Roanoke, IL

Apostolic Christian Home

5-star overall rating with 5-star inspections with 3 recent health deficiencies

1102 West Randolph, Roanoke, IL

(309) 923-2071

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

44

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-10-15

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

0.80

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.49

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.81

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.09

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.37

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.87

CMS adjusted RN staffing hours

Adjusted total hours

4.45

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,887

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

53.26

Composite VBP score used to determine payment impact.

Payment multiplier

1.0079

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.84

Baseline 28.85% · Performance 35.71% · Measure score 6.84 · Achievement 6.84 · Improvement 0

Adjusted total nurse staffing

3.81

Baseline 3.88 hours · Performance 4.16 hours · Measure score 3.81 · Achievement 3.81 · Improvement 0.96

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.57%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 6.84%
Discharge to community 42.38%
50.57%
8.2 pts worse
No Different than the National Rate · Eligible stays 39 · Observed rate 35.9% · Lower 95% interval 28.47%
Medicare spending per beneficiary 0.73
1.02
0.3 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 2.86%
8.2%
5.3 pts worse
Numerator 3 · Denominator 105
Staff flu vaccination coverage 33.61%
42%
8.4 pts worse
Numerator 41 · Denominator 122
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
2.0
About the same
1.9
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.2 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
2.3
1.7 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
89.6%
10.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
91.6%
4.1 pts better
95.5%
0.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.3%
0.5 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 2.4% · Q3 0.0% · Q4 2.2% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 17.6%
50.3%
32.7 pts better
11.4%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 16.7% · Q3 14.0% · Q4 20.0% · 4Q avg 17.6%
Percentage of long-stay residents who lose too much weight 11.5%
6.5%
5 pts worse
5.4%
6.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 12.1% · Q3 11.4% · Q4 17.1% · 4Q avg 11.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.5%
18.5%
3 pts worse
19.6%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 18.2% · Q3 25.0% · Q4 22.9% · 4Q avg 21.5%
Percentage of long-stay residents who received an antipsychotic medication 19.4%
22.8%
3.4 pts better
16.7%
2.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 24.0% · Q3 18.5% · Q4 15.4% · 4Q avg 19.4% · 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% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 20.9%
17.2%
3.7 pts worse
16.3%
4.6 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.1%
15.0%
6.1 pts worse
14.9%
6.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 12.1% · Q3 31.4% · Q4 17.6% · 4Q avg 21.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 3.6%
1.1%
2.5 pts worse
1.0%
2.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 5.4% · Q4 5.0% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 5.8%
1.7%
4.1 pts worse
1.7%
4.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 7.3% · Q3 2.2% · Q4 6.5% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.2%
21.3%
0.9 pts worse
19.8%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 25.6% · Q3 22.9% · Q4 22.2% · 4Q avg 22.2%
Percentage of long-stay residents with pressure ulcers 3.6%
5.2%
1.6 pts better
5.1%
1.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.4% · Q3 2.8% · Q4 2.6% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
68.8%
31.2 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.3%
2.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-23 · Fire 2025-01-23

3 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-03-22 · Fire 2024-03-22

4 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-09 · Fire 2023-03-09

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-23

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-24

D · Potential for more than minimal harm 2025-01-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-24

F · Potential for more than minimal harm 2024-03-22

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-22

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-12

D · Potential for more than minimal harm 2023-05-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-06-05

D · Potential for more than minimal harm 2023-05-16

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-05

Penalties and ownership

What sits behind the stars

Ownership

Roanoke Apostolic Christian Church

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1975-01-21
Fischer, Debra

Corporate Director · Individual

0% 1 facilities 2025-01-01
Harris, Todd

Corporate Director · Individual

0% 1 facilities 2025-01-01
Hoffman, Nathan

Operational/Managerial Control · Individual

0% 1 facilities 2017-07-10
Hoffman, Nathan

Corporate Officer · Individual

0% 1 facilities 2017-07-10
Hughes, Christopher

Operational/Managerial Control · Individual

0% 2 facilities 2000-01-01
Leman, Don

Corporate Director · Individual

0% 1 facilities 2025-01-01
Oshea, Tom

Corporate Director · Individual

0% 1 facilities 2025-01-01
Pfister, Steve

Corporate Director · Individual

0% 1 facilities 2025-01-01

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#3

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Health
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Staffing
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Fines
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