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Hickory Point Christian Village
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Hickory Point Christian Village

Overview
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Forsyth, Illinois
Medicare and Medicaid

Hickory Point Christian Village is a nursing home located in Forsyth, Illinois with 64 beds and an average of 61 residents per day.

Address
565 West Marion Avenue
Forsyth, Illinois 62535
Contact
Scoreboard
Overall:
Health inspection:
Quality measures:
Long-term stay quality measures:
Short-term stay quality measures:
Staffing:
Nurse staffing:
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Facts & features
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Continuing care retirement community: Yes
Automatic sprinkler systems: Yes
Council: Family and resident council
Provider type: Medicare and Medicaid
Date first approved to provide Medicare and Medicaid services: September 22, 2011
Number of beds: 64
Number of residents per day: 61
Percent of beds that are filled: 95% of beds are filled
Health inspection
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Health inspection rating

Health inspection ratings are based on the number, scope, and severity of deficiencies identified during the three most recent annual inspection surveys, as well as substantiated findings from the most recent 36 months of complaint investigations. All deficiency findings are weighted by scope and severity. This measure also takes into account the number of revisits required to ensure that deficiencies identified during the health inspection survey have been corrected.

Number of health deficiencies by year

A health citation is a finding that a nursing home failed to meet one or more federal health requirements during an annual health inspection or a complaint inspection. Inspectors identify health citations by observing the nursing home's performance, its practices, or the conditions in the facility.

2019 2
2018 7
2017 8
Learn more about health inspection ratings
Staff
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Staff rating
Nurse staff rating

Staff ratings are based on nursing home staffing levels. They are based on two measures: (1) Registered nurse hours per resident per day and (2) Total nurse staffing (registered nurses, licensed practical nurses, and nurse aides) hours per resident per day.

Higher staffing hours per resident per day means that each resident receives more hours of care.

At Hickory Point Christian Village, residents receive around 4.5 hours of care each day.

Nurse staffing hours per resident per day
Nurse aid staffing hours per resident per day 2.8 hours
Licensed practical nurse hours per resident per day 0.6 hours
Registered nurse staffing hours per resident per day 1.1 hours
Total nurse staffing hours per resident per day 4.5 hours
Quality of care
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Overall quality of care rating
Long-term stay quality of care rating
Short-term stay quality of care rating

The quality of care rating is based on a variety of measures including:

Percent of residents whose need for help with activities of daily living has increased
Percent of residents whose ability to move independently worsened
Percent of high-risk residents with pressure ulcers
Percent of residents who have/had a catheter inserted and left in their bladder
Percent of residents with a urinary tract infection
Percent of residents experiencing one or more falls with major injury
Percent of residents who received an antipsychotic medication
Number of hospitalizations
Number of outpatient emergency department visits
Management
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Hickory Point Christian Village is operated by Fair Havens Christian Home Inc. It was first approved to provide Medicare and Medicaid services on September 22, 2011.
Ownership
Name Role Ownership percentage Association date

Barber Christian Home Care LLC

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 01/01/2016

Mark Behrends

Individual
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Director Not Applicable Since 01/01/2012

Donald Bell

Individual
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Director Not Applicable Since 07/01/2017

Donald Bell

Individual
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Managing Employee Not Applicable Since 10/18/2016

Laurie Brown

Individual
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Managing Employee Not Applicable Since 03/19/2007

Timothy Burrell

Individual
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Director Not Applicable Since 01/01/2014

Care Link of Crown Point LLC

Organization
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5% Or Greater Indirect Ownership Interest No Percentage Provided Since 07/15/2016

Billy Carter

Individual
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Officer Not Applicable Since 01/01/2009

Billy Carter

Individual
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Director Not Applicable Since 01/01/2007

Randy Clark

Individual
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Director Not Applicable Since 01/01/2008

Barbara Clott

Individual
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Managing Employee Not Applicable Since 03/01/2003

Robert Crosby

Individual
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Director Not Applicable Since 01/01/1998

Mike Dunaway

Individual
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Director Not Applicable Since 01/01/2017

Nicholas Filing

Individual
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Director Not Applicable Since 01/01/2011

Donald Fitzgerald

Individual
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Director Not Applicable Since 01/01/2014

James Frasure

Individual
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Director Not Applicable Since 01/01/2005

Steve Gnuse

Individual
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Director Not Applicable Since 01/01/2015

Terry Goodner

Individual
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Director Not Applicable Since 01/01/2002

Terry Goodner

Individual
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Officer Not Applicable Since 06/01/2012

LLC Heartland Christian Village

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 10/20/2011

Kenna Hudson

Individual
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Managing Employee Not Applicable Since 04/02/2012

Jackson County Schneck Memorial Hospital

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 10/01/2012

Johnson Christian Village Care Center LLC

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 10/22/2014

Tom Kerins

Individual
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Director Not Applicable Since 01/01/2015

Lewis Memorial Christian Village

Organization
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5% Or Greater Indirect Ownership Interest No Percentage Provided Since 11/13/1975

Patricia Lincoln

Individual
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Director Not Applicable Since 01/01/2002

Inc Midwest Christian Villages

Organization
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Operational/Managerial Control Not Applicable Since 05/02/2007

Inc Midwest Christian Villages

Organization
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5% Or Greater Direct Ownership Interest 100% Since 04/09/2012

Inc Midwest Christian Villages

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 09/11/1981

Inc. Midwest Senior Ministries

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 10/20/2011

Risen Son Christian Village

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 11/20/1984

Safe Haven Hospice of Southern Illinois LLC

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 02/29/2016

LLC Safe Haven Hospice

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 10/20/2011

Chuck Schmitz

Individual
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Director Not Applicable Since 10/05/2016

Chuck Schmitz

Individual
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Officer Not Applicable Since 10/05/2016

Chuck Schmitz

Individual
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Managing Employee Not Applicable Since 10/05/2016

Ronald Sewell

Individual
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Director Not Applicable Since 01/01/2008

Ronald Sewell

Individual
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Officer Not Applicable Since 01/01/2014

LLC Shawnee Christian Nursing Center

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 10/20/2011

Inc. Spring River Christian Village

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 09/06/1985

Wabash Christian Therapy and Medical Clinic LLC

Organization
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5% Or Greater Indirect Ownership Interest 5% Since 02/21/2014

Doug Wiley

Individual
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Director Not Applicable Since 01/01/2017

Victor Williams

Individual
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Director Not Applicable Since 01/01/2012
Incidents and fines
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Number of facility reported incidents 0
Number of substantiated complaints 2
Number of fines 0
Total fines $0
Number of payment denials 0
Number of penalties 0
Map
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Nearby
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Test
Federal Provider Number 146148
Ownership Type
Special Focus Status
Abuse Icon
Most Recent Health Inspection More Than 2 Years Ago
Provider Changed Ownership in Last 12 Months
Overall Rating 5
Health Inspection Rating 4
QM Rating 5
Long-Stay QM Rating 5
Short-Stay QM Rating 5
Staffing Rating 5
RN Staffing Rating 5