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Ledgewood Manor

200 Route 115, Windham, ME 04062
2078922261
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3.9/5

3.0/5

Quality Measures

vs State Average: 2.9/5

0 penalties in last 3 years
Penalties
vs State Average: 0.6 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Apr 29, 2025 Ensure services provided by the nursing facility meet professional standards of quality. D
Feb 26, 2025 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. B
Feb 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. B
Feb 26, 2025 Assess the resident when there is a significant change in condition B
Feb 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. E
Score
4.0
State Average
3.9
National Average
2.9
0.5 RN Hours / Resident / Day
4.1 Total Nurse Hours / Resident / Day
57.1% RN Turnover Rate
Score
3.0
State Average
2.9
National Average
3.6
3.0 Long-Stay QM Rating
Short-Stay QM Rating
44.0 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST BENNETT, EDISON
5% OR GREATER DIRECT OWNERSHIP INTEREST BENNETT, JEAN
OPERATIONAL/MANAGERIAL CONTROL PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLC
OPERATIONAL/MANAGERIAL CONTROL BENNETT, EDISON
OPERATIONAL/MANAGERIAL CONTROL BENNETT, NATHANIEL
OPERATIONAL/MANAGERIAL CONTROL BROWN, JESSICA
OPERATIONAL/MANAGERIAL CONTROL CADIGAN, CATHARINE
CORPORATE DIRECTOR BENNETT, NATHANIEL
CORPORATE DIRECTOR BROWN, JESSICA
Recent Penalties

No penalty records found.

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