01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-02-26 | 10 | 2025-02-26 | 11 |
| Cycle 2 | 2022-06-14 | 14 | 2022-06-14 | 4 |
| Cycle 3 | 2019-10-31 | 9 | 2019-10-31 | 10 |
CMS CCN 2051372026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Ledgewood Manor
200 Route 115 · Windham, ME 04062 · Cumberland County
Certified beds60CMS provider file
Recent citation rows58current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
58 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-04-29 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Past Non-Compliance · 2025-04-24 · complaint2025-02-26 · FIREE0025Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Create arrangements with other facilities to receive patients.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-26 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-03-212025-02-26 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-03-052025-02-26 · HEALTHF0578Severity E · pattern; potential for more than minimal 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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0623Severity B · pattern; potential for minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0625Severity B · pattern; potential for minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0637Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0655Severity E · pattern; potential for more than minimal 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
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0656Severity D · isolated; potential for more than minimal 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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0689Severity E · pattern; potential for more than minimal 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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · HEALTHF0812Severity E · pattern; potential for more than minimal 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.
Correction field: Deficient, Provider has date of correction · 2025-04-112025-02-26 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-03-042025-02-26 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-03-122025-02-26 · FIREK0342Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Correction field: Deficient, Provider has date of correction · 2025-03-122025-02-26 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-02-272025-02-26 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-04-142025-02-26 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-03-062025-02-26 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-03-192025-02-26 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-03-072024-10-08 · HEALTHF0609Severity D · isolated; potential for more than minimal 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.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint2022-06-14 · HEALTHF0567Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2022-06-2903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BENNETT, EDISONIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST51% · since 02/11/1980
- BENNETT, JEANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST49% · since 02/11/1980
- BENNETT, NATHANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/22/2015
- BROWN, JESSICAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/31/2021
- PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/03/2018
- BENNETT, EDISONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1980
- BENNETT, NATHANIELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 02/22/2015
- BROWN, JESSICAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/31/2021
- CADIGAN, CATHARINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2024
- PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/14/2025
- BENNETT, EDISONIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/29/2025
- CADIGAN, CATHARINEIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.04per resident day
RN hours0.65per resident day
Weekend nurse hours3.80per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Maine ledger →Other published facilities nearby
No second facility in the same city met the directory rule.