All citations for Ledgewood Manor
State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.
Last standard health inspection on record
May 28, 2026
Showing 1 to 25 of 61 citations
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
The home gave a date the problem would be corrected (June 19, 2026).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
The home gave a date the problem would be corrected (June 26, 2026).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
The home gave a date the problem would be corrected (June 1, 2026).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
The home gave a date the problem would be corrected (June 26, 2026).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
The home gave a date the problem would be corrected (July 10, 2026).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
The home gave a date the problem would be corrected (July 10, 2026).
No harm, with potential for more than minimal harm
Create arrangements with other facilities to receive patients.
The home gave a date the problem would be corrected (March 6, 2025).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
The home gave a date the problem would be corrected (March 21, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
The home gave a date the problem would be corrected (March 5, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
The home gave a date the problem would be corrected (February 27, 2025).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
The home gave a date the problem would be corrected (March 6, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
The home gave a date the problem would be corrected (March 19, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (June 29, 2022).
No harm, with potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
The home gave a date the problem would be corrected (June 29, 2022).
No harm, with potential for more than minimal harm
Perform COVID19 testing on residents and staff.
The home gave a date the problem would be corrected (June 29, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (August 2, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
The home gave a date the problem would be corrected (August 2, 2022).
No harm, with potential for more than minimal harm
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 home gave a date the problem would be corrected (July 12, 2026).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
The home gave a date the problem would be corrected (July 9, 2026).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (July 9, 2026).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
The home gave a date the problem would be corrected (June 12, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (July 2, 2026).
No harm, with potential for more than minimal harm
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 home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
The home gave a date the problem would be corrected (April 11, 2025).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
The home gave a date the problem would be corrected (April 11, 2025).
Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.