All states › Illinois › Sparta › Randolph County Care Center
312 West Belmont Sparta, IL 62286 · Randolph County
CMS certification number 145406 · See this home on Medicare Care Compare
Is Randolph County Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Randolph County Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Illinois average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.92 hours per resident per day at Randolph County Care Center, above the Illinois median of 3.33 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 3.62 hours, 8% below its all-week average. 50% of nursing staff left within a year (Illinois median 43.5%).
About this nursing home
Paying for care at Randolph County Care Center: Medicare and Medicaid
Randolph County Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 30, 2024 and found 3 deficiencies, plus 2 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Randolph County Care Center across 5 inspection dates, 8 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 22, 2025 (complaint inspection). The most common areas cited were quality of life and care (6) and freedom from abuse, neglect, and exploitation (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level L, April 30, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
November 19, 2025 · 2 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 22, 2025 · 6 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide 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.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
April 30, 2024 · 3 citations, includes immediate jeopardy
LEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DRespond appropriately to all alleged violations.
February 9, 2023 · 1 citation
FHave 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.
February 18, 2022 · 9 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FHave 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.
EEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DDevelop 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.
DRespond appropriately to all alleged violations.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Questions to ask on a tour of Randolph County Care Center
- Inspectors cited the home at the immediate-jeopardy level on April 30, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 30, 2024. How are staff trained, and how are concerns reported?
- The home averages about 52% of its beds filled. Are any units closed?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $172,932 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 22, 2025 | Fine | $96,272 |
| Apr 22, 2025 | Payment Denial | 41 days of payments denied |
| Apr 30, 2024 | Fine | $76,660 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 3/5 | 1/5 |
| August 2026 | 1/5 | 2/5 | 3/5 | 1/5 |
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Location
Hospitals near Randolph County Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.9 mi
- 15.0 mi
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17.0 mi
Red Bud Regional Hospital Red BudEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 2m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.