Nursing HomeInspections

Randolph County Care Center

Nursing home in Sparta, IL

Medicare & Medicaid certified1★ overall (CMS)

Call (618) 443-4351Send a messageMap ↗

Public-record details

Address
312 West Belmont, Sparta, IL 62286
Phone
(618) 443-4351
Listed under
Government-owned
Medicare CCN
145406
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
100
Average residents per day
55
Ownership
Government, county
Legal business name
County of Randolph Nursing Home
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1980
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 145406. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 30, 2024. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 18, 2022 to Nov 19, 2025): 8 from complaint inspections, 4 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Nov 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 19, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 22, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 22, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 22, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Apr 22, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Apr 22, 2025Provide 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…
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 22, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Apr 30, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 30, 2024Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Apr 30, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		L
Immediate jeopardy, widespread
Feb 9, 2023Have 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.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $172,932 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 22, 2025Fine: $96,272
Apr 22, 2025Payment denial for 41 days from Apr 26, 2025
Apr 30, 2024Fine: $76,660

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.83 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
2.60 hours
Total nurse staffing on weekends
3.49 hours
Nursing staff turnover (yearly)
60%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.