Ledgewood Manor
200 Route 115 · Windham, ME · 04062 · 2078922261
60 certified beds For profit - Individual
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · D April 29, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 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.
Corrected April 11, 2025 · Resident Rights
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Potential for harm · E February 26, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D February 26, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · E February 26, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 11, 2025 · Pharmacy Service
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Potential for harm · E February 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2025 · Nutrition and Dietary
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No harm found · B February 26, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 11, 2025 · Resident Rights
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No harm found · B February 26, 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.
Corrected April 11, 2025 · Resident Rights
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No harm found · B February 26, 2025
Assess the resident when there is a significant change in condition
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 8, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 14, 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.
Corrected June 29, 2022 · Resident Rights
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Potential for harm · D June 14, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 29, 2022 · Resident Assessment and Care Planning
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Potential for harm · E June 14, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 29, 2022 · Resident Assessment and Care Planning
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Potential for harm · E June 14, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 29, 2022 · Nutrition and Dietary
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Potential for harm · F June 14, 2022
Provide and implement an infection prevention and control program.
Corrected June 29, 2022 · Infection Control
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Potential for harm · F June 14, 2022
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected June 29, 2022 · Infection Control
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Potential for harm · D June 14, 2022
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 29, 2022 · Infection Control
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Potential for harm · F June 14, 2022
Perform COVID19 testing on residents and staff.
Corrected June 29, 2022 · Infection Control
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Potential for harm · D June 14, 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.
Corrected June 29, 2022 · Infection Control
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Potential for harm · E June 14, 2022
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 29, 2022 · Nursing and Physician Services
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No harm found · C June 14, 2022
Honor the resident's right to manage his or her financial affairs.
Corrected June 29, 2022 · Resident Rights
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No harm found · B June 14, 2022
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected June 29, 2022 · Administration
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Immediate jeopardy · K October 31, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 31, 2019 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 205137 · certified since January 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.