Illinois › Randolph County › Sparta
Randolph County Care Center
312 West Belmont, Sparta, IL 62286
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 100 beds, Randolph County Care Center serves Sparta in Randolph County, Illinois and has taken Medicare and Medicaid residents since 1980.
CMS gives it 1 of 5 stars overall, below the Illinois median of 2; the health inspection rating is 2, staffing 3 and quality measures 1.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (5, 7, 9 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 21.0 per 100 beds, fewer than the state median of 28.4.
CMS lists 3 penalties in the period covered: fines totalling $173K and 1 payment denial.
Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Illinois median of 3.3; nursing staff turnover is 60.0%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Randolph Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 21 | 21 | 34 | 28.7 |
| Citations per 100 beds | 21.0 | 21.0 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 60.0% | 60.0% | 43.4% | 45.8% |
| Fines listed | $172,932 | $113,818 | $45,123 | — |
County and state figures are medians across facilities (3 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2024, 9 Feb 2023.
Severity mix: J ×1 L ×1 G ×2 D ×11 E ×2 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 20 Nov 2025 |
| 19 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Nov 2025 |
| 22 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 15 May 2025 |
| 22 Apr 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Complaint investigation | 21 May 2025 |
| 22 Apr 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 15 May 2025 |
| 22 Apr 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint investigation | 15 May 2025 |
| 22 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 May 2025 |
| 22 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 16 May 2025 |
| 30 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | Standard survey | 20 May 2024 |
| 30 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 20 May 2024 |
| 30 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 20 May 2024 |
| 9 Feb 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 21 Sep 2022 |
| 18 Feb 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 18 Mar 2022 |
| 18 Feb 2022 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 1 Apr 2022 |
| 18 Feb 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 13 Mar 2022 |
| 18 Feb 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 13 Mar 2022 |
| 18 Feb 2022 | F0608 | Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | D | Standard survey | 13 Mar 2022 |
| 18 Feb 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 13 Mar 2022 |
| 18 Feb 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 18 Mar 2022 |
| 18 Feb 2022 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 18 Mar 2022 |
| 18 Feb 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 13 Mar 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 Apr 2025 | Payment denial | — | 41 days |
| 22 Apr 2025 | Fine | $96,272 | |
| 30 Apr 2024 | Fine | $76,660 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 60.0%, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.0% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.2% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.1% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: County Of Randolph Nursing Home.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Randolph County | 5% or greater direct ownership interest | 100% | 01/01/1966 |
| Randolph County | Adp of the snf | NOT APPLICABLE | 12/17/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Randolph County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Three Springs Sr Living & Rhab | Chester | 83 | 2 | 3 | 1 | 23 | 27.7 | — | 10 Jun 2026 |
| Coulterville Rehab & HCCabuse icon | Coulterville | 75 | 1 | 2 | 1 | 12 | 16.0 | $114K | 7 Apr 2026 |
All 3 facilities in Randolph County
Questions and answers
How many deficiencies has Randolph County Care Center been cited for?
21 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Randolph County Care Center been fined?
Yes. CMS lists fines totalling $173K in the period covered, plus 1 payment denial.
How does staffing at Randolph County Care Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Randolph County Care Center?
Ownership type is government, county. Organisations in the CMS ownership record include Randolph County. Individual owners and managers are not listed on this site.
When was Randolph County Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Nov 2025; the most recent standard health survey was 30 Apr 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.