804 Main St W, Cavalier, ND 58220 (opens Google Maps) · Pembina County · (701) 265-8453· 33 certified beds · avg 33 residents/day · certified since Mar 6, 1980 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
SFF Candidate
What Special Focus status means →
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 11, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 11, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
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. F-0812
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
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. F-0880
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jun 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jun 4, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Oct 15, 2024 | ▲ K · Immediate jeopardy, pattern | 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 · F-0600 |
| Oct 15, 2024 | ▲ K · Immediate jeopardy, pattern | 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 · F-0609 |
| Oct 15, 2024 | ▲ K · Immediate jeopardy, pattern | 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 · F-0610 |
| May 16, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0641 |
| May 16, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| May 16, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| Apr 12, 2023 | E · Potential for more than minimal harm, pattern | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888 |
| Apr 12, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Apr 12, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $54,925.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Oct 15, 2024 | Fine | $54,925 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.99 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Wedgewood Manor. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 37 parties CMS has on file for this facility; 17 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pembilier Nursing Center | 15.8 mi | Walhalla, ND | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 355087.
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