Public Record
Ledgewood Rehabilitation and Nursing Center
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 123
- Avg. residents per day
- 113.6
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 23
- Inspections on file
- 7
- Last inspection
- 2025-08-14
*CMS
*CMS
*CMS
Citations
23 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0659Generalpotential for harm
Provide care by qualified persons according to each resident's written plan of care.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0041Generalpotential for harm
Implement emergency and standby power systems.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0658Generalpotential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0041Generalpotential for harm
Implement emergency and standby power systems.
- 0351Generalpotential for harm
Install an approved automatic sprinkler system.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0604Generalpotential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0761Generalpotential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection1 deficiency
- View inspection reportInspection2 deficiencies
- View inspection reportInspection1 deficiency
- View inspection reportInspection8 deficiencies
- View inspection reportInspection8 deficiencies
- View inspection reportInspection11 deficiencies
- View inspection reportInspection11 deficiencies
FAQ
Questions and answers
- What is Ledgewood Rehabilitation and Nursing Center?
- Ledgewood Rehabilitation and Nursing Center is a Medicare- and Medicaid-certified nursing home in Beverly, MA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 225309.
- What is the CMS rating for Ledgewood Rehabilitation and Nursing Center?
- Ledgewood Rehabilitation and Nursing Center has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Ledgewood Rehabilitation and Nursing Center have?
- Ledgewood Rehabilitation and Nursing Center is certified for 123 beds. It serves an average of 113.6 residents per day.
- How many citations does Ledgewood Rehabilitation and Nursing Center have?
- Ledgewood Rehabilitation and Nursing Center has 23 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Ledgewood Rehabilitation and Nursing Center last inspected?
- Ledgewood Rehabilitation and Nursing Center was last inspected on August 14, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
/nursing-home/225309-ledgewood-rehabilitation-and-nursing-center