A

LEDGEWOOD REHABILITATION AND NURSING CENTER

87 HERRICK STREET, BEVERLY, MA 01915
Score: 91 / 100

Ledgewood Rehabilitation And Nursing Center is one of the top-rated nursing facilities in Beverly, Massachusetts, earning an A grade based on CMS data. With a score of 91/100, it ranks in the top 9% of facilities statewide — a strong indicator of quality care.

Staffing at Ledgewood Rehabilitation And Nursing Center is near the national average, with 3.90 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 14 deficiencies at Ledgewood Rehabilitation And Nursing Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.90 3.8 Average
Registered Nurses (RN) 0.56 0.7 Below Average
Licensed Practical Nurses (LPN) 1.25 0.7 Above Average
Certified Nursing Assistants (CNA) 2.09 2.4 Below Average
Weekend Total Nursing 3.45 3.8 Average
Weekend RN Hours 0.36 0.7 Below Average

🔍 Inspection & Deficiency History

14
Total Deficiencies
Aug 4, 2025
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Aug 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0659 Severity D
    Provide care by qualified persons according to each resident's written plan of care.
    Aug 4, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Jun 10, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jul 31, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jul 31, 2024 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.4% 4.5% Worse
Falls with major injury 3.7% 3.0% Worse
On antipsychotic medication 11.0% 14.5% Better
Urinary tract infections 1.3% 2.5% Better
ADL decline (daily activities) 16.9% 14.0% Worse
Excessive weight loss 3.5% 7.5% Better
New/worsened incontinence 23.8% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 91 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
123
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 13, 2025
Deficiencies (Cycle 1)
3