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Apostolic Christian Home

1102 West Randolph, Roanoke, IL 61561 · Non profit - Church related · 60 certified beds · (309) 923-2071 Medicare & Medicaid certified

Call the home — (309) 923-2071 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 15 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (21% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
401 N Main St · (309) 923-2661 · Call to confirm hours
Pharmacy
501 W Center St · (309) 467-3161 · Call to confirm hours
Grocery
1550 County Road 2000 E · (309) 923-9494 · Call to confirm hours
Park
N 3rd St · Typically dawn to dusk
Place of worship
202 W Lincoln St · (309) 923-5251

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased19.5%13.4%15.4%worse
Long-stay residents who lose too much weight14.9%6.3%5.4%worse
Long-stay residents with a catheter left in their bladder4.9%0.9%0.9%worse
Long-stay residents with a urinary tract infection4.0%1.5%2.0%worse
Long-stay residents with depressive symptoms17.3%54.2%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.7%3.1%3.3%better
Long-stay residents whose ability to walk worsened13.0%14.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication22.2%18.3%18.9%worse
Long-stay residents given the seasonal flu vaccine95.7%91.8%95.3%typical
Long-stay residents with pressure ulcers2.1%4.8%4.7%better
Long-stay residents with worsening bladder/bowel control20.9%20.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table14.3%21.7%17.1%better
Long-stay hospitalizations per 1,000 resident days1.282.021.67better
Long-stay outpatient ER visits per 1,000 resident days0.912.221.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 39 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

42.4%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
0.08U.S. median 0.31
Therapy hours / resident / day
0.05hours / resident / day
Physical therapy
0.02hours / resident / day
Occupational therapy
<0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.08 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF42.4%CMS range 28.5–52.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 6.8–16.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.731.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.73
RN hours/ resident / day
0.50
LPN hours/ resident / day
2.68
Aide hours/ resident / day
3.91
Total nurse hours/ resident / day
0.36
RN hoursweekends
21.2%
Total nursing turnover
0.0%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 46.0 residents a day — about 77% occupied, or roughly 14 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.68 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.28 hrs/resident/day on weekends vs 4.17 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.88 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

8
deficiencies at the latest standard inspection (2026-04-10)
3
at the previous standard inspection (2025-01-23)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · F2026-04-10 · tag F0557 — widespread
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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.Findings include:Facility Resident Rights, reviewed 3/2011, documents You have the right to safety and good care. Your facility must provide services to keep your physical and mental health, and sense of satisfaction.Facility Your Rights and Protections as a Nursing Home Resident, undated, documents You have the right to be treated with dignity and respect.Facility Diets, provided by V4 Dietary Manager/DM on 4/7/26, documents there are two residents who get pureed diets, 10 residents get mechanical soft diets, and 35 residents get regular diets.On 4/8/26 at 12:13pm during the lunch time meal pass at the steam table in the kitchen which is located directly across from the serving window to the dining room, V4 Dietary Manager/DM told V8 [NAME] All the feeders are ready! in a loud voice facing the dining room residents when referring…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-04-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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.Findings include: Facility Job Description for Dietary Cook, dated 12/11/18, documents The primary purpose of your job position is to prepare food in accordance with current applicable federal, state, and local standards, guidelines and regulations. To assure that quality food service is provided at all times. Food service personnel shall practice hygienic food handling techniques. Follow established Infection Control Policy.Facility Dietary- Receiving, Storage, and Issuing, dated January 2017, documents The Food Service Director is responsible for ordering, receiving, storing, and issuing all food items. In her absence, the Dietary Supervisor is responsible.Facility…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-04-10 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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.Findings include:The facility's policy titled, Controlled Substance-Administration, Count and Destruction, dated 8/5/25, documents when an individual controlled substance is given, the controlled substance must be counted before the medication is given and signed off in the EMAR (Electron Medication Administration Record). On 4/7/26 at 12:10 PM, V5/Licensed Practical Nurse (LPN) V5 pulled out R4's medication card of Lyrica (Schedule V Controlled Substance and Pain Medication) 25 mg (milligrams) from the locked narcotic drawer on the medication cart. V5 popped one capsule out of the medication card into a medication cup and administered the medication to R4 without signing out the medication on the Controlled Drug Receipt/Record…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-10 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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.Findings include:On 4/07/2026 at 11:04 AM, R7 was alert and oriented, stated she gets dialysis three days a week on Monday, Wednesday, and Friday, and goes to East Peoria for hemodialysis. At that same time, R7 showed me her right upper arm fistula for dialysis.R7's Minimum Data Set/MDS, dated [DATE], documents R7 is cognitively intact, and dependent on renal dialysis.R7's Current Physician Orders, dated 3/9-4/9/26, documents Dialysis on Monday, Wednesday, and Friday. R7's current diagnoses include End Stage Renal Disease, and Dependence on Renal Dialysis dated 11/20/22. R7's current care plan has a problem start date of 12/31/21 Resident has a history of weight loss due to a daily diuretic.R7's dialysis care plan has no…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-10 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    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 the surveyor found here — an excerpt from the official record, may be distressing

    Based 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. Findings include: The facility's policy titled, Standard Precautions, review date 1/6/26, documents not in its entirety, Standard Precautions are based on the principle that all blood, body fluids, secretions, excretions except sweat, non-intact skin, and mucous membranes may contain hazardous drugs and/or transmissible infectious agents. Standard Precautions include a group of infection prevention practices that apply to all patients, regardless of suspected or confirmed infection status. 1. You must wear gloves if you come into contact with blood, body fluids, or mucous membranes of any resident. Change gloves when they are torn. Change gloves after contact with each resident. There are glove holders in each room with a box of gloves for each resident. Wash your hands or use hand sanitizer each time you remove your gloves.R43's facility face sheet documents R43's…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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.Findings include: Facility Liberalized Diet policy, dated April 14, 2022, documents Advantages for the resident are as follows: Positive outcomes reported by similar programs include weight maintenance and/or gain. The following safety and diet concerns will be included: We will continue to use supplements that will be included in the medication passes, depending on the resident need. Resident weights will be obtained and reviewed in a consistent manner as to indicate weight gain or loss.Facility Weight Assessment and Intervention/Gain or Loss, revised 3/4/26, documents Weight Assessment. Negative trends will be evaluated by the dietary supervisor and dietitian to determine whether or not significant weight change has occurred. Dietary coordinator will report the significant changes to Registered dietitian and chart in the resident's progress notes the significant weight change. Dietary…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-10 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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. Findings include: The facility's policy Oxygen Administration last reviewed 3/10/26, documents not in its entirety, To administer oxygen to the resident when insufficient oxygen is being carried by the blood to the tissues .16. When resident is not using the O2 (oxygen) cannula, store in cloth bags provided. Make sure cannula is dry before putting in cloth bag. Procedure: 3. Check physician order for liter flow. R43's facility face sheet documents R43's date of admission to facility was 1/21/25 and R43's diagnoses include but not limited to Chronic Obstructive Pulmonary Disease, unspecified, Chronic Diastolic (Congestive) Heart Failure, Shortness of breath.R43's physician orders dated 1/21/25 documents R43 has the following order, Titrate oxygen for pulse ox (oximetry) > (greater than) 89% (percent)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-10 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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.Findings include:Merged Findings The facility's policy titled, Standard Precautions, dated 1/6/26, documents, Purpose: Standard Precautions refer to the infection prevention practices that apply to all residents, regardless of suspected or confirmed diagnosis or presumed infection status. Standard precautions are based on the principle that all blood, body fluids, secretions, visible blood, non-intact skin, and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-01-23 · tag F0881 — failed to use antibiotics responsibly — widespread
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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. Was an antibiotic event filled out by the nurse taking the MD (Doctor) order? If any of the below questions can't be answered the IP will contact the MD ordering the antibiotic in question. 1. Does the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-23 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings include: The Facility Policy and Procedure for Assessment and Treatment of Skin Wounds, reviewed 2/1/24, documents: skin assessments will be done on admission, weekly by tub room and Certified Nursing Assistant (CNA) will call in the Director of Nursing (DON) or nurse on duty if changes and daily by CNA's providing care; all treatments will be monitored daily by the charge nurse and/or skin nurse and documented in the Electronic Treatment Record (ETAR); if a new skin breakdown is first noticed by the CNA, they will obtain a Skin Incident Report sheet found at the nurse's stations; they will fill out the appropriate portion of the form with the Resident name, description of skin issue, signature, date and shift, this form is then given to their nurse or directly reported to the nurse on duty; obtain…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 5 citations
  • Potential for harm · Dcited before2025-01-23 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings include: The facility's policy titled Standard Precautions, revised 11/3/2025, documents, Purpose: Standard Precautions refer to the infection prevention practices that apply to all residents, regardless of suspected or confirmed diagnosis or presumed infection status. Standard precautions are based on the principle that all blood, body fluids, secretions, visible blood, non-intact skin, and mucous membranes may contain transmissible infectious agents. Furthermore, equipment or items in the resident's environment likely to have been contaminated with infectious body fluids must be handled in a manner to prevent transmission of infectious agents. Standard precautions include hand hygiene, proper selection and use of personal protective equipment,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-03-22 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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.; QAPI includes all employees, all departments and all services provided; the Governance and Leadership will be integrated into the responsibilities and accountabilities of top-level management by including them in quarterly QAPI…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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. Findings include: The facility's Clean Dressing Change Policy, reviewed 2/1/24, documents: To protect open wound from contamination; prevent infection and spread of infection; provide for optimal healing; wash hands; place plastic bag/waste basket near foot of bed to receive soiled dressing; position the bag to avoid reaching across the sterile field or the wound when disposing of soiled articles; form a cuff by turning down the top of the trash bag to provide a wide opening and to prevent contamination of instruments or gloves by touching the bags edge; slowly remove soiled dressing; discard soiled dressing in the plastic bag; wash hands, put on new gloves; use (Brand) Wound Cleanser if no solution is specifically ordered; always wipe from clean area toward the less clean area; use each gauze pad for only…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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. Findings include: Facility Procedure for Clean Dressing Change Policy, reviewed 2/1/24, documents: to protect open wound from contamination; prevent infection and spread of infection; provide for optimal healing; wash hands; place plastic bag/waste basket near foot of bed to receive soiled dressing; position the bag to avoid reaching across the sterile field or the wound when disposing of soiled articles; form a cuff by turning down the top of the trash bag to provide a wide opening and to prevent contamination of instruments or gloves by touching the bags edge; slowly remove soiled dressing; discard soiled dressing in the plastic bag; wash hands, put on new gloves; use (brand name) wound cleanser if no solution is specifically ordered; always wipe from clean area toward the less clean area; use each gauze pad for only one…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based 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. Findings include: The facility's Oxygen Administration policy and procedure, revised 2/22/2024, documents A physician's order is required to use O2 (oxygen). The standing orders may be used in an emergency situation, but the physician must be notified after oxygen is initiated. Be sure to enter O2 use in the Treatment MAR (Medication Administration Record). The oxygen tubing will be discarded and replaced every 90 days. Please label oxygen tubing with date changed if possible. If a humidifier bottle is being used, this is required to be emptied, cleaned and refilled with distilled water every twice weekly. Replace humidifier bottle per annual recommendations. When resident is not using the O2 cannula, store in cloth bags provided. The (Brand/Company) Oxygen Manufacture Guidelines…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
ROANOKE APOSTOLIC CHRISTIAN CHURCHOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNF100%since 01/21/1975
FISCHER, DEBRAIndividualCORPORATE DIRECTORsince 01/01/2025
HARRIS, TODDIndividualCORPORATE DIRECTORsince 01/01/2025
LEMAN, DONIndividualCORPORATE DIRECTORsince 01/01/2025
OSHEA, TOMIndividualCORPORATE DIRECTORsince 01/01/2025
PFISTER, STEVEIndividualCORPORATE DIRECTORsince 01/01/2025
HOFFMAN, NATHANIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/10/2017
HUGHES, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2000

CMS files one row per role, so the 13 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$4.7M
Net patient revenuemost recent cost report
-17.8%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 18%Medicare 4%Other / private 77%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$333per resident / day
operating cost
$10,118per month
≈ monthly operating cost
$283per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IL

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Illinois Medicaid page.

Typical monthly cost in Illinois
$8,304/mo
Nursing home (semi-private)
$9,216/mo
Nursing home (private)
$6,219/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 145704. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-10, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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