Randolph County Care Center
312 West Belmont, Sparta, IL 62286
Randolph County Care Center, a 100-bed government - county nursing facility in Sparta, IL, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #471 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6184434351
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #471 of 661
- In-state rank among rated IL homes
- 3.83
- About average · nurse hrs/day · nat'l 3.86
- 21
- Inspection findings · 4 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Randolph County Care Center, a 100-bed government - county nursing facility in Sparta, IL, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #471 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #471 of 661
- In-state rank among rated IL homes
- 3.83
- Nurse hrs/resident-day · national 3.86
- 21
- Inspection findings · 4 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 666 IL nursing homes split by ownership sector
This facility is recorded as Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 145406
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 100
- Residents
- 55
- In Hospital
- No
- County
- Randolph
- Last Inspection
- Apr 30, 2024
Staffing Data
How the 3.83 total nursing hours per resident-day are staffed:
- RN Hours
- 0.45 (nat'l avg: 0.69)
- LPN Hours
- 0.79
- CNA Hours
- 2.60
- Total Nursing Hours
- 3.83 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 60.0%
What the CMS Record Reveals About Randolph County Care Center
According to CMS Nursing Home Compare, Randolph County Care Center ranks #471 of 661 rated nursing homes in IL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Randolph County Care Center operates 100 certified beds in Sparta, IL with approximately 55 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 2★ · staffing 3★ · quality 1★).
The inspection file contains 21 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $173K against this provider. Staffing is reported at 3.83 total nursing hours per resident day (national average 3.86), with RN coverage at 0.45 per resident day.
Classified as "Government - County" ownership and operating as a "Medicare and Medicaid" provider, Randolph County Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 60.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (21 most recent)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 21, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Nov 20, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: May 16, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: May 16, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: May 15, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: May 15, 2025
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.
Category: Quality of Life and Care Deficiencies
Corrected: May 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 20, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2024
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Sep 21, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 13, 2022
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.
Category: Resident Rights Deficiencies
Corrected: Mar 18, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Mar 18, 2022
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 13, 2022
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.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 13, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 13, 2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Category: Nutrition and Dietary Deficiencies
Corrected: Mar 13, 2022
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 1, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 18, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.2% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.6% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 0.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.1% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 25.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 15.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 90.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 2 penalties totaling $173K
| Date | Type | Amount |
|---|---|---|
| Apr 22, 2025 | Fine | $96K |
| Apr 22, 2025 | Payment Denial | - |
| Apr 30, 2024 | Fine | $77K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Randolph County Care Center, both outside IL so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside IL (100 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside IL (4.38 here).
Nearby Nursing Homes in IL
665 other nursing homes are on record in IL; 6 are shown here.
Abbington Vlge Nrsg & Rhb Ctr
Roselle, IL
Accolade Hc of Paxton on Pells
Paxton, IL
Accolade Healthcare Danville
Danville, IL
Accolade Healthcare of Peoria
Peoria, IL
Accolade Healthcare of Pontiac
Pontiac, IL
Accolade Healthcare of Savoy
Savoy, IL
Understanding Nursing Home Data
What the CMS records show for Randolph County Care Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The IL registry aggregates state averages and the highest-rated homes in this cohort. View IL registry
- Peer homes near 100 beds show how CMS stars vary at a similar scale in IL. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Randolph County Care Center?
Where does Randolph County Care Center rank among nursing homes in IL?
What are the staffing levels at Randolph County Care Center?
How many beds does Randolph County Care Center have?
Does Randolph County Care Center have any deficiencies on record?
Has Randolph County Care Center received any fines or penalties?
Who owns Randolph County Care Center?
When was Randolph County Care Center last inspected?
What quality measures are tracked for Randolph County Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
