Randolph County Care Center
312 West Belmont, Sparta, IL 62286 · (618) 443-4351
Government - County · 100 certified beds
Randolph County Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2024, found 3 citations, 1 for actual harm or immediate jeopardy (the Illinois average is 12.6). It was fined 2 times in the last three years, $172,932 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 30, 2024 found 3 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 30, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 30, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.April 30, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 19, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.November 19, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 22, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 22, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.April 22, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 22, 2025 · F0742 · Level of harm: Actual harm · Residents affected: Few
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyApril 22, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.April 22, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $96,272April 22, 2025
- Fine of $76,660April 30, 2024
- Medicare payment denial for 41 daysStarting April 26, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Illinois average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.83 | 3.45 | 3.86 |
| Registered nurses (RN) | 0.45 | 0.72 | 0.69 |
| Licensed practical nurses (LPN) | 0.79 | 0.64 | 0.86 |
| Nurse aides | 2.60 | 2.09 | 2.32 |
| Total nursing staff turnover | 60% | 44.5% | 45.8% |
About this home
| Ownership | Government - County |
| Certified beds | 100 |
| Average residents per day | 55 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Three Springs Sr Living & Rhab Chester · ★★★★★ 2 out of 5 stars
- Coulterville Rehab & HCC Coulterville · ★★★★★ 1 out of 5 stars
- Aviston Countryside Manor Aviston · ★★★★★ 2 out of 5 stars
- Memorial Care Center Belleville · ★★★★★ 5 out of 5 stars
- Evervella of Swansea Belleville · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Randolph County Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.