Apostolic Christian Home
1102 West Randolph, Roanoke, IL 61561 · Woodford County · 60 certified beds · avg 46 residents/day · certified since Oct 15, 1991
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 10, 2026 | F · Potential for harm, facility-wide | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Apr 10, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 10, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 23, 2025 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 23, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Mar 22, 2024 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Mar 22, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 4 | 0 | F |
| 2025 | 3 | 0 | F |
| 2026 | 8 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.50 | 2.99 | 3.95 | top 10% in Illinois; top 23% in the U.S. |
| Registered Nurse hours | 0.84 | 0.63 | 0.69 | top 19% in Illinois; top 24% in the U.S. |
| Weekend total nurse staffing | 3.77 | 2.67 | 3.50 | top 14% in Illinois; top 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.56 | 0.48 | bottom 33% in Illinois; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 21.2 | 44.5 | 45.8 | top 5% in Illinois; top 4% in the U.S. |
| RN turnover (%) | 0.0 | 41.8 | 42.9 | top 1% in Illinois; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.91, RN 0.73, weekend 3.28. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Roanoke Apostolic Christian Church | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/21/1975 |
| Fischer, Debra | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Harris, Todd | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Hoffman, Nathan | Individual | Corporate Officer | NOT APPLICABLE | 07/10/2017 |
| Hoffman, Nathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/10/2017 |
| Hoffman, Nathan | Individual | ADP of the SNF | NOT APPLICABLE | 07/10/2017 |
| Hughes, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2000 |
| Hughes, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 03/11/2025 |
| Leman, Don | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Oshea, Tom | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Pfister, Steve | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Roanoke Apostolic Christian Church | Organization | Trustee of the SNF | NOT APPLICABLE | 01/21/1975 |
| Roanoke Apostolic Christian Church | Organization | ADP of the SNF | NOT APPLICABLE | 01/21/1975 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Loft Rehabilitation & Nursing | 5.6 mi | Eureka, IL | ★☆☆☆☆ | 1/5 | abuse |
| Snyder Village | 7.3 mi | Metamora, IL | ★★★★★ | 4/5 | |
| Apostolic Christian Home of Eureka | 7.7 mi | Eureka, IL | ★★★★★ | 5/5 | |
| Arc at el Paso | 11.4 mi | El Paso, IL | ★★☆☆☆ | 2/5 | abuse |
| El Paso Rehabilitation and Health Care Center | 11.4 mi | El Paso, IL | —/5 | abuseSFF | |
| Washington Senior Living | 12.6 mi | Washington, IL | ★☆☆☆☆ | 2/5 | |
| Goldwater Care Toluca | 15.5 mi | Toluca, IL | ★☆☆☆☆ | 2/5 | abuse |
| Flanagan Rehabilitation and Health Care Center | 16.4 mi | Flanagan, IL | ★★☆☆☆ | 2/5 | |
| Arc at Chillicothe | 16.8 mi | Chillicothe, IL | ★★☆☆☆ | 3/5 | |
| Loft Rehab of East Peoria, the | 17.4 mi | East Peoria, IL | ★★★★★ | 5/5 | |
| Apostolic Christian Restmor | 18.6 mi | Morton, IL | ★★★★★ | 4/5 | |
| Goldwater Care Peoria Heights | 18.7 mi | Peoria Heights, IL | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145704.