A caster wheel suspension assembly for a wheelchair or the like includes a housing with a clevis portion and a tubular portion; a fork member pivotably mounted in the clevis portion of the housing, the fork member having a pair of fork arms extending from the housing, each of the fork arms terminating in a lower end, the fork member having an upper portion formed as a clevis tang disposed in the clevis portion of the housing; a damping element in the tubular portion of the housing; and a compression adjustment element connected to the clevis pin and extending axially through the damping element. The compression adjustment element is configured to apply an adjustable compressive force to the damping element, and it is further configured to be moved axially within the tubular portion of the housing for adjustment of the compressive force applied to the damping element.