Maine facilities.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
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
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Honor the resident's right to manage his or her financial affairs.
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 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.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Perform COVID19 testing on residents and staff.
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.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough food/fluids to maintain a resident's health.
+ 3 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| BENNETT, EDISON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 51% | Feb 11, 1980 |
| BENNETT, JEAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 49% | Feb 11, 1980 |
| PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 3, 2018 |
| BENNETT, EDISON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 1980 |
| BENNETT, NATHANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 22, 2015 |
| BROWN, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 31, 2021 |
| CADIGAN, CATHARINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2024 |
| BENNETT, NATHANIEL | CORPORATE DIRECTOR | Individual | N/A | Feb 22, 2015 |
| BROWN, JESSICA | CORPORATE DIRECTOR | Individual | N/A | May 31, 2021 |