Ledgewood Manor
200 Route 115, Windham, ME 04062 · Cumberland County · 60 certified beds · avg 48 residents/day · certified since Jan 1, 1993
3/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
4.36
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Oct 31, 2019 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Dec 31, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 29, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 26, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 26, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 26, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 26, 2025 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 26, 2025 | B · Minimal risk, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Feb 26, 2025 | B · Minimal risk, repeated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Oct 8, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 14, 2022 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 14, 2022 | F · Potential for harm, facility-wide | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
| Jun 14, 2022 | F · Potential for harm, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Jun 14, 2022 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jun 14, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 14, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Jun 14, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 14, 2022 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 14, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jun 14, 2022 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Jun 14, 2022 | C · Minimal risk, facility-wide | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jun 14, 2022 | B · Minimal risk, repeated | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Oct 31, 2019 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 31, 2019 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Oct 31, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 31, 2019 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Oct 31, 2019 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 31, 2019 | D · Potential for harm, one-off | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Oct 31, 2019 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Oct 31, 2019 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Oct 31, 2019 | B · Minimal risk, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 9 | 1 | K ▲ |
| 2022 | 12 | 0 | F |
| 2024 | 1 | 0 | D |
| 2025 | 11 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Maine avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.36 | 4.60 | 3.95 | bottom 39% in Maine; top 27% in the U.S. |
| Registered Nurse hours | 0.71 | 1.11 | 0.69 | bottom 6% in Maine; top 36% in the U.S. |
| Weekend total nurse staffing | 4.11 | 4.16 | 3.50 | top 44% in Maine; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.52 | 0.73 | 0.48 | bottom 28% in Maine; top 30% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 46.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 40.2 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.04, RN 0.65, weekend 3.80. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bennett, Edison | Individual | 5% or Greater Direct Ownership Interest | 51% | 02/11/1980 |
| Bennett, Jean | Individual | 5% or Greater Direct Ownership Interest | 49% | 02/11/1980 |
| Bennett, Edison | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/1980 |
| Bennett, Edison | Individual | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Bennett, Nathaniel | Individual | Corporate Director | NOT APPLICABLE | 02/22/2015 |
| Bennett, Nathaniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/22/2015 |
| Brown, Jessica | Individual | Corporate Director | NOT APPLICABLE | 05/31/2021 |
| Brown, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/31/2021 |
| Cadigan, Catharine | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Cadigan, Catharine | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Preferred Therapy Outpatient Services of Me, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/03/2018 |
| Preferred Therapy Outpatient Services of Me, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Gorham House | 10.8 mi | Gorham, ME | ★★★★★ | 3/5 | |
| Coastal Manor | 11.7 mi | Yarmouth, ME | ★★☆☆☆ | 2/5 | |
| Fallbrook Commons | 11.8 mi | Portland, ME | ★★★☆☆ | 2/5 | |
| Brentwood Center for Health & Rehabilitation, LLC | 12.0 mi | Yarmouth, ME | ★☆☆☆☆ | 1/5 | |
| Barron Center | 12.2 mi | Portland, ME | ★★★★☆ | 4/5 | |
| Springbrook Center | 12.2 mi | Westbrook, ME | ★★☆☆☆ | 1/5 | |
| Sedgewood Commons | 12.3 mi | Falmouth, ME | ★★★☆☆ | 3/5 | |
| Cedars Nursing Care Center | 13.0 mi | Portland, ME | ★★★★☆ | 4/5 | |
| Seaside Healthcare LLC | 13.6 mi | Portland, ME | ★★★★☆ | 4/5 | |
| Hawthorne House | 14.4 mi | Freeport, ME | ★★★★☆ | 3/5 | |
| Pinnacle Health & Rehab at South Portland | 16.4 mi | So Portland, ME | ★★★☆☆ | 3/5 | |
| Maine Veterans Home - Scarborough | 17.6 mi | Scarborough, ME | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 205137.