Ledgewood Manor

Inspection history (33)

• April 29, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-04-29 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-04-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-29.GOV

• February 26, 2025 · E

  Citation F0578

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0578 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · B

  Citation F0625

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0625 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · E

  Citation F0655

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · B

  Citation F0623

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0623 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · B

  Citation F0637

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0637 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• February 26, 2025 · E

  Citation F0689

  Federal surveyors cited this nursing home on 2025-02-26 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-26.GOV

• October 8, 2024 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2024-10-08 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-08.GOV

• June 14, 2022 · D

  Citation F0584

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

• June 14, 2022 · B

  Citation F0868

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0868 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

• June 14, 2022 · F

  Citation F0882

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0882 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

• June 14, 2022 · D

  Citation F0645

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

• June 14, 2022 · F

  Citation F0886

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0886 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Perform COVID19 testing on residents and staff. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

• June 14, 2022 · E

  Citation F0947

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0947 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

• June 14, 2022 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

• June 14, 2022 · D

  Citation F0887

  Federal surveyors cited this nursing home on 2022-06-14 under CMS tag F0887 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2022-06-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-06-14.GOV

Penalties

Total fines on file: $0

Staffing

Staffing data not yet published for this provider.

Ownership

For profit - Individual

1. Parent organization: Preferred Therapy Outpatient Services Of Me, LLC

   parent · PAC 0345639001