Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Apostolic Christian Home during CMS and state inspections, most recent first.
The facility failed to use McGeers Criteria for determining infections, affecting all 48 residents. The DON and IP were responsible for reviewing antibiotics, but some orders were made without meeting infection criteria. The DON confirmed no documentation of McGeers Criteria was followed, and nurses needed education on its use.
A resident's skin issue was not properly documented or monitored according to facility policy. An LPN discovered a dark brown area on the resident's heel but failed to document it or notify the responsible parties. The Wound Nurse classified it as a callous and did not perform weekly measurements, as the facility only tracks pressure ulcers. The DON confirmed the lack of documentation and reliance on visual assessments for non-pressure ulcer skin issues.
A facility failed to ensure proper hand hygiene during glove changes while performing wound care for a resident with multiple ulcers. The LPN did not perform hand hygiene between glove changes, contrary to the facility's Standard Precautions Policy. The resident had a history of metabolic encephalopathy, chronic ulcers, diabetes, and chronic kidney disease. The LPN admitted confusion about hand hygiene requirements, and the DON confirmed the policy mandates hand hygiene with every glove change.
Failure to Utilize Infection Criteria for Antibiotic Use
Penalty
Summary
The facility failed to utilize a set standard to determine infections, which has the potential to affect all 48 residents currently residing in the facility. The facility's Antibiotic Stewardship policy outlines commitments and activities to optimize infection treatment and reduce adverse events associated with antibiotic use. However, the facility's Infection Control monitoring logs for the year 2024 did not include documentation of McGeers Data for determining infections. The Director of Nursing (DON) and the Infection Preventionist (IP) were responsible for reviewing antibiotics, but it was found that some antibiotic orders were obtained for residents who did not meet the criteria for an infection. The DON confirmed that there was no documentation of McGeers Criteria being followed for any of the facility's infections. The Infection Preventionist stated that nurses were supposed to use McGeers Criteria when communicating with doctors about infections, but some infections did not meet the criteria to be considered infections. The DON acknowledged the need to educate floor nurses on McGeers Criteria, as antibiotics were often started before the review process by the DON and IP. This lack of adherence to established criteria and documentation led to the deficiency identified in the report.
Failure to Document and Monitor Skin Issue
Penalty
Summary
The facility failed to adhere to its policy for documenting and monitoring a skin issue for a resident, identified as R7, who was reviewed for skin issues. The facility's policy requires skin assessments to be conducted on admission, weekly, and daily by CNAs, with any changes reported to the nurse on duty. Additionally, all treatments should be monitored daily and documented in the Electronic Treatment Record (ETAR). However, the facility did not document R7's right foot measurements or wound description in the Wound Summary Report, Progress Notes, or Treatment Record from December 10, 2024, through January 21, 2025. A Skin Incident Report dated December 22, 2024, noted a right heel skin incident but failed to document that R7's physician or family were notified. On December 22, 2024, an LPN discovered a dark brown area on R7's right heel but did not document the finding or notify the responsible parties. The LPN applied a barrier ointment and provided pressure ulcer boots but did not complete the required documentation or follow-up. The Wound Nurse later classified the area as a callous and did not perform weekly measurements, as the facility only tracks pressure ulcers. The Director of Nursing confirmed the lack of documentation and stated that the facility does not track measurements for non-pressure ulcer skin issues, relying on visual assessments instead.
Failure to Perform Hand Hygiene During Glove Changes
Penalty
Summary
The facility failed to ensure proper hand sanitation during glove changes while performing pressure ulcer dressing changes for a resident. The facility's policy on Standard Precautions, revised on 11/3/2025, mandates hand hygiene each time gloves are removed. However, during an observation on 1/22/25, a Licensed Practical Nurse (LPN) did not perform hand hygiene between glove changes while providing wound care to a resident with multiple ulcers and skin conditions. The resident, admitted on 8/7/23, had a history of metabolic encephalopathy, non-pressure chronic ulcer, Type 2 diabetes mellitus with a foot ulcer, a stage three pressure ulcer, and chronic kidney disease. During the dressing change, the LPN was observed not performing hand hygiene between glove changes while treating different body sites, including the suprapubic catheter site, bilateral buttocks, and right heel. The LPN admitted to being confused about when hand hygiene should be performed and acknowledged that gloves should be changed between treatments to different body sites to prevent cross-contamination. The Director of Nursing (DON) confirmed that the facility's Standard Precautions Policy requires hand hygiene with every glove change, highlighting a discrepancy between practice and policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Roanoke
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Loft Rehabilitation & Nursing | 5.6 mi | — | 2 | 1 |
| Snyder Village | 7.3 mi | — | 0 | 0 |
| Apostolic Christian Home Of Eureka | 7.7 mi | — | 0 | 0 |
| Arc At El Paso | 11.4 mi | — | 0 | 0 |
| El Paso Rehabilitation And Health Care Center | 11.4 mi | — | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.