Wedgewood Manor
Cavalier, North Dakota · CCN 355087
17 surveys since 2011, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 95
- Surveys
- 17
- Harm or worse
- 5
- Immediate jeopardy
- 3
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 33
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Pembina · rural
- Medicare-certified since
- 1980
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 42 not-for-profit facilities with fewer than 66 beds in North Dakota.
Last survey on record
Jul 9, 2026
123 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.99 | 4.29 |
| Registered-nurse hours per resident day | 0.94 | — |
| Annual nurse turnover | 53.5% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $54,925 across 1 penalty
- Special focus
- SFF Candidate
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K316.7% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1161.1% | E316.7% | F15.6% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6412×
Ensure each resident receives an accurate assessment.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F5841×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
In the surveyor’s words
From the most serious findings on record at Wedgewood Manor, in the surveyor’s own words.
- Immediate jeopardy, patternF600Oct 15, 2024
Based on review of the facility reported incident (FRI) investigation, review of facility policy, and staff interviews, the facility failed to immediately implement safeguards for all residents after suspected sexual abuse occurred for 1 of 1 sampled resident (Resident #1). Failure to immediately protect all residents from the potential of sexual abuse placed them at risk for mental and emotional distress, and/or physical injury. During the on-site FRI survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 10/07/24. The IJ was identified during an interview with three administrative staff members (#1, #2, and #5) and a staff nurse (#4) on 10/07/24 at approximately 9:55 p.m. […]
- Immediate jeopardy, patternF609Oct 15, 2024
Based on review of the facility reported incident (FRI) investigation, review of facility policy, and staff interviews, the facility failed to report potential sexual abuse to law enforcement for 1 of 1 sampled resident (Resident #1) with cognitive impairment. Failure to report potential sexual abuse placed Resident #1 and all other residents at risk for possible abuse and/or injury. During the on-site survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 10/07/24. The IJ was identified during an interview with three administrative staff members (#1, #2, and #5) and a staff nurse (#4) on 10/07/24 at approximately 9:55 p.m. […]
- Immediate jeopardy, patternF610Oct 15, 2024
Based on review of the facility reported incident (FRI) investigation, review of facility policy, and staff interviews, the facility failed to conduct a thorough investigation of potential sexual abuse for all residents after suspected sexual abuse for 1 of 1 sampled resident (Resident #1). Failure to investigate alleged violations of sexual abuse and ensure all residents were protected during the investigation, placed Resident #1 and all other residents at risk for possible abuse, mental and emotional distress, and/or physical injury. During the on-site survey, the team consulted with the State Survey Agency (SSA) and determined an Immediate Jeopardy (IJ) situation existed on 10/07/24. […]
- No harm, potential for more than minimal, widespreadF812Jun 4, 2025
Based on observation and staff interview, the facility failed to maintain a clean and sanitary kitchen environment for 1 of 1 facility kitchen. Failure to ensure the sanitizer test strips used to measure the concentration of sanitizing solution are not expired has the potential for inadequate sanitization and may result in foodborne illness. Findings include: Observation in the kitchen on 06/03/25 at 1:35 p.m. showed a dietary staff member (#5) measured the concentration of a premixed bucket of sanitizing solution with expired test strips, dated 05/15/2021. During an interview on 06/03/25 at 4:25 p.m., a dietary staff member (#5) stated staff should not use expired test strips.
- No harm, potential for more than minimal, patternF584Jul 9, 2026
Based on observation and staff interviews, the facility failed to provide housekeeping services to maintain a safe, clean, comfortable and homelike environment for 3 of 3 sampled residents (Residents #11, #12, and #14's) and 1 of 1 commons area (Hall B) with circulating fans. Failure to ensure the residents' environment and equipment (fans) are kept clean and sanitary does not promote a homelike living environment. Findings include: Observations on 07/07/26 showed the following: * At 1:59 p.m., the grates of a black pedestal fan coated with dust and debris next to an oxygen concentrator in Resident #14's room. * At 4:42 p.m., the grates of table fan coated with dust and debris located in the common area of Hall B. […]
Read 22 findings in full →The most serious and the most recent: 22 of 95 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 9, 2026Standard6 findings
- Jun 4, 2025Standard3 findings
- Oct 15, 2024Complaint3 findings · 3 harm
- May 16, 2024Standard3 findings
- Apr 12, 2023Standard and complaint3 findings
- Nov 18, 2021Standard9 findings
- Nov 21, 2019Standard8 findings
- Oct 18, 2018Standard6 findings
Show the 9 earlier surveys
- Oct 11, 2017Standard and complaint10 findings
- Sep 26, 2016Standard and complaint14 findings
- Apr 19, 2016Complaint2 findings
- Sep 10, 2015Standard6 findings
- Aug 13, 2014Standard5 findings
- May 7, 2014Complaint7 findings · 2 harm
- Jul 18, 2013—4 findings
- Jun 27, 2012—1 finding
- Jul 28, 2011—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction