nursing home in Windham, ME
Ledgewood Manor
200 Route 115, Windham, ME 04062 · (207) 892-2261
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ledgewood Manor at a glance
Ledgewood Manor is a 60-bed for-profit nursing home in Windham, Maine (Cumberland County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Maine average of 3.1.
Residents receive about 4 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 4.3 hours.
Its most recent standard health inspection (May 28, 2026) found 10 health citations. The Maine average is 10.8.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1993
- Resident/family council
- Resident
- County
- Cumberland County
- CMS Certification Number
- 205137
Ratings
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 4.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.5 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.04 hrs | 4.34 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 1.05 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.93 hrs | 2.83 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.80 hrs | 3.92 hrs | 3.42 hrs | Better |
Inspections
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 59 | 81.3 | 80.6 | Better |
Penalties
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $7,386 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 75 | 107 | |
| Average residents per day | 48 | 65 | 86 | |
| Occupancy | 79.2% | 88.5% | 80.9% |
Long-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.5% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 17.5% | 20.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 6.2% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 32.3% | 24.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.1% | 25.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.6% | 5.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 12.4% | 11.6% | 12.8% | Average |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 18.4% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 36.7% | 29.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 58.7% | 95.5% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 65.5% | 92.3% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 3.1% | 72.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 28, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected June 1, 2026 |
| May 28, 2026 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected June 26, 2026 |
| May 28, 2026 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 28, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 28, 2026 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected June 26, 2026 |
| May 28, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected July 2, 2026 |
| May 28, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected June 12, 2026 |
| May 28, 2026 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | D Potential harm, isolated | Corrected June 1, 2026 |
| May 28, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected June 10, 2026 |
| May 28, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected May 29, 2026 |
| May 28, 2026 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 28, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected June 1, 2026 |
| May 28, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected June 19, 2026 |
| May 28, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 9, 2026 |
| May 28, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected July 9, 2026 |
| May 28, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 12, 2026 |
| May 28, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 19, 2026 |
| May 28, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 3, 2026 |
| May 28, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 28, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 22, 2026 |
| May 28, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 26, 2026 |
| May 28, 2026 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | B No harm, pattern | Corrected July 3, 2026 |
| April 29, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 24, 2025 |
| February 26, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected March 5, 2025 |
| February 26, 2025 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected March 21, 2025 |
| February 26, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 19, 2025 |
| February 26, 2025 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected March 6, 2025 |
| February 26, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected March 6, 2025 |
| February 26, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected February 27, 2025 |
| February 26, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 7, 2025 |
| February 26, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected March 4, 2025 |
| February 26, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected March 12, 2025 |
| February 26, 2025 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | D Potential harm, isolated | Corrected March 12, 2025 |
| February 26, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 14, 2025 |
| February 26, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected April 11, 2025 |
| February 26, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected April 11, 2025 |
| February 26, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 11, 2025 |
| February 26, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 11, 2025 |
| February 26, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected April 11, 2025 |
| February 26, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 11, 2025 |
| February 26, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 11, 2025 |
| February 26, 2025 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | B No harm, pattern | Corrected April 11, 2025 |
| February 26, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0625 | B No harm, pattern | Corrected April 11, 2025 |
| February 26, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | B No harm, pattern | Corrected April 11, 2025 |
| October 8, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 8, 2024 |
| June 14, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 2, 2022 |
| June 14, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 2, 2022 |
| June 14, 2022 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected August 2, 2022 |
| June 14, 2022 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | D Potential harm, isolated | Corrected August 17, 2022 |
| June 14, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected June 29, 2022 |
| June 14, 2022 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected June 29, 2022 |
| June 14, 2022 Standard | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Tag F0886 | F Potential harm, widespread | Corrected June 29, 2022 |
| June 14, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 29, 2022 |
| June 14, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected June 29, 2022 |
| June 14, 2022 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | E Potential harm, pattern | Corrected June 29, 2022 |
| June 14, 2022 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 29, 2022 |
| June 14, 2022 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected June 29, 2022 |
| June 14, 2022 Standard | 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. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected June 29, 2022 |
| June 14, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 29, 2022 |
| June 14, 2022 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | C No harm, widespread | Corrected June 29, 2022 |
| June 14, 2022 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | B No harm, pattern | Corrected June 29, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | 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 | adp of the snf | NOT APPLICABLE | 07/29/2025 |
| CADIGAN, CATHARINE Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLC Organization | adp of the snf | NOT APPLICABLE | 07/14/2025 |
| BENNETT, NATHANIEL Individual | corporate director | NOT APPLICABLE | 02/22/2015 |
| BROWN, JESSICA Individual | corporate director | NOT APPLICABLE | 05/31/2021 |
| BENNETT, EDISON Individual | operational/managerial control | NOT APPLICABLE | 01/01/1980 |
| BENNETT, NATHANIEL Individual | operational/managerial control | NOT APPLICABLE | 02/22/2015 |
| BROWN, JESSICA Individual | operational/managerial control | NOT APPLICABLE | 05/31/2021 |
| CADIGAN, CATHARINE Individual | operational/managerial control | NOT APPLICABLE | 10/01/2024 |
| PREFERRED THERAPY OUTPATIENT SERVICES OF ME, LLC Organization | operational/managerial control | NOT APPLICABLE | 12/03/2018 |
Other nursing homes near Ledgewood Manor
Gorham House
50 New Portland Rd, Gorham, ME 04038 · 10.8 mi
For-profit · 69 beds · Part of Senior Lifestyle
- CMS high performer
- New owner (last 12 months)
★★★★★5Much above average- ★★★★★2Below average
Fallbrook Commons
91 Merrymeeting Dr, Portland, ME 04103 · 11.8 mi
Non-profit · 102 beds · Part of North Country Associates
★★★★★3AverageBrentwood Center for Health & Rehabilitation, LLC
370 Portland Street, Yarmouth, ME 04096 · 12 mi
For-profit · 78 beds · Part of National Health Care Associates
★★★★★1Much below average- ★★★★★4Above average
Springbrook Center
300 Spring St, Westbrook, ME 04092 · 12.2 mi
For-profit · 123 beds · Part of Genesis Healthcare
★★★★★2Below average
Frequently asked questions
What is Ledgewood Manor's rating?
Ledgewood Manor has 3 out of 5 stars on the CMS overall star rating. The average for Maine nursing homes is 3.1 stars.
How many inspection citations did Ledgewood Manor receive?
Its most recent standard health inspection found 10 citations, compared with a Maine average of 10.8. Every citation is listed on this page with its severity.
Does Ledgewood Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ledgewood Manor?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ledgewood Manor and how do I contact it?
Ledgewood Manor is at 200 Route 115, Windham, ME 04062. Phone: (207) 892-2261.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.