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Randolph County Care Center

312 West Belmont, Sparta, IL 622866184434351Ownership: Government - CountyCertified beds: 100Avg. daily residents: 55County: Randolph
Health inspection overdue — CMS reports the most recent standard inspection is older than its normal cycle.

The complete public record on Randolph County Care Center, a Medicare & Medicaid–certified nursing home in Sparta, Illinois, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Illinois average: 2.5 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★☆☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Randolph County Care Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 60% is well above the Illinois average of 44%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $172,932 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.83 total nurse staff hours per resident per day
above the state average (3.45)
0.45 RN hours per resident per day
below the state average (0.72)
3.49 weekend nurse staff hours per resident per day
60.0% total nursing staff turnover
above the state average (44.5)
Not reported RN turnover

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

April 30, 2024 most recent standard health inspection
5 health deficiencies cited in the most recent inspection cycle
below the state average (12.3)
7 health deficiencies in the two prior cycles combined
$172,932 in federal fines across 2 penalties (last 3 years)
above the state average ($112,572)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

21 citations on record across recent inspections, 4 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
November 19, 20250725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. ComplaintE · Potential for more than minimal harm
November 19, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
April 22, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintJ · Immediate jeopardy
April 22, 20250742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial… ComplaintG · Actual harm
April 22, 20250868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly ComplaintF · Potential for more than minimal harm
April 22, 20250947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. ComplaintF · Potential for more than minimal harm
April 22, 20250580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintD · Potential for more than minimal harm
April 22, 20250725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. ComplaintD · Potential for more than minimal harm
April 30, 20240689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.L · Immediate jeopardy
April 30, 20240600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.