Ledgewood Manor - Windham Nursing Home
General Information
UPDATEFederal Provider Number
205137
Provider Name
LEDGEWOOD MANOR
Provider Address
200 ROUTE 115, PO BOX 760
WINDHAM, ME 4062
WINDHAM, ME 4062
Provider Phone Number
2078922261
Provider SSA County
20
Provider County Name
Cumberland
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEDGEWOOD MANOR INC
Date First Approved to Provide Medicare and Medicaid services
1993-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.59717
Reported LPN Staffing Hours per Resident per Day
0.38208
Reported RN Staffing Hours per Resident per Day
0.63868
Reported Licensed Staffing Hours per Resident per Day
1.02075
Reported Total Nurse Staffing Hours per Resident per Day
4.61793
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02264
Expected CNA Staffing Hours per Resident per Day
2.80997
Expected LPN Staffing Hours per Resident per Day
0.55792
Expected RN Staffing Hours per Resident per Day
0.77298
Expected Total Nurse Staffing Hours per Resident per Day
4.14087
Adjusted CNA Staffing Hours per Resident per Day
3.14109
Adjusted LPN Staffing Hours per Resident per Day
0.56841
Adjusted RN Staffing Hours per Resident per Day
0.61738
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49530
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
19695
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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