Waverly Place Of Stockton
Waverly Place Of Stockton Information
| Facility Name | Waverly Place Of Stockton |
| Location | 501 East Front Street, Po Box #38, Stockton, IL 61085 |
| County (SSA Code) | Jo Daviess (510) |
| Phone Number | 815-947-2215 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 49 |
| Average Number of Residents | 39.7 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | WAVERLY PLACE OF STOCKTON, LLC |
| Ownership Type | For profit - Partnership |
| Date First Approved | 2011-05-30 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.45824 |
| Reported LPN Staffing Hours per Resident per Day | 0.64429 |
| Reported RN Staffing - Hours per Resident per Day | 0.48666 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.13095 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.58919 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.9823 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.78307 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.40576 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.17113 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.60312 |
| Total Weighted Health Survey Score for three cycles | 32 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-17 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 48 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-06 |
| Rating cycle 2 - Health Deficiency Score | 48 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-17 |
| Rating cycle 3 - Health Deficiency Score | 36 |
| Rating cycle 3 - Total Health Inspection Score | 36 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |