Cycle 1
Health 2025-04-17 · Fire 2025-04-17
17 health deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Forsyth, IL
Arc At Hickory Point
2-star overall rating with 2-star inspections with $248,073 in total fines with 17 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
565 West Marion Avenue, Forsyth, IL
(217) 872-1122
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
64
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2011-09-22
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
0.35
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
1.41
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
3.28
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
5.04
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.56
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
4.63
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
84%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
70%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,071
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9944
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.9
Baseline 19.60% · Performance 20.55% · Measure score 1.9 · Achievement 1.9 · Improvement 0
Healthcare-associated infections
6.94
Baseline 7.49% · Performance 5.76% · Measure score 6.94 · Achievement 6.94 · Improvement 6.43
Total nurse turnover
2.29
Baseline 37.65% · Performance 54.32% · Measure score 2.29 · Achievement 2.29 · Improvement 0
Adjusted total nurse staffing
5.44
Baseline 5.60 hours · Performance 4.63 hours · Measure score 5.44 · Achievement 5.44 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.37% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 507 · Observed rate 7.69% · Lower 95% interval 7.26% |
| Discharge to community | 66.73% |
50.57%
16.2 pts better
|
Better than the National Rate · Eligible stays 552 · Observed rate 62.86% · Lower 95% interval 62.3% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 78.79% |
95.27%
16.5 pts worse
|
Numerator 234 · Denominator 297 |
| Falls with major injury | 1.35% |
0.77%
0.6 pts worse
|
Numerator 4 · Denominator 297 |
| Discharge self-care score | 52.94% |
53.69%
0.8 pts worse
|
Numerator 117 · Denominator 221 |
| Discharge mobility score | 65.61% |
50.94%
14.7 pts better
|
Numerator 145 · Denominator 221 |
| Pressure ulcers or injuries, new or worsened | 5.72% |
2.29%
3.4 pts worse
|
Numerator 17 · Denominator 297 · Adjusted rate 7.8% |
| Healthcare-associated infections requiring hospitalization | 5.76% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 303 · Observed rate 3.96% · Lower 95% interval 3.7% |
| Staff COVID-19 vaccination coverage | 2.35% |
8.2%
5.8 pts worse
|
Numerator 4 · Denominator 170 |
| Staff flu vaccination coverage | 81.5% |
42%
39.5 pts better
|
Numerator 141 · Denominator 173 |
| Discharge function score | 66.52% |
56.45%
10.1 pts better
|
Numerator 147 · Denominator 221 |
| Transfer of health information to provider | 87.9% |
95.95%
8 pts worse
|
Numerator 109 · Denominator 124 |
| Transfer of health information to patient | 99.32% |
96.28%
3 pts better
|
Numerator 147 · Denominator 148 |
| Resident COVID-19 vaccinations up to date | 3.55% |
25.2%
21.6 pts worse
|
Numerator 5 · Denominator 141 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
2.0
0.4 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.5 · Expected 2.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
2.3
0.4 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.7 · Expected 2.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.9% |
89.6%
1.3 pts better
|
93.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 95.8% · Q4 75.0% · 4Q avg 90.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
91.6%
1.7 pts better
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
3.3%
1.2 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 8.3% · Q4 0.0% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.8% |
50.3%
41.5 pts better
|
11.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q4 30.0% · 4Q avg 8.8% |
| Percentage of long-stay residents who lose too much weight | 21.5% |
6.5%
15 pts worse
|
5.4%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.2% |
18.5%
5.3 pts better
|
19.6%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · 4Q avg 13.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.9% |
22.8%
16.9 pts better
|
16.7%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.9% · 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 · Q1 0.0% · Q2 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.6% |
15.0%
11.6 pts worse
|
14.9%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
1.1%
1.8 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 9.4% |
1.7%
7.7 pts worse
|
1.7%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 8.3% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 44.3% |
21.3%
23 pts worse
|
19.8%
24.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 54.8% · Q2 36.7% · 4Q avg 44.3% |
| Percentage of long-stay residents with pressure ulcers | 11.4% |
5.2%
6.2 pts worse
|
5.1%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 11.1% · 4Q avg 11.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 61.9% |
68.8%
6.9 pts worse
|
81.7%
19.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 72.5% · Q3 41.7% · Q4 45.4% · 4Q avg 61.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.2% |
14.0%
1.2 pts worse
|
12.0%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.0% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
2.3%
1.1 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.4% · Q3 1.9% · Q4 0.6% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 68.4% |
63.0%
5.4 pts better
|
79.7%
11.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 68.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.7% |
26.2%
0.5 pts better
|
23.9%
1.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.7% · Observed 21.9% · Expected 20.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-17 · Fire 2024-05-17
11 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2023-04-13 · Fire 2023-04-13
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-02
E · Potential for more than minimal harm
2025-04-17
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-05-02
E · Potential for more than minimal harm
2025-04-17
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 2025-05-02
F · Potential for more than minimal harm
2024-05-17
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-06-13
Inspection history
Recent health citations
G · Actual harm
2026-01-15
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 2026-01-16
E · Potential for more than minimal harm
2026-01-15
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2026-01-16
D · Potential for more than minimal harm
2026-01-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-16
D · Potential for more than minimal harm
2026-01-15
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-01-16
G · Actual harm
2025-10-14
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-15
G · Actual harm
2025-10-14
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 2025-10-15
D · Potential for more than minimal harm
2025-09-18
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-19
G · Actual harm
2025-09-03
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 2025-10-15
G · Actual harm
2025-05-08
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-09
D · Potential for more than minimal harm
2025-05-08
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 2025-05-09
G · Actual harm
2025-04-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-09
G · Actual harm
2025-04-17
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-08
F · Potential for more than minimal harm
2025-04-17
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-05-08
E · Potential for more than minimal harm
2025-04-17
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 2025-05-08
D · Potential for more than minimal harm
2025-04-17
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-05-08
D · Potential for more than minimal harm
2025-04-17
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 2025-05-09
D · Potential for more than minimal harm
2025-04-17
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-05-08
G · Actual harm
2025-02-26
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 2025-02-27
D · Potential for more than minimal harm
2024-12-07
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-19
J · Immediate jeopardy
2024-09-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-09-12
F940 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-09-12
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-09-25
D · Potential for more than minimal harm
2024-09-12
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-09-25
F · Potential for more than minimal harm
2024-05-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-31
E · Potential for more than minimal harm
2024-05-17
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-05-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-31
D · Potential for more than minimal harm
2024-03-21
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-03-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-05
G · Actual harm
2024-02-14
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-03-01
E · Potential for more than minimal harm
2023-04-13
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-04-13
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-04-13
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-04-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-04-13
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-04-28
Penalties and ownership
What sits behind the stars
$12,438
2025-02-26
Fine
Fine · fine $12,438
Fine
$235,635
2024-09-12
Fine
Fine · fine $235,635
Fine
Ownership
Arcadia Care Management LLC
Operational/Managerial Control · Organization
Hancock, Rhonda
Operational/Managerial Control · Individual
Khan, Muhammad
Operational/Managerial Control · Individual
Mcclure, Michelle
Operational/Managerial Control · Individual
Seitler, Dovid
Operational/Managerial Control · Individual
Spector, Jennifer
Operational/Managerial Control · Individual
Stewart, Andrea
Operational/Managerial Control · Individual
Turofsky, Steven
Operational/Managerial Control · Individual
Wall, Darin
Operational/Managerial Control · Individual
Wilhelm, Naftali
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Loft Rehab Of Rock Springs, The
Decatur, IL
1-star overall rating with 1-star inspections with abuse icon flag with $120,253 in total fines with 22 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Loft Rehab Of Decatur
Decatur, IL
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $83,223 in total fines with 32 recent health deficiencies
#3
Decatur Rehab & Health Care Ct
Decatur, IL
1-star overall rating with 1-star inspections with $25,500 in total fines with 19 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Jump out