Ledgewood Rehabilitation and Nursing Center

Name: Ledgewood Rehabilitation and Nursing Center
Address: 87 HERRICK STREET, Beverly, MA, 01915, US
Telephone: 9789211392

87 Herrick Street, Beverly, MA 01915 · Essex County · 123 certified beds · avg 115 residents/day · certified since Mar 28, 1988

Part of chain: BANECARE MANAGEMENT (7 facilities, chain avg rating 4.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (14)

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
Aug 5, 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. · from a complaint
Aug 5, 2025	D · Potential for harm, one-off	The facility did not make sure care was delivered by qualified people following each resident's written care plan — the individualized document that spells out exactly what care that resident is supposed to receive. · from a complaint
Jun 11, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 1, 2024	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.
Aug 1, 2024	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.
Aug 1, 2024	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.
Aug 1, 2024	D · Potential for harm, one-off	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 15, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 15, 2023	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 15, 2023	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.
Jun 15, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 15, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Year	Citations	Worst severity that year
2023	7	D
2024	4	E
2025	3	D

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	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.94	3.89	3.95	top 35% in Massachusetts; top 42% in the U.S.
Registered Nurse hours	0.57	0.65	0.69	bottom 46% in Massachusetts; bottom 48% in the U.S.
Weekend total nurse staffing	3.50	3.51	3.50	top 40% in Massachusetts; top 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.46	0.48	bottom 22% in Massachusetts; bottom 28% in the U.S.
Total nursing staff turnover (%)	24.1	38.2	45.8	top 11% in Massachusetts; top 6% in the U.S.
RN turnover (%)	25.0	42.6	42.9	top 17% in Massachusetts; top 20% in the U.S.

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 3.75, RN 0.54, weekend 3.32. Staffing rating: 4/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Morris, Kevin	Individual	5% or Greater Direct Ownership Interest	100%	12/16/2020
Mahoney, Paul	Individual	W-2 Managing Employee	NOT APPLICABLE	06/01/2021
Morris, Kevin	Individual	Operational/Managerial Control	NOT APPLICABLE	12/16/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure every shift actually follows each resident's care plan?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"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
Blueberry Hill Rehabilitation and Healthcare Ctr	0.1 mi	Beverly, MA	★☆☆☆☆	1/5
Care One at Essex Park	0.7 mi	Beverly, MA	★★★★☆	4/5
Brentwood Rehabilitation and Healthcare Ctr (the)	2.4 mi	Danvers, MA	★★★★☆	4/5
New England Homes for the Deaf, INC	2.8 mi	Danvers, MA	★★★★☆	3/5
Twin Oaks Center	3.1 mi	Danvers, MA	★☆☆☆☆	1/5
Hunt Nursing & Rehab Center	3.5 mi	Danvers, MA	★★★★☆	4/5
Care One at Peabody	4.1 mi	Peabody, MA	★★★★★	5/5
Pilgrim Rehabilitation & Skilled Nursing Center	4.9 mi	Peabody, MA	★★★★☆	4/5
Hathorne Hill Rehabilitation and Healthcare Center	5.0 mi	Danvers, MA	★★★★☆	4/5
Continuing Care at Brooksby Village	5.1 mi	Peabody, MA	★★★★☆	3/5
Lafayette Rehabilitation & Skilled Nursing	5.2 mi	Marblehead, MA	★★★★★	5/5
Devereux Skilled Nursing & Rehabilitation Center	5.2 mi	Marblehead, MA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Beverly →

Facility data as of CMS processing date 2026-08-01. CCN 225309.

The Care File

Visit checklist — Ledgewood Rehabilitation and Nursing Center

87 Herrick Street, Beverly, MA 01915 · 9789211392

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure every shift actually follows each resident's care plan?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225309 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)