Contact Information

HICKORY POINT CHRISTIAN VILLAGE
FAIR HAVENS CHRISTIAN HOME INC
565 WEST MARION AVENUE
FORSYTH, IL 62535
(217) 872-1122
Non profit - Corporation
Medicare certification date2: September 22, 2011
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  61 residents

  64 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 3
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 61 residents Illinois Average National Average
Hours by Registered Nurse (RN) per resident per day 1 hour, 15 minutes 46 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 47 minutes 38 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 3 hours, 4 minutes 2 hours, 4 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 9 minutes 6 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • MIDWEST CHRISTIAN VILLAGES, INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • BARBER CHRISTIAN HOME CARE LLC
  • CARE LINK OF CROWN POINT LLC
  • HEARTLAND CHRISTIAN VILLAGE, LLC
  • JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL
  • JOHNSON CHRISTIAN VILLAGE CARE CENTER LLC
  • LEWIS MEMORIAL CHRISTIAN VILLAGE
  • MIDWEST CHRISTIAN VILLAGES, INC
  • MIDWEST SENIOR MINISTRIES, INC.
  • RISEN SON CHRISTIAN VILLAGE
  • SAFE HAVEN HOSPICE OF SOUTHERN ILLINOIS LLC
  • SAFE HAVEN HOSPICE, LLC
  • SHAWNEE CHRISTIAN NURSING CENTER, LLC
  • SPRING RIVER CHRISTIAN VILLAGE, INC.
  • WABASH CHRISTIAN THERAPY AND MEDICAL CLINIC LLC

DIRECTOR

  • BEHRENDS, MARK
  • BELL, DONALD
  • BURRELL, TIMOTHY
  • CARTER, BILLY
  • CLARK, RANDY
  • CROSBY, ROBERT
  • DUNAWAY, MIKE
  • FILING, NICHOLAS
  • FITZGERALD, DONALD
  • FRASURE, JAMES
  • GNUSE, STEVE
  • GOODNER, TERRY
  • KERINS, TOM
  • LINCOLN, PATRICIA
  • SCHMITZ, CHUCK
  • SEWELL, RONALD
  • WILEY, DOUG
  • WILLIAMS, VICTOR

MANAGING EMPLOYEE

  • BELL, DONALD
  • BROWN, LAURIE
  • CLOTT, BARBARA
  • HUDSON, KENNA
  • SCHMITZ, CHUCK

OFFICER

  • CARTER, BILLY
  • GOODNER, TERRY
  • SCHMITZ, CHUCK
  • SEWELL, RONALD

OPERATIONAL/MANAGERIAL CONTROL

  • MIDWEST CHRISTIAN VILLAGES, INC

Nursing Home Report

In 2016, HICKORY POINT CHRISTIAN VILLAGE charged a total of $11,157,302 for 323 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 31% Alzheimer's 41%
Asthma 36% Cancer 22%
Congestive Heart Failure 53% Kidney Disease 60%
COPD 29% Depression 46%
Diabetes 43% Hyperlipidemia n/a
Hypertension n/a Ischemic Heart Disease 63%
Osteoporosis 20% RA / OA 72%
Schizophrenia 8% Stroke 12%
Demographics
Medicare Beneficiaries 323 Average Age 81
Male 118 Female 205
White 312
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Mar 07, 2018; fire safety inspection: Mar 06, 2018

Health Deficiencies as of 03/07/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 1
Pharmacy Service 1
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 03/06/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies 1
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 2
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 2

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See also