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Ledgewood Manor

200 ROUTE 115
WINDHAM, ME 04062 · 2078922261 · Cumberland County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds60
OwnershipFor profit - Individual
State rank#44

By the numbers

33
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are rising — 10 in the most recent cycle versus 9 two cycles ago.

Recent Health Citations

Apr 29, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Feb 26, 2025 · Health survey · F-tag 0637
B — Cited
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Feb 26, 2025 · Health survey · F-tag 0625
B — Cited
Resident Rights Deficiencies
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.
Feb 26, 2025 · Health survey · F-tag 0623
B — Cited
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Feb 26, 2025 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 26, 2025 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Feb 26, 2025 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Feb 26, 2025 · Health survey · F-tag 0755
E — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 26, 2025 · Health survey · F-tag 0689
E — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 26, 2025 · Health survey · F-tag 0655
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Feb 26, 2025 · Health survey · F-tag 0578
E — No actual harm
Resident Rights Deficiencies
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.
Oct 8, 2024 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 14, 2022 · Health survey · F-tag 0868
B — Cited
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Jun 14, 2022 · Health survey · F-tag 0567
C — Cited
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Jun 14, 2022 · Health survey · F-tag 0887
D — No actual harm
Infection Control Deficiencies
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.
Jun 14, 2022 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Jun 14, 2022 · Health survey · F-tag 0645
D — No actual harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Jun 14, 2022 · Health survey · F-tag 0584
D — No actual harm
Resident Rights Deficiencies
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.
Jun 14, 2022 · Health survey · F-tag 0947
E — No actual harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Jun 14, 2022 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Maine →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.