Hickory Point Christian Village
Hickory Point Christian Village Information
| Facility Name | Hickory Point Christian Village |
| Location | 565 West Marion Avenue, Forsyth, IL 62535 |
| County (SSA Code) | Macon (660) |
| Phone Number | 217-872-1122 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 64 |
| Average Number of Residents | 55.5 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | FAIR HAVENS CHRISTIAN HOME INC |
| Ownership Type | Non profit - Other |
| Date First Approved | 2011-09-22 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.57285 |
| Reported LPN Staffing Hours per Resident per Day | 0.85509 |
| Reported RN Staffing - Hours per Resident per Day | 1.373 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.22809 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.80094 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.16236 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.28161 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.82167 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.39663 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.49991 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.28426 |
| Total Weighted Health Survey Score for three cycles | 30.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-18 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 56 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-03-07 |
| Rating cycle 2 - Health Deficiency Score | 56 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-13 |
| Rating cycle 3 - Health Deficiency Score | 48 |
| Rating cycle 3 - Total Health Inspection Score | 48 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |