Maine › Cumberland County › Windham
Ledgewood Manor
200 Route 115, Windham, ME 04062
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Ledgewood Manor, in Windham, Maine, is certified for 60 beds under for-profit, individual ownership.
CMS gives it 3 of 5 stars overall, equal to the Maine median; the health inspection rating is 3, staffing 3 and quality measures 3.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (10, 14, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 55.0 per 100 beds, about the same as the state median of 44.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (0.7 RN), close to the Maine median of 4.2.
Compared with county, state and nation
| Measure | This facility | Cumberland Co. median | Maine median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 33 | 25 | 29 | 28.7 |
| Citations per 100 beds | 55.0 | 30.8 | 44.4 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.5 | 4.2 | 3.9 |
| RN hours per resident day | 0.7 | 1.2 | 1.0 | 0.7 |
| Nursing staff turnover | — | 46.9% | 46.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (17 in the county, 78 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Maine average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Feb 2025, 14 Jun 2022.
Severity mix: K ×1 D ×13 E ×9 F ×3 B ×6 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Apr 2025 |
| 26 Feb 2025 | F0578 | 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 | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0625 | 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 | Standard survey | 11 Apr 2025 |
| 26 Feb 2025 | F0637 | Assess the resident when there is a significant change in condition | B | Standard survey | 11 Apr 2025 |
| 8 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Nov 2024 |
| 14 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0584 | 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. | D | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0887 | 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. | D | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0567 | Honor the resident's right to manage his or her financial affairs. | C | Standard survey | 29 Jun 2022 |
| 14 Jun 2022 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | B | Standard survey | 29 Jun 2022 |
| 31 Oct 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 31 Dec 2019 |
| 31 Oct 2019 | F0730 | Observe each nurse aide's job performance and give regular training. | B | Standard survey | 31 Dec 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maine average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Maine median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.3% | 24.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 6.2% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.5% | 3.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.1% | 25.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.5% | 19.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Preferred Therapy Outpatient Services of Me, LLC | Operational/managerial control | NOT APPLICABLE | 12/03/2018 |
| Preferred Therapy Outpatient Services of Me, LLC | Adp of the snf | NOT APPLICABLE | 07/14/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cumberland County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Gorham House | Gorham | 69 | 5 | 3 | 5 | 24 | 34.8 | — | 11 Feb 2026 |
| Maine Veterans Home - Scarborough | Scarborough | 120 | 5 | 5 | 5 | 9 | 7.5 | — | 17 Jun 2025 |
| Mid Coast Senior Health Center | Brunswick | 42 | 5 | 5 | 4 | 12 | 28.6 | — | 6 Aug 2025 |
| Piper Shores | Scarborough | 40 | 5 | 4 | 5 | 21 | 52.5 | — | 12 Dec 2025 |
| Barron Center | Portland | 219 | 4 | 4 | 4 | 19 | 8.7 | $8K | 21 Aug 2025 |
| Cedars Nursing Care Center | Portland | 102 | 4 | 4 | 4 | 25 | 24.5 | — | 25 Jun 2025 |
| Hawthorne House | Freeport | 83 | 4 | 3 | 5 | 29 | 34.9 | — | 24 Mar 2026 |
| Horizons Living and Rehab Center | Brunswick | 65 | 4 | 3 | 5 | 20 | 30.8 | — | 28 Aug 2024 |
All 17 facilities in Cumberland County
Questions and answers
How many deficiencies has Ledgewood Manor been cited for?
33 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Maine median is 29 per facility.
Has Ledgewood Manor been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Ledgewood Manor compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Maine median of 4.2 and a national average of 3.9.
Who operates Ledgewood Manor?
Ownership type is for-profit, individual. Organisations in the CMS ownership record include Preferred Therapy Outpatient Services of Me, LLC. Individual owners and managers are not listed on this site.
When was Ledgewood Manor last inspected?
The most recent survey or investigation in the CMS record is dated 29 Apr 2025; the most recent standard health survey was 26 Feb 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.