Wedgewood Manor
804 Main St W, Cavalier, ND 58220 · Pembina County · 33 certified beds · avg 33 residents/day · certified since Mar 6, 1980
SFF Candidate
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Oct 15, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 15, 2024 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Oct 15, 2024 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 11, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 4, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 4, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 15, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 15, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 15, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| May 16, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| May 16, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| May 16, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Apr 12, 2023 | E · Potential for harm, repeated | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
| Apr 12, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Apr 12, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 6 | 3 | K ▲ |
| 2025 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $54,925.
| Date | Type | Amount / length |
|---|---|---|
| Oct 15, 2024 | Fine | $54,925 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.55 | 5.15 | 3.95 | bottom 26% in North Dakota; top 22% in the U.S. |
| Registered Nurse hours | 1.07 | 1.09 | 0.69 | top 47% in North Dakota; top 13% in the U.S. |
| Weekend total nurse staffing | 4.17 | 4.43 | 3.50 | bottom 34% in North Dakota; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.59 | 0.48 | top 37% in North Dakota; top 20% in the U.S. |
| Total nursing staff turnover (%) | 53.5 | 48.8 | 45.8 | bottom 34% in North Dakota; bottom 28% in the U.S. |
| RN turnover (%) | 50.0 | 40.3 | 42.9 | bottom 31% in North Dakota; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.99, RN 0.94, weekend 3.66. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Beard, Maggie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2022 |
| Beard, Maggie | Individual | Corporate Director | NOT APPLICABLE | 06/01/2022 |
| Deraas, Duane | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2018 |
| Deraas, Duane | Individual | Corporate Director | NOT APPLICABLE | 09/01/2018 |
| Gauthier, Melissa | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2025 |
| Gauthier, Melissa | Individual | Corporate Director | NOT APPLICABLE | 03/01/2025 |
| Hansen, Joyce | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/09/1993 |
| Hansen, Joyce | Individual | ADP of the SNF | NOT APPLICABLE | 08/09/1993 |
| Horgan, Larae | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2022 |
| Horgan, Larae | Individual | Corporate Director | NOT APPLICABLE | 06/01/2022 |
| Johnson, Patti | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2019 |
| Johnson, Patti | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2019 |
| Johnson, Patti | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2019 |
| Letexier, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 06/04/2016 |
| Letexier, Lisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Letexier, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2019 |
| McDonald, Katie | Individual | Corporate Officer | NOT APPLICABLE | 05/03/2019 |
| McDonald, Katie | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/03/2019 |
| McDonald, Katie | Individual | ADP of the SNF | NOT APPLICABLE | 05/30/2019 |
| Olafson, Drew | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pembilier Nursing Center | 15.8 mi | Walhalla, ND | ★★★★☆ | 4/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 355087.