Apostolic Christian Home
1102 West Randolph, Roanoke, IL 61561 · Woodford County · (309) 923-2071
60 certified beds, about 46 residents a day · Non profit - Church related · Medicare and Medicaid since 1991
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145704 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 10, 2026, inspectors cited 8 health deficiencies (the Illinois average is 12.6, the national average 9.2).
None of its 15 health citations since March 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.91 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
21.2% of nursing staff left within the year CMS measured (Illinois average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
403/24
301/25
804/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
4F
Potential for minimal harm
0A
0B
0C
April 10, 2026Standard inspection · 8 citations
- F Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation, interview, and record review, the facility failed to refer to residents who need assistance with feeding in a dignified manner during the lunch meal service. This has the potential to affect all 47 residents who reside in the facility.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have an expiration or delivery date on bread and buns, failed to have current test strips to test the sanitation in the sanitizer container, failed to have test strips to test the temperature of the dishwasher, and failed to serve a lunch meal in a sanitary manner. This has the potential to affect all 47 residents who reside in the facility.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to document medication administration of controlled medications on the Controlled Drug Receipt/Record Disposition forms for five out of five residents (R4, R20, R23, R40, and R45) reviewed for controlled substance medication administration documentation in the total sample of 26.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to revise a care plan to include the required information for a dialysis care plan and discontinue a diuretic off the care plan for one resident (R7) of 16 residents reviewed for care plan revision in a sample of 26.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to perform hand hygiene with glove changes during urinary catheter care for one (R43) of two residents reviewed for catheter care in a sample of 26.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement interventions to prevent weight loss for one (R2) of two residents reviewed for weight loss in a sample of 26.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to appropriately store oxygen nasal cannula when not in use and failed to ensure physician orders contained liter flow of oxygen to be administered for one (R43) of one resident reviewed for oxygen in a sample of 26.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene, utilized appropriate Personal Protective Equipment (PPE), and properly cleaned and disinfected resident medical equipment during blood glucose monitoring and insulin administration for two of two residents (R4 and R28) reviewed for infection control practices and failed to ensure staff implemented appropriate infection prevention practices during incontinence care, including hand hygiene and glove changes, for one of two residents (R4) reviewed for incontinence care in the total sample of 26.
January 23, 2025Standard inspection · 3 citations
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review and interview the facility failed to utilize a set standard to determine infections. This failure has the potential to affect all 48 residents who currently reside in the facility. Findings Include: The Facility's Antibiotic Stewardship policy dated 1/3/25 documents Antibiotic stewardship refers to a set of commitments and activities designed to optimize the treatment of infections while reducing the adverse events associated with antibiotic use. The medical director, pharmacist and the DON (Director of Nursing_ will demonstrate support and commitment to safe and appropriate antibiotic use at the (facility)_ The physicians, nursing staff and pharmacy will be responsible for promoting and overseeing antibiotic stewardship activities at the (facility) . This process will be in place for a review of antibiotics by the IP (Infection Preventionist) on a weekly basis. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review the Facility failed to follow the policy for documenting and monitoring a skin issue for one of 14 Residents (R7) reviewed for skin issues in a sample of 14.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure hand sanitation after glove changes were completed during pressure ulcer dressing changes for one resident (R4) of three residents reviewed for pressure ulcers in a sample of 14.
March 22, 2024Standard inspection · 4 citations
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record review and interview the facility failed to conduct quarterly Quality Assurance/QA Performance Improvement meetings and assure the required Committee Members were present for the last calendar year. This failure has the potential to affect all 47 Residents who currently reside in the facility. Findings Include: Facility Census and Condition Report, dated 3/19/24, documents 47 Residents residing in the Facility. The Facility's Quality Assurance Performance Improvement/QAPI Guidance Plan, revised 1/5/24, documents: the purpose of the QAPI is to take proactive approach to continually improve the way we caré for and engage with our Residents, Caregivers and other partners; to do this, all employees will participate in ongoing QAPI efforts which support our mission by meeting the physical, mental and spiritual needs of the residents of this home.; [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow a physician ordered wound treatment and ensure cross contamination did not occur during a surgical wound dressing change for one (R18) of three residents reviewed for wound care in the sample of 21.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review the Facility failed to perform hand hygiene and maintain adequate infection control during a Pressure Ulcer dressing change for one Resident (R7) of two Residents reviewed for Pressure Ulcers in a sample of 21.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to obtain a physician order for the use of oxygen, follow the manufacturers guidelines for tubing changes, and store oxygen tubing per facility policy and procedure for one (R20) of two residents reviewed for oxygen in the sample of 21.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.91 | 3.45 | 3.86 |
| Registered nurses | 0.73 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.28 | 3.07 | 3.42 |
| Nurse aides | 2.68 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 21.2% | 44.5% | 45.8% |
| Registered nurse turnover | 0.0% | 41.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.17 on weekdays and 3.28 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 3.91 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.91 | 0.73 | 4.17 | 3.28 | 0.1% | 0 of 90 | 46 |
| Oct to Dec 2025 | 4.05 | 0.83 | 4.34 | 3.33 | 0.2% | 0 of 92 | 44 |
| Jul to Sep 2025 | 4.09 | 0.80 | 4.37 | 3.37 | 1.1% | 0 of 92 | 44 |
| Apr to Jun 2025 | 3.99 | 0.78 | 4.30 | 3.22 | 5.9% | 0 of 91 | 46 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.6 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.9 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.9 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.3 | 21.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.2 | 1.8 |
Owners and operators
Legal business name: APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Roanoke Apostolic Christian Church | 5% or greater direct ownership interest | Organization | 100% | 01/21/1975 |
| Fischer, Debra | Corporate director | Individual | 01/01/2025 | |
| Harris, Todd | Corporate director | Individual | 01/01/2025 | |
| Leman, Don | Corporate director | Individual | 01/01/2025 | |
| Oshea, Tom | Corporate director | Individual | 01/01/2025 | |
| Pfister, Steve | Corporate director | Individual | 01/01/2025 | |
| Hoffman, Nathan | Corporate officer | Individual | 07/10/2017 | |
| Hoffman, Nathan | Operational/managerial control | Individual | 07/10/2017 | |
| Hughes, Christopher | Operational/managerial control | Individual | 01/01/2000 | |
| Roanoke Apostolic Christian Church | Trustee of the SNF | Organization | 01/21/1975 | |
| Roanoke Apostolic Christian Church | Adp of the SNF | Organization | 01/21/1975 | |
| Hoffman, Nathan | Adp of the SNF | Individual | 07/10/2017 | |
| Hughes, Christopher | Adp of the SNF | Individual | 03/11/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 10, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on April 10, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on April 10, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 10, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Loft Rehabilitation & Nursing Eureka, 5.6 mi · 1 of 5 stars · 64 citations
- Snyder Village Metamora, 7.3 mi · 5 of 5 stars · 14 citations
- Apostolic Christian Home of Eureka Eureka, 7.7 mi · 5 of 5 stars · 3 citations
- Arc at El Paso El Paso, 11.4 mi · 2 of 5 stars · 36 citations
- El Paso Rehabilitation and Health Care Center El Paso, 11.4 mi · not rated · 77 citations
- Washington Senior Living Washington, 12.6 mi · 1 of 5 stars · 56 citations
- Goldwater Care Toluca Toluca, 15.5 mi · 1 of 5 stars · 28 citations
- Flanagan Rehabilitation and Health Care Center Flanagan, 16.4 mi · 2 of 5 stars · 52 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Apostolic Christian Home's Medicare star rating?
- CMS rates Apostolic Christian Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Apostolic Christian Home get at its last inspection?
- 8 health deficiencies at the standard inspection on April 10, 2026. The Illinois average is 12.6.
- Has Apostolic Christian Home been fined?
- CMS lists no fines in the last three years.
- Does Apostolic Christian Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Apostolic Christian Home?
- CMS lists 13 owners and managers. Legal business name: APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.