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Nursing Homes · Medicare certified

Randolph County Care Center

312 West Belmont · Sparta, IL 62286 · 100 certified beds

(618) 443-4351

NPI 1881734416 (opens in a new tab)

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About Randolph County Care Center

Randolph County Care Center is a nursing home in Sparta, Illinois. Its capacity is 100 beds, below the Illinois median of 111 for nursing homes. It is run by a nonprofit operator and is part of Randolph County. It is Medicare certified. Its public inspection record shows 21 citations, the most recent on November 19, 2025. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.92 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

3.0

Quality measures

1.0

CMS Care Compare, October 2026.

Inspection history (21)

Records from February 2022 to November 2025.

  • November 19, 2025

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.

  • November 19, 2025

    Tag F0725

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 20, 2025.

  • April 22, 2025

    Tag F0580

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2025.

  • April 22, 2025

    Tag F0725

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 16, 2025.

  • April 22, 2025

    Tag F0742

    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.

    Severity G: isolated, actual harm. Corrected May 21, 2025.

  • April 22, 2025

    Tag F0868

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 15, 2025.

  • April 22, 2025

    Tag F0947

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 15, 2025.

  • April 22, 2025

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J: isolated, immediate jeopardy. Corrected May 15, 2025.

  • April 30, 2024

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity L: widespread, immediate jeopardy. Corrected May 20, 2024.

  • April 30, 2024

    Tag F0610

    Respond appropriately to all alleged violations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.

  • April 30, 2024

    Tag F0600

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 20, 2024.

  • February 9, 2023

    Tag F0727

    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.

    Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 21, 2022.

  • February 18, 2022

    Tag F0625

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2022.

  • February 18, 2022

    Tag F0623

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 18, 2022.

  • February 18, 2022

    Tag F0608

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 13, 2022.

  • February 18, 2022

    Tag F0806

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 13, 2022.

  • February 18, 2022

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G: isolated, actual harm. Corrected March 18, 2022.

  • February 18, 2022

    Tag F0744

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 13, 2022.

  • February 18, 2022

    Tag F0607

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 13, 2022.

  • February 18, 2022

    Tag F0610

    Respond appropriately to all alleged violations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 13, 2022.

See the source data on data.cms.gov (opens in a new tab)

Penalties (3)

Total fines: $172,932

  • April 22, 2025 · Fine

    CMS recorded a civil money penalty of $96,272 against this nursing home on April 22, 2025.

  • April 22, 2025 · Payment Denial

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting April 26, 2025, lasting 41 days (triggered by inspection on April 22, 2025).

  • April 30, 2024 · Fine

    CMS recorded a civil money penalty of $76,660 against this nursing home on April 30, 2024.

See the source data on data.cms.gov (opens in a new tab)

Staffing

3.92 nurse hours per resident per day in Q2 2026, up from 3.69 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

  • Parent company: Randolph County

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Illinois.

Nursing Homes

Illinois median$8,304/mo

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