Deficiency Index

Apostolic Christian Home

Roanoke, Illinois · CCN 145704

18 surveys since 2011, 6 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
68
Surveys
18
Harm or worse
6
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse6

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file15/18

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
60
Ownership
Non profit - Church related
Chain
Independent
County
Woodford
Medicare-certified since
1991

CMS ratings

Overall
5
Health inspection
4
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 43 not-for-profit facilities with fewer than 66 beds in Illinois.

Last survey on record

Apr 10, 2026

213 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.914.78
Registered-nurse hours per resident day0.73—
Annual nurse turnover21.2%36.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1066.7%E16.7%F426.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 15 of the 68 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

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

  • F6952×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5571×

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  • F6571×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

In the surveyor’s words

From the most serious findings on record at Apostolic Christian Home, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF557Apr 10, 2026

    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… […]

  • No harm, potential for more than minimal, widespreadF812Apr 10, 2026

    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. […]

  • No harm, potential for more than minimal, widespreadF881Jan 23, 2025

    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) . […]

  • No harm, potential for more than minimal, widespreadF868Mar 22, 2024

    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 care 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… […]

  • No harm, potential for more than minimal, patternF755Apr 10, 2026

    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). […]

Read 26 findings in full →The most serious and the most recent: 26 of 68 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 10, 2026Standard8 findings
  • Jan 23, 2025Standard3 findings
  • Mar 22, 2024Standard4 findings
  • May 16, 2023Complaint2 findings
  • Jun 23, 2022Standard3 findings
  • Sep 16, 2021Standard1 finding
  • Jun 10, 2020Infection control1 finding
  • Oct 31, 2019Complaint5 findings · 2 harm
Show the 10 earlier surveys
  • Jan 4, 2019Standard1 finding
  • Feb 28, 2018Standard1 finding
  • Dec 29, 2016Standard5 findings
  • Jan 21, 2016Standard2 findings
  • Feb 11, 2015Standard2 findings
  • Mar 20, 2014Standard and complaint10 findings · 1 harm
  • Jan 24, 2014Complaint3 findings · 1 harm
  • Jan 28, 2013—7 findings
  • Feb 17, 2012—2 findings
  • Mar 1, 2011—8 findings · 2 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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