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.

Back to Ledgewood Manor

Last standard health inspection on record

May 28, 2026

Showing 1 to 12 of 12 citations

  1. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

  2. No harm, with potential for more than minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2026).

  3. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

  4. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  5. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 10, 2026).

  6. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2026).

  7. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 2, 2026).

  8. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2026).

  9. No harm, with potential for more than minimal harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0232, Egress Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 26, 2026).

  10. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2026).

  11. No harm, with potential for more than minimal harm

    Provide properly sized and located linen or trash receptacles.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2026).

  12. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2026).

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.