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Deficiency Records for Ledgewood Rehabilitation and Nursing Center

View the most recent health deficiencies and inspection results for Ledgewood Rehabilitation and Nursing Center. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Ledgewood Rehabilitation and Nursing Center. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-08-14 2025-10-01 N
Provide care by qualified persons according to each resident's written plan of care. Health 2025-08-05 2025-08-03 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-08-05 2025-08-03 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-06-11 2025-07-18 Y
Implement emergency and standby power systems. Fire Safety 2024-08-01 2024-09-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-01 2024-09-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-01 2024-09-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-01 2024-09-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-01 2024-09-06 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-08-01 2024-09-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-01 2024-09-06 N
Provide and implement an infection prevention and control program. Health 2024-08-01 2024-09-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-15 2023-07-28 N
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. Health 2023-06-15 2023-07-28 N
Provide enough food/fluids to maintain a resident's health. Health 2023-06-15 2023-07-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-15 2023-07-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-15 2023-07-28 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-06-15 2023-07-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-06-15 2023-07-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-15 2023-07-25 N
Install an approved automatic sprinkler system. Fire Safety 2023-06-15 2023-07-25 N
Implement emergency and standby power systems. Fire Safety 2023-06-15 2023-07-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-15 2023-07-08 N

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