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 51 to 61 of 61 citations

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of June 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of June 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    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.

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

    Health citation F-0887, Infection Control Deficiencies. Inspection of June 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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

    Install a fire alarm system that can be heard throughout the facility.

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

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of June 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 2, 2022).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

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

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 17, 2022).

  6. No harm, with potential for minimal harm

    Honor the resident's right to manage his or her financial affairs.

    Widespread (many residents). CMS level C.

    Health citation F-0567, Resident Rights Deficiencies. Inspection of June 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

  7. No harm, with potential for minimal harm

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of May 28, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2026).

  8. No harm, with potential for minimal harm

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Health citation F-0623, Resident Rights Deficiencies. Inspection of February 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  9. No harm, with potential for minimal harm

    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.

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

    Health citation F-0625, Resident Rights Deficiencies. Inspection of February 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  10. No harm, with potential for minimal harm

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of February 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  11. No harm, with potential for minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

    Health citation F-0868, Administration Deficiencies. Inspection of June 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 29, 2022).

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.