Arc At Hickory Point
ARC AT HICKORY POINT in FORSYTH, IL — inspection on September 18, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
and the public.
clean condition for two residents (R1,R2) of four residents reviewed for environment in a sample list
shower, there was an area above the shower head on the grout line approximately 5 inches by a half inch and an area above the shower where the ceiling meets the drywall approximately 12 inches by 6 inches that were covered by a slimy, fuzzy, black material with the appearance of black mold. On 9/18/25 at 9:05AM, V5, Housekeeper, stated, That black stuff has been in the shower for quite a while. I have turned in a work order and maintenance knows about it. On 9/18/25 at 9:15AM, V1, Administrator, and V7, Corporate Administrator, verified a slimy, fuzzy, black material was present above the shower in R1's and R2's room. V7 stated, This will be taken care of immediately. We will close off the bathroom until it can be fixed. On 9/18/25 at 11:00AM, V1, Administrator, stated, I have looked back for three months and I can't see where there has been a work order for this.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.