Nursing homeActiveSpecial Focus Facility candidate · what this means

Wedgewood Manor

804 Main St W, Cavalier, ND 58220701265845333 certified beds · 33 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
12
093
Penalties · 3 yrs
$54,925
1 fine
Last survey
2025-06-04
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Dakota Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-06-04Standard030CMS-2567 (Care Compare)
2024-10-15Complaint003CMS-2567 (Care Compare)
2024-05-16Standard030CMS-2567 (Care Compare)
2023-04-12Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-06-04Standard survey · 3 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-09Record 355087-20250604-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-09Record 355087-20250604-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-09Record 355087-20250604-F880
2024-10-15Complaint survey · 3 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-11-11Record 355087-20241015-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-11-11Record 355087-20241015-F609
F610Respond appropriately to all alleged violations.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-11-11Record 355087-20241015-F610
2024-05-16Standard survey · 3 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 355087-20240516-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 355087-20240516-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-20Record 355087-20240516-F658
2023-04-12Standard survey · 3 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-16Record 355087-20230412-F550
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-16Record 355087-20230412-F880
F888Ensure staff are vaccinated for COVID-19Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-16Record 355087-20230412-F888

Penalties & enforcement

DateActionAmountSource
2024-10-15Civil money penalty$54,925CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.94
Facility
North Dakota
National
North Dakota 0.93 · National 0.69
Total nurse hours per resident day3.99
Facility
North Dakota
National
North Dakota 4.42 · National 3.86
Weekend total nurse hours3.66
Facility
North Dakota
National
North Dakota 3.80 · National 3.42
Total nursing staff turnover54%
Facility
North Dakota
National
North Dakota 49% · National 46%
Registered nurse turnover50%
Facility
North Dakota
National
North Dakota 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth DakotaNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.5%4.9%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
7.6%5.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
11.3%22.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
6.0%2.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
26.4%19.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.7%5.8%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
13.5%17.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Hansen, Joyce
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Johnson, Patti
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Letexier, Lisa
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mcdonald, Katie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pembina County Memorial Hospital Association
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Beard, Maggie
Individual
CORPORATE DIRECTORNOT APPLICABLE
Beard, Maggie
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Deraas, Duane
Individual
CORPORATE DIRECTORNOT APPLICABLE
Deraas, Duane
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Gauthier, Melissa
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gauthier, Melissa
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Hansen, Joyce
Individual
ADP OF THE SNFNOT APPLICABLE
Horgan, Larae
Individual
CORPORATE DIRECTORNOT APPLICABLE
Horgan, Larae
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Johnson, Patti
Individual
ADP OF THE SNFNOT APPLICABLE
Johnson, Patti
Individual
CORPORATE OFFICERNOT APPLICABLE
Letexier, Lisa
Individual
CORPORATE OFFICERNOT APPLICABLE
Letexier, Lisa
Individual
ADP OF THE SNFNOT APPLICABLE
Mcdonald, Katie
Individual
CORPORATE OFFICERNOT APPLICABLE
Mcdonald, Katie
Individual
ADP OF THE SNFNOT APPLICABLE
Olafson, Drew
Individual
CORPORATE DIRECTORNOT APPLICABLE
Olafson, Drew
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Otto, Darin
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Otto, Darin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Pembina County Memorial Hospital Association
Organization
ADP OF THE SNFNOT APPLICABLE
Safranski, Nicole
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Safranski, Nicole
Individual
CORPORATE DIRECTORNOT APPLICABLE
Stone, Jeremy
Individual
CORPORATE DIRECTORNOT APPLICABLE
Stone, Jeremy
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Sumra, Kulvinder
Individual
CORPORATE OFFICERNOT APPLICABLE
Sumra, Kulvinder
Individual
CORPORATE DIRECTORNOT APPLICABLE
Sumra, Kulvinder
Individual
ADP OF THE SNFNOT APPLICABLE
Sumra, Kulvinder
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Thompson, Susan
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Thompson, Susan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wright, George
Individual
CORPORATE DIRECTORNOT APPLICABLE
Wright, George
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Dakota.

No county cost figures on file for Pembina.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Pembilier Nursing Center
Walhalla
15.8 mi2026-04-29081
Lutheran Sunset Home
Grafton
27.8 mi2026-02-261181
Good Samaritan Society - Park River
Park River
30.9 mi2025-12-040260
Kittson Healthcare
Hallock
31.5 mi2025-06-111192
Maple Manor Care Center
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34.1 mi2025-09-100141
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01