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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMaineLedgewood Manor

Ledgewood Manor

200 Route 115, Windham, ME 040622078922261
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
4/5
Quality
3/5
Beds
60
certified

Key Findings

• 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.

Beds
60
Avg Residents/Day
44
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1993
Sprinklers
Yes
Council
Resident
County
Cumberland
Last Inspection
Feb 26, 2025
Deficiencies (Cycle 1)
11
Weighted Score
62.0
Infection Citations
0

Deficiency Citations (33)

F0658Potential for Harm

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

Survey: Apr 29, 2025Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0623Minimal Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0625Minimal Harm

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.

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0637Minimal Harm

Assess the resident when there is a significant change in condition

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0655Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Feb 26, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Oct 8, 2024Corrected: NoCycle: 2
F0567Minimal Harm

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

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0657Potential for Harm

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

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0868Minimal Harm

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

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0882Potential for Harm

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

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0883Potential for Harm

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

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0886Potential for Harm

Perform COVID19 testing on residents and staff.

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0887Potential for Harm

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.

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0947Potential for Harm

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

Survey: Jun 14, 2022Corrected: NoCycle: 2
F0623Minimal Harm

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

Survey: Oct 31, 2019Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: Oct 31, 2019Corrected: NoCycle: 3
F0657Potential for Harm

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

Survey: Oct 31, 2019Corrected: NoCycle: 3
F0661Potential for Harm

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

Survey: Oct 31, 2019Corrected: NoCycle: 3
F0689Immediate Jeopardy

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

Survey: Oct 31, 2019Corrected: NoCycle: 3
F0692Potential for Harm

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

Survey: Oct 31, 2019Corrected: NoCycle: 3

+ 3 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.88 hrs
National avg: 2.35 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN0.52 hrs
National avg: 0.68 hrs
Total Nursing4.11 hrs
National avg: 3.89 hrs
Weekend Total3.84 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
53.1%
RN Turnover
57.1%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
BENNETT, EDISON5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual51%Feb 11, 1980
BENNETT, JEAN5% OR GREATER DIRECT OWNERSHIP INTERESTIndividual49%Feb 11, 1980
PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 3, 2018
BENNETT, EDISONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 1980
BENNETT, NATHANIELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 22, 2015
BROWN, JESSICAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 31, 2021
CADIGAN, CATHARINEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
BENNETT, NATHANIELCORPORATE DIRECTORIndividualN/AFeb 22, 2015
BROWN, JESSICACORPORATE DIRECTORIndividualN/AMay 31, 2021

Frequently Asked Questions

What is the CMS rating for Ledgewood Manor?▾
Ledgewood Manor has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated average.
Has Ledgewood Manor had any health inspection violations?▾
Ledgewood Manor had 11 deficiency citations in its most recent health inspection (Feb 26, 2025). The facility has no fines on record.
What are the staffing levels at Ledgewood Manor?▾
Ledgewood Manor provides 4.11 total nursing staff hours per resident per day, including 0.52 RN hours, 0.71 LPN hours, and 2.88 nurse aide hours. The total staff turnover rate is 53.1%.
How many beds does Ledgewood Manor have?▾
Ledgewood Manor has 60 certified beds with an average of 44 residents per day, resulting in approximately 73% occupancy. The facility is For profit - Individual owned.