Quick answers
- Where is Randolph County Care Center?
- 312 West Belmont, Sparta, IL 62286, in Randolph County, Illinois.
- What is the phone number of Randolph County Care Center?
- (618) 443-4351, as listed by Medicare (CMS).
- What is the Medicare star rating of Randolph County Care Center?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Randolph County Care Center been fined?
- Medicare lists 2 fines totaling $172,932 and 1 payment denial.
- What did inspectors find at Randolph County Care Center?
- In its last three inspection cycles (February 18, 2022 to November 19, 2025), Medicare lists 21 health citations; the most serious was level L. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 18, 2022 to November 19, 2025), Randolph County Care Center had 21 health citations; the most serious was level L (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $172,932 in total (2 fines, the latest on April 22, 2025) and had 1 Medicare payment denial. Nurse staffing is 3.92 hours per resident per day; the Illinois average is 3.47 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 30, 2024 — 5 health citations
Inspections in this cycle: April 30, 2024 (standard health inspection); November 19, 2025 (complaint investigation).
F0689 Level L
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; widespread (many residents) · Quality of Life and Care Deficiencies
Show 4 less serious citations (levels A to F)
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0610 Level D
“Respond appropriately to all alleged violations.”
Previous cycle: February 9, 2023 — 7 health citations
Inspections in this cycle: February 9, 2023 (standard health inspection); April 22, 2025 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0742 Level G
“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.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 5 less serious citations (levels A to F)
F0868 Level F
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0947 Level F
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0727 Level F
“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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
Earlier cycle: February 18, 2022 — 9 health citations
Inspections in this cycle: February 18, 2022 (standard health inspection).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 8 less serious citations (levels A to F)
F0727 Level F
“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.”
F0806 Level E
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0608 Level D
“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.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0625 Level D
“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.”
F0744 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fines and payment denials
Total fines over about the last three years: $172,932 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| April 22, 2025 | Fine | $96,272 |
| April 22, 2025 | Payment denial | from April 26, 2025, 41 days |
| April 30, 2024 | Fine | $76,660 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Illinois | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.43 | 0.71 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.90 | 0.64 | 0.86 |
| Nurse aide hours per resident per day | 2.60 | 2.12 | 2.35 |
| Total nurse staff hours per resident per day | 3.92 | 3.47 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.62 | 3.08 | 3.43 |
| RN hours per resident per day on the weekend | 0.24 | 0.55 | 0.48 |
| Nursing staff turnover (per year) | 50.0% | 43.7% | 45.3% |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: County of Randolph Nursing Home.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Randolph County | Direct owner | 100% | January 1, 1966 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 100 |
| Average residents per day | 52.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – county |
| Legal business name | County of Randolph Nursing Home |
| First approved by Medicare/Medicaid | 1980-04-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 312 West Belmont, Sparta, IL 62286 |
| County | Randolph County |
| State | Illinois |
| Phone | (618) 443‑4351 |
| CMS Certification Number | 145406 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Coulterville Rehab & HCC6.6 mi · Coulterville, IL · 2 of 5 stars
- Three Springs SR Living & Rhab14 mi · Chester, IL · 2 of 5 stars
- Pinckneyville Nursing and Rehab17 mi · Pinckneyville, IL · 2 of 5 stars
- St Genevieve Nursing21 mi · Sainte Genevieve, MO · 5 of 5 stars
- La Bella of Freeburg22 mi · Freeburg, IL · 1 of 5 stars
Nearest hospital emergency rooms
- Sparta Community Hospital0.9 mi · Sparta, IL · Critical Access Hospital
- Memorial Hospital15 mi · Chester, IL · Critical Access Hospital
- Pinckneyville Community Hospital17 mi · Pinckneyville, IL · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13