Wedgewood Manor

Nursing Home · Cavalier, ND

CMS overall rating 1/5 SFF candidate Non profit - Other

CMS certification number355087
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

804 Main ST W
Cavalier, ND 58220
Pembina County
Phone
(701) 265-8453
ZIP code
58220 – all care providers

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Facility details

Certified beds
33
Residents per day
33.1 (100% occupied)
Ownership
Non profit - Other
Legal name
Pembina County Memorial Hospital Association
Medicare certified since
March 6, 1980
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 4/5
State avg 4.2
Quality measures★★★★★ 1/5
State avg 2.7
Long-stay quality★★★★★ 1/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.99 (state 4.42 · U.S. 3.86)
Registered nurses (RN)
0.94 (state 0.93 · U.S. 0.69)
Licensed practical nurses
0.41 (state 0.52 · U.S. 0.86)
Nurse aides
2.64 (state 2.97 · U.S. 2.32)
Weekend total
3.66 (state 3.80 · U.S. 3.42)
Nursing staff turnover
53.5 (state 48.8 · U.S. 45.8)%
RN turnover
50.0 (state 40.3 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 4, 2025
Health deficiencies (last cycle)
3.0 (state 5.7 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
12 health · 6 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2025-06-04 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-09
2025-06-04 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-09
2025-06-04 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-09
2024-10-15 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2024-11-11
2024-10-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2024-11-11
2024-10-15 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2024-11-11
2024-05-16 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-20
2024-05-16 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-20
2024-05-16 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-20
2023-04-12 Ensure staff are vaccinated for COVID-19
F0888 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-05-16
2023-04-12 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-16
2023-04-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $54,925 in fines.

DateTypeAmount
2024-10-15Fine$54,925

Ownership & management

NameRoleSince
Hansen, Joyce (individual)Administrator · NOT APPLICABLE
Johnson, Patti (individual)Administrator · NOT APPLICABLE
Letexier, Lisa (individual)Administrator · NOT APPLICABLE
McDonald, Katie (individual)Administrator · NOT APPLICABLE
Pembina County Memorial Hospital Association (organization)Administrator · NOT APPLICABLE
Sumra, Kulvinder (individual)Administrator · NOT APPLICABLE
Beard, Maggie (individual)Corporate Director · NOT APPLICABLE
Deraas, Duane (individual)Corporate Director · NOT APPLICABLE
Gauthier, Melissa (individual)Corporate Director · NOT APPLICABLE
Horgan, Larae (individual)Corporate Director · NOT APPLICABLE
Olafson, Drew (individual)Corporate Director · NOT APPLICABLE
Otto, Darin (individual)Corporate Director · NOT APPLICABLE
Safranski, Nicole (individual)Corporate Director · NOT APPLICABLE
Stone, Jeremy (individual)Corporate Director · NOT APPLICABLE
Sumra, Kulvinder (individual)Corporate Director · NOT APPLICABLE
Thompson, Susan (individual)Corporate Director · NOT APPLICABLE
Wright, George (individual)Corporate Director · NOT APPLICABLE
Johnson, Patti (individual)Corporate Officer · NOT APPLICABLE
Letexier, Lisa (individual)Corporate Officer · NOT APPLICABLE
McDonald, Katie (individual)Corporate Officer · NOT APPLICABLE
Sumra, Kulvinder (individual)Corporate Officer · NOT APPLICABLE
Beard, Maggie (individual)Managing Control - Governing Body · NOT APPLICABLE
Deraas, Duane (individual)Managing Control - Governing Body · NOT APPLICABLE
Gauthier, Melissa (individual)Managing Control - Governing Body · NOT APPLICABLE
Horgan, Larae (individual)Managing Control - Governing Body · NOT APPLICABLE
Olafson, Drew (individual)Managing Control - Governing Body · NOT APPLICABLE
Otto, Darin (individual)Managing Control - Governing Body · NOT APPLICABLE
Safranski, Nicole (individual)Managing Control - Governing Body · NOT APPLICABLE
Stone, Jeremy (individual)Managing Control - Governing Body · NOT APPLICABLE
Sumra, Kulvinder (individual)Managing Control - Governing Body · NOT APPLICABLE
Thompson, Susan (individual)Managing Control - Governing Body · NOT APPLICABLE
Wright, George (individual)Managing Control - Governing Body · NOT APPLICABLE
Hansen, Joyce (individual)Operational/managerial Control · NOT APPLICABLE
Johnson, Patti (individual)Operational/managerial Control · NOT APPLICABLE
Letexier, Lisa (individual)Operational/managerial Control · NOT APPLICABLE
McDonald, Katie (individual)Operational/managerial Control · NOT APPLICABLE
Pembina County Memorial Hospital Association (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Wedgewood Manor?

Wedgewood Manor has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in North Dakota.

How many beds does Wedgewood Manor have?

It has 33 certified beds and cares for about 33 residents per day.

Has Wedgewood Manor been fined?

Yes. CMS lists 1 penalty totaling $54,925 in the last three years.

What is the phone number of Wedgewood Manor?

(701) 265-8453. The facility is located at 804 Main ST W, Cavalier, ND 58220.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.