nursing home in Sparta, IL
Randolph County Care Center
312 West Belmont, Sparta, IL 62286 · (618) 443-4351
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Randolph County Care Center at a glance
Randolph County Care Center is a 100-bed government nursing home in Sparta, Illinois (Randolph County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Illinois average of 2.5.
Residents receive about 3.8 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (April 30, 2024) found 5 health citations. The Illinois average is 12.5.
Federal regulators fined it 2 times in the past three years, totaling $172,932.
Nursing staff turnover is 60% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 1980
- Resident/family council
- Resident
- County
- Randolph County
- CMS Certification Number
- 145406
Ratings
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.1 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.83 hrs | 3.45 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.45 hrs | 0.72 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.60 hrs | 2.09 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.49 hrs | 3.07 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 60% | 44.5% | 45.8% | Worse |
Inspections
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 12 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 5 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 184 | 143 | 80.6 | Worse |
Penalties
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $172,932 | $111,013 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 3 | 1 | Worse |
Size
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 128 | 107 | |
| Average residents per day | 55 | 95 | 86 | |
| Occupancy | 55% | 75% | 80.9% |
Long-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.3% | 3.1% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 6.2% | 4.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 33.1% | 21.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 5.2% | 1.5% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 5.7% | 0.9% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13% | 13.4% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 13.6% | 14.3% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 0% | 6.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.1% | 54.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.3% | 18.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 15.8% | 20.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 91.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 90.3% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Illinois avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.5% | 69.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 19, 2025 Complaint | Provide 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 Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected November 20, 2025 |
| November 19, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 21, 2025 |
| April 22, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected May 15, 2025 |
| April 22, 2025 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0742 | G Actual harm, isolated | Corrected May 21, 2025 |
| April 22, 2025 Complaint | Ensure 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 Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected May 15, 2025 |
| April 22, 2025 Complaint | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected May 15, 2025 |
| April 22, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected May 16, 2025 |
| April 22, 2025 Complaint | Provide 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 Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected May 16, 2025 |
| April 30, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | L Immediate jeopardy, widespread | Corrected May 20, 2024 |
| April 30, 2024 Standard | Protect 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 Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 20, 2024 |
| April 30, 2024 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected May 20, 2024 |
| February 9, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected September 21, 2022 |
| February 18, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 18, 2022 |
| February 18, 2022 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected April 1, 2022 |
| February 18, 2022 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | E Potential harm, pattern | Corrected March 13, 2022 |
| February 18, 2022 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 13, 2022 |
| February 18, 2022 Standard | 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. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0608 | D Potential harm, isolated | Corrected March 13, 2022 |
| February 18, 2022 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected March 13, 2022 |
| February 18, 2022 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected March 13, 2022 |
| February 18, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected March 18, 2022 |
| February 18, 2022 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected March 18, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $172,932 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 22, 2025 | Payment Denial | 41 days from April 26, 2025 |
| April 22, 2025 | Fine | $96,272 |
| April 30, 2024 | Fine | $76,660 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| RANDOLPH COUNTY Organization | 5% or greater direct ownership interest | 100% | 01/01/1966 |
| CATO, MICHELLE Individual | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| COULTER, RUSSELL Individual | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| RANDOLPH COUNTY Organization | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| HOLDER, DAVID Individual | corporate director | NOT APPLICABLE | 05/01/2014 |
| KIEHNA, MARC Individual | corporate director | NOT APPLICABLE | 05/01/2014 |
| WHITE, RONALD Individual | corporate director | NOT APPLICABLE | 12/01/2014 |
| CATO, MICHELLE Individual | w-2 managing employee | NOT APPLICABLE | 03/17/2016 |
| COULTER, RUSSELL Individual | w-2 managing employee | NOT APPLICABLE | 01/01/1999 |
Other nursing homes near Randolph County Care Center
Coulterville Rehab & Hcc
13138 State Route 13, Coulterville, IL 62237 · 6.6 mi
For-profit · 75 beds · Part of Tutera Senior Living & Health Care
- Abuse citation
★★★★★1Much below averageThree Springs Sr Living & Rhab
161 Three Springs Road, Chester, IL 62233 · 14.4 mi
For-profit · 83 beds · Part of Wlc Management Firm
★★★★★2Below averagePinckneyville Nursing & Rehab
708 Virginia Court, Pinckneyville, IL 62274 · 17.4 mi
For-profit · 60 beds · Part of Wlc Management Firm
★★★★★3AverageSt Genevieve Nursing
1010 Ste Genevieve Drive, Sainte Genevieve, MO 63670 · 21.1 mi
For-profit · 90 beds · Part of Community Care Centers
★★★★★5Much above averageLa Bella of Freeburg
746 Urbanna Drive, Freeburg, IL 62243 · 22.5 mi
For-profit · 118 beds
- Abuse citation
★★★★★1Much below averageRiverview at the Park Care and Rehabilitation Cent
1100 Progress Parkway, Sainte Genevieve, MO 63670 · 22.6 mi
For-profit · 120 beds · Part of Shafiq Malik
★★★★★4Above average
Frequently asked questions
What is Randolph County Care Center's rating?
Randolph County Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Illinois nursing homes is 2.5 stars.
How many inspection citations did Randolph County Care Center receive?
Its most recent standard health inspection found 5 citations, compared with a Illinois average of 12.5. Every citation is listed on this page with its severity.
Does Randolph County Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Randolph County Care Center?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Randolph County Care Center and how do I contact it?
Randolph County Care Center is at 312 West Belmont, Sparta, IL 62286. Phone: (618) 443-4351.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.