Traverse Care Center - Wheaton Nursing Home
General Information
UPDATEFederal Provider Number
245585
Provider Name
TRAVERSE CARE CENTER
Provider Address
303 SEVENTH STREET SOUTH
WHEATON, MN 56296
WHEATON, MN 56296
Provider Phone Number
(320) 563-8124
Provider SSA County
770
Provider County Name
Traverse
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
49
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LSS OF TRAVERSE, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07143
Reported LPN Staffing Hours per Resident per Day
0.77024
Reported RN Staffing Hours per Resident per Day
0.55238
Reported Licensed Staffing Hours per Resident per Day
1.32262
Reported Total Nurse Staffing Hours per Resident per Day
3.39405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01905
Expected CNA Staffing Hours per Resident per Day
2.29654
Expected LPN Staffing Hours per Resident per Day
0.57603
Expected RN Staffing Hours per Resident per Day
0.87984
Expected Total Nurse Staffing Hours per Resident per Day
3.75241
Adjusted CNA Staffing Hours per Resident per Day
2.21318
Adjusted LPN Staffing Hours per Resident per Day
1.10984
Adjusted RN Staffing Hours per Resident per Day
0.46911
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64594
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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