Wedgewood Manor
Cavalier, Pembina County, North Dakota · CCN 355087 · Non-profit (Other) · not part of a chain
CMS rates Wedgewood Manor 1 of 5 overall as of August 2026. 33 certified beds, 33 residents a day on average. 12 citations on record from the current inspection cycles, 3 at immediate jeopardy; 1 fine totalling $54,925.
On record
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★☆☆☆☆ 1 of 5 |
| Quality: long-stay / short-stay | 1 / — of 5 |
Staffing
| Total nurse staffing | 3.99291 hours per resident per day |
|---|---|
| Registered nurses | 0.93635 hours per resident per day |
| Weekend total | 3.66174 hours per resident per day |
| Nursing staff turnover | 53.5% (registered nurses 50%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-06-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-07-09 |
| 2025-06-04 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-09 |
| 2025-06-04 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-09 |
| 2024-10-15 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-11-11 |
| 2024-10-15 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-11-11 |
| 2024-10-15 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-11-11 |
| 2024-05-16 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-20 |
| 2024-05-16 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2024-05-16 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-20 |
| 2023-04-12 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · tag F0888 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-16 |
| 2023-04-12 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-16 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-15 | Fine | $54,925 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Pembina County Memorial Hospital Association Organization | adp of the snf | — | 1946-04-03 |
| Pembina County Memorial Hospital Association Organization | operational/managerial control | — | 1980-01-01 |
| Hansen, Joyce Individual | adp of the snf | — | 1993-08-09 |
| Johnson, Patti Individual | adp of the snf | — | 2019-04-01 |
| Letexier, Lisa Individual | adp of the snf | — | 2019-01-01 |
| Mcdonald, Katie Individual | adp of the snf | — | 2019-05-30 |
| Sumra, Kulvinder Individual | adp of the snf | — | 2025-05-13 |
| Beard, Maggie Individual | corporate director | — | 2022-06-01 |
| Deraas, Duane Individual | corporate director | — | 2018-09-01 |
| Gauthier, Melissa Individual | corporate director | — | 2025-03-01 |
| Horgan, Larae Individual | corporate director | — | 2022-06-01 |
| Olafson, Drew Individual | corporate director | — | 2023-06-01 |
| Otto, Darin Individual | corporate director | — | 2022-06-01 |
| Safranski, Nicole Individual | corporate director | — | 2016-03-01 |
| Stone, Jeremy Individual | corporate director | — | 2024-06-01 |
| Sumra, Kulvinder Individual | corporate director | — | 2025-01-01 |
| Thompson, Susan Individual | corporate director | — | 2021-01-01 |
| Wright, George Individual | corporate director | — | 2019-07-01 |
| Johnson, Patti Individual | corporate officer | — | 2019-04-01 |
| Letexier, Lisa Individual | corporate officer | — | 2016-06-04 |
| Mcdonald, Katie Individual | corporate officer | — | 2019-05-03 |
| Sumra, Kulvinder Individual | corporate officer | — | 2025-01-01 |
| Beard, Maggie Individual | managing control - governing body | — | 2022-06-01 |
| Deraas, Duane Individual | managing control - governing body | — | 2018-09-01 |
| Gauthier, Melissa Individual | managing control - governing body | — | 2025-03-01 |
| Horgan, Larae Individual | managing control - governing body | — | 2022-06-01 |
| Olafson, Drew Individual | managing control - governing body | — | 2023-06-01 |
| Otto, Darin Individual | managing control - governing body | — | 2022-06-01 |
| Safranski, Nicole Individual | managing control - governing body | — | 2016-03-01 |
| Stone, Jeremy Individual | managing control - governing body | — | 2024-06-01 |
| Sumra, Kulvinder Individual | managing control - governing body | — | 2025-01-01 |
| Thompson, Susan Individual | managing control - governing body | — | 2021-01-01 |
| Wright, George Individual | managing control - governing body | — | 2019-07-01 |
| Hansen, Joyce Individual | operational/managerial control | — | 1993-08-09 |
| Johnson, Patti Individual | operational/managerial control | — | 2019-04-01 |
| Letexier, Lisa Individual | operational/managerial control | — | 2019-01-01 |
| Mcdonald, Katie Individual | operational/managerial control | — | 2019-05-03 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Wedgewood Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pembina County.