Wheaton, MN

Traverse Care Center

3-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

303 Seventh Street South, Wheaton, MN

(320) 563-8124

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

31

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2024-11-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.57

Registered nurse staffing · state 1.06 · national 0.68

LPN hours / resident day

0.53

Licensed practical nurse staffing · state 0.62 · national 0.87

Aide hours / resident day

2.64

Nurse aide staffing · state 2.56 · national 2.35

Total nurse hours

3.74

All reported nurse hours · state 4.23 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.68 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.68 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.08 · national 0.07

Adjusted RN hours

0.70

CMS adjusted RN staffing hours

Adjusted total hours

4.60

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	No data were submitted for this measure.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · Newly certified or not enough cases to report.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.3% 2.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	70.8%	96.1% 25.3 pts worse	95.5% 24.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 70.8%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.9% 3.9 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.3% 4.3 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	1.6%	4.1% 2.5 pts better	5.4% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 3.8% · 4Q avg 1.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.0%	12.4% 0.4 pts better	19.6% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q2 21.7% · Q3 7.7% · Q4 7.7% · 4Q avg 12.0%
Percentage of long-stay residents who received an antipsychotic medication	15.9%	17.5% 1.6 pts better	16.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q3 18.2% · Q4 16.7% · 4Q avg 15.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.8%	22.5% 3.7 pts better	16.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	27.7%	18.6% 9.1 pts worse	14.9% 12.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 45.0% · Q3 26.1% · Q4 13.6% · 4Q avg 27.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	2.3% 2.3 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.0%	2.6% 0.4 pts worse	1.7% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 3.7% · Q4 3.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	33.9%	24.8% 9.1 pts worse	19.8% 14.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 29.5% · Q4 33.8% · 4Q avg 33.9%
Percentage of long-stay residents with pressure ulcers	4.5%	5.4% 0.9 pts better	5.1% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 6.1% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	86.0%	88.6% 2.6 pts worse	81.7% 4.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 86.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-14 · Fire 2026-01-14

2 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-10-30 · Fire 2024-10-30

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-01-31

E · Potential for more than minimal harm 2026-01-14

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-01-31

D · Potential for more than minimal harm 2026-01-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-31

D · Potential for more than minimal harm 2026-01-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-11

D · Potential for more than minimal harm 2026-01-14

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2026-02-06

C · Minimal harm 2026-01-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-31

E · Potential for more than minimal harm 2024-10-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-11

E · Potential for more than minimal harm 2024-10-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-06

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-14

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-02-03

D · Potential for more than minimal harm 2025-05-29

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2025-06-20

F · Potential for more than minimal harm 2024-10-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-10-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-10-30

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-10-30

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-11-01

Penalties and ownership