facebook tracking Randolph County Care Center, Sparta IL: CMS Ratings
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Randolph County Care Center

All states › Illinois › Sparta › Randolph County Care Center

312 West Belmont Sparta, IL 62286 · Randolph County

(618) 443-4351

Accepts Medicare Accepts Medicaid 100 certified beds Government

CMS certification number 145406 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 21 citations in the last three years. CMS imposed 3 penalties, including $172,932 in fines, in that time.

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%).

Nursing care per resident per day 3.92 hours
Above the Illinois median of 3.33 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.43 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.62 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 50% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds100
Residents per day 52 About 52% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceApril 1980
Legal business nameCOUNTY OF RANDOLPH 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Nov 20, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2025)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2025)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0742 · Complaint inspection · Deficient, Provider has date of correction (May 21, 2025)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2025)

FEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0947 · Complaint inspection · Deficient, Provider has date of correction (May 15, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (May 16, 2025)

DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (May 16, 2025)

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (May 20, 2024)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (May 20, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (May 20, 2024)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Past Non-Compliance (Sep 21, 2022)

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.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 18, 2022)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Apr 1, 2022)

EEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Mar 13, 2022)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Mar 13, 2022)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0608 · Deficient, Provider has date of correction (Mar 13, 2022)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Mar 13, 2022)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Mar 18, 2022)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Mar 18, 2022)

DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0744 · Deficient, Provider has date of correction (Mar 13, 2022)

Questions to ask on a tour of Randolph County Care Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on April 30, 2024. How are staff trained, and how are concerns reported?
  3. The home averages about 52% of its beds filled. Are any units closed?
  4. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
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
    Sparta Community Hospital Sparta
    Emergency room ★★★☆☆ Medicare overall 3 of 5
  • 15.0 mi
    Memorial Hospital Chester
    Emergency room
    Median ER visit 3h 3m for patients treated and sent home
  • 17.0 mi
    Red Bud Regional Hospital Red Bud
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median 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

Coulterville Rehab & HCC Coulterville · 6.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 75 beds · Medicaid
Three Springs Sr Living & Rhab Chester · 14.4 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 83 beds · Medicaid
Pinckneyville Nursing & Rehab Pinckneyville · 17.4 mi away ★★☆☆☆ Inspection 4/5 · Staffing 1/5 60 beds · Medicaid
La Bella of Freeburg Freeburg · 22.5 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 118 beds · Medicaid
Axiom Gardens of Nashville Nashville · 22.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Randolph County Care Center ›   All nursing homes in Sparta ›

Compare Randolph County Care Center with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/illinois/sparta/randolph-county-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.