Ledgewood Manor
33 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
Serious inspection findings
2019-10-31 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
3.78
state median 3.68
Weekend staffing gap
−3%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.52
registered nurses only
Contract (agency) staff
32%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Keep an eye on this facility
Penalties and enforcement
CMS records no penalties for this facility.
Ownership
Ownership type: For profit - Individual.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-04-29 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-26 | F0578 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-26 | F0623 | Resident Rights Deficiencies | B | not recorded |
| 2025-02-26 | F0625 | Resident Rights Deficiencies | B | not recorded |
| 2025-02-26 | F0637 | Resident Assessment and Care Planning Deficiencies | B | not recorded |
| 2025-02-26 | F0655 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-02-26 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-26 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-26 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-26 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-26 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-10-08 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2022-06-14 | F0567 | Resident Rights Deficiencies | C | not recorded |
| 2022-06-14 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2022-06-14 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2022-06-14 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2022-06-14 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2022-06-14 | F0868 | Administration Deficiencies | B | not recorded |
| 2022-06-14 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2022-06-14 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2022-06-14 | F0883 | Infection Control Deficiencies | D | not recorded |
| 2022-06-14 | F0886 | Infection Control Deficiencies | F | not recorded |
| 2022-06-14 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2022-06-14 | F0947 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2019-10-31 | F0623 | Resident Rights Deficiencies | B | not recorded |
| 2019-10-31 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-10-31 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2019-10-31 | F0661 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2019-10-31 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2019-10-31 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2019-10-31 | F0730 | Nursing and Physician Services Deficiencies | B | not recorded |
| 2019-10-31 | F0838 | Administration Deficiencies | D | not recorded |
| 2019-10-31 | F0883 | Infection Control Deficiencies | D | not recorded |