WEDGEWOOD MANOR
Inspected within the last 6 months. Data reflects current conditions.
Wedgewood Manor in Cavalier, North Dakota, has received a Trust Grade of F, indicating significant concerns about the facility's operations and care quality. It ranks #71 out of 72 facilities in the state, placing it in the bottom half overall, and is the second of two options in Pembina County, meaning only one local facility is rated higher. The facility has seen some improvement in issues, decreasing from six in 2024 to three in 2025. Staffing is a relative strength, rated at 4 out of 5 stars with a turnover rate of 39%, which is better than the state average. However, serious concerns arise from the $54,925 in fines-higher than 90% of North Dakota facilities-and critical incidents, including failures to prevent and investigate potential sexual abuse, which placed residents at immediate risk. While the staffing levels are a positive aspect, the severe issues related to resident safety and care cannot be overlooked.
- Trust Score
- F
- In North Dakota
- #71/72
- Safety Record
- High Risk
- Inspections
- Getting Better
- Staff Stability ○ Average
- 39% turnover. Near North Dakota's 48% average. Typical for the industry.
- Penalties ○ Average
- $54,925 in fines. Higher than 60% of North Dakota facilities. Some compliance issues.
- Skilled Nurses ✓ Good
- Each resident gets 51 minutes of Registered Nurse (RN) attention daily — more than average for North Dakota. RNs are trained to catch health problems early.
- Violations ⚠ Watch
- 12 deficiencies on record. Higher than average. Multiple issues found across inspections.
The Good
-
4-Star Staffing Rating · Above-average nurse staffing levels
-
Full Sprinkler Coverage · Fire safety systems throughout facility
-
No fines on record
-
Staff turnover below average (39%)
9 points below North Dakota average of 48%
Facility shows strength in staffing levels, fire safety.
The Bad
Below North Dakota average (3.1)
Significant quality concerns identified by CMS
Near North Dakota avg (46%)
Typical for the industry
Above median ($33,413)
Moderate penalties - review what triggered them
The Ugly 12 deficiencies on record
Jun 2025
3 deficiencies
CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Assessment Accuracy
(Tag F0641)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1....
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CONCERN
(D)
Potential for Harm - no one hurt, but risky conditions existed
Infection Control
(Tag F0880)
Could have caused harm · This affected 1 resident
1. Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control and prevention for 2 of 3 sampled residents (Reside...
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CONCERN
(F)
Potential for Harm - no one hurt, but risky conditions existed
Food Safety
(Tag F0812)
Could have caused harm · This affected most or all residents
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 meas...
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Oct 2024
3 deficiencies
3 IJ (3 affecting multiple)
CRITICAL
(K)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Immediate Jeopardy (IJ) - the most serious Medicare violation
Free from Abuse/Neglect
(Tag F0600)
Someone could have died · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility reported incident (FRI) investigation, review of facility policy, and staff interviews, the faci...
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CRITICAL
(K)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Immediate Jeopardy (IJ) - the most serious Medicare violation
Report Alleged Abuse
(Tag F0609)
Someone could have died · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility reported incident (FRI) investigation, review of facility policy, and staff interviews, the faci...
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CRITICAL
(K)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Immediate Jeopardy (IJ) - the most serious Medicare violation
Investigate Abuse
(Tag F0610)
Someone could have died · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on review of the facility reported incident (FRI) investigation, review of facility policy, and staff interviews, the faci...
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May 2024
3 deficiencies
CONCERN
(D)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0657
(Tag F0657)
Could have caused harm · This affected 1 resident
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** - Observation throughout the survey showed Resident #15 with a wanderguard (roam alert device) on his leg and wheelchair frame a...
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CONCERN
(D)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0658
(Tag F0658)
Could have caused harm · This affected 1 resident
2. Based on record review, review of facility policy, and staff interview, the facility failed to provide care in accordance with professional standards for 1 of 4 sampled residents (Resident #30) who...
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CONCERN
(E)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Assessment Accuracy
(Tag F0641)
Could have caused harm · This affected multiple residents
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** - Review of Resident #30's medical record occurred all days of survey. The annual MDS, dated [DATE], showed the facility coded o...
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Apr 2023
3 deficiencies
CONCERN
(D)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Resident Rights
(Tag F0550)
Could have caused harm · This affected 1 resident
Based on observation, record review, and staff interview, the facility failed to provide care in a manner and environment that maintained, enhanced, and respected the resident's dignity for 1 of 2 sam...
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CONCERN
(D)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Infection Control
(Tag F0880)
Could have caused harm · This affected 1 resident
Based on observation, record review, review of facility policy, and staff interview, the facility failed to follow standards of infection control for 2 of 5 sampled residents (Resident #2 and #8) obse...
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CONCERN
(E)
📢 Someone Reported This
A family member, employee, or ombudsman was alarmed enough to file a formal complaint
Potential for Harm - no one hurt, but risky conditions existed
Deficiency F0888
(Tag F0888)
Could have caused harm · This affected multiple residents
Based on review of facility policy, and staff interview, the facility failed to include the required elements intended to mitigate the transmission and spread of Covid-19 for all staff who are not ful...
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Understanding Severity Codes (click to expand)
Questions to Ask on Your Visit
- "What changes have you made since the serious inspection findings?"
- "Can I speak with families of current residents?"
- "What's your RN coverage like on weekends and overnight?"
Our Honest Assessment
- • 39% turnover. Below North Dakota's 48% average. Good staff retention means consistent care.
- • Multiple safety concerns identified: 3 life-threatening violation(s), $54,925 in fines. Review inspection reports carefully.
- • 12 deficiencies on record, including 3 critical (life-threatening) violations. These warrant careful review before choosing this facility.
- • $54,925 in fines. Extremely high, among the most fined facilities in North Dakota. Major compliance failures.
- • Grade F (4/100). Below average facility with significant concerns.
About This Facility
What is Wedgewood Manor's CMS Rating?
CMS assigns WEDGEWOOD MANOR an overall rating of 1 out of 5 stars, which is considered much below average nationally. Within North Dakota, this rating places the facility higher than 0% of the state's 100 nursing homes. A rating at this level reflects concerns identified through health inspections, staffing assessments, or quality measures that families should carefully consider.
How is Wedgewood Manor Staffed?
CMS rates WEDGEWOOD MANOR's staffing level at 4 out of 5 stars, which is above average compared to other nursing homes. Staff turnover is 39%, compared to the North Dakota average of 46%. This relatively stable workforce can support continuity of care.
What Have Inspectors Found at Wedgewood Manor?
State health inspectors documented 12 deficiencies at WEDGEWOOD MANOR during 2023 to 2025. These included: 3 Immediate Jeopardy (the most serious level, indicating potential for serious harm or death) and 9 with potential for harm. Immediate Jeopardy findings are rare and represent the most serious regulatory concerns. They require immediate corrective action.
Who Owns and Operates Wedgewood Manor?
WEDGEWOOD MANOR is owned by a non-profit organization. Non-profit facilities reinvest revenue into operations rather than distributing to shareholders. The facility operates independently rather than as part of a larger chain. With 40 certified beds and approximately 32 residents (about 80% occupancy), it is a smaller facility located in CAVALIER, North Dakota.
How Does Wedgewood Manor Compare to Other North Dakota Nursing Homes?
Compared to the 100 nursing homes in North Dakota, WEDGEWOOD MANOR's overall rating (1 stars) is below the state average of 3.1, staff turnover (39%) is near the state average of 46%, and health inspection rating (1 stars) is much below the national benchmark.
What Should Families Ask When Visiting Wedgewood Manor?
Based on this facility's data, families visiting should ask: "What changes have been made since the serious inspection findings, and how are you preventing similar issues?" "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?" These questions are particularly relevant given the facility's Immediate Jeopardy citations.
Is Wedgewood Manor Safe?
Based on CMS inspection data, WEDGEWOOD MANOR has documented safety concerns. Inspectors have issued 3 Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death). The facility has a 1-star overall rating and ranks #100 of 100 nursing homes in North Dakota. Families considering this facility should ask detailed questions about what corrective actions have been taken since these incidents.
Do Nurses at Wedgewood Manor Stick Around?
WEDGEWOOD MANOR has a staff turnover rate of 39%, which is about average for North Dakota nursing homes (state average: 46%). Moderate turnover is common in nursing homes, but families should still ask about staff tenure and how the facility maintains care continuity when employees leave.
Was Wedgewood Manor Ever Fined?
WEDGEWOOD MANOR has been fined $54,925 across 1 penalty action. This is above the North Dakota average of $33,628. Fines in this range indicate compliance issues significant enough for CMS to impose meaningful financial consequences. Common causes include delayed correction of deficiencies, repeat violations, or care failures affecting resident safety. Families should ask facility leadership what changes have been made since these penalties.
Is Wedgewood Manor on Any Federal Watch List?
WEDGEWOOD MANOR is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.