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Randolph County Care Center

Nursing Home Facility

312 West Belmont, Sparta, IL 62286

Nursing Home Care Senior Living

Randolph County Care Center is a senior care community located in Sparta, IL. It provides nursing home care and senior living for older adults in the Sparta area. To learn more or schedule a tour, call (618) 443-4351.

With 100 beds, Randolph County Care Center is one of the larger communities in the area, senior care communities in Sparta average about 75 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 55% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2024 and recorded 5 deficiencies.

Residents receive about 3.8 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 60%, which is high and can affect continuity of care.

The community is located in Randolph County, IL.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 21 problems at Randolph County Care Center. 4 findings involved harm to a resident, including 2 that put residents in immediate danger. 8 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $172,932. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, widespread Quality of Life and Care

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

    Inspected April 2024. Corrected by May 20, 2024.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

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

    Inspected November 2025, after a complaint. Corrected by November 20, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected April 2024. Corrected by May 20, 2024.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected April 2024. Corrected by May 20, 2024.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Randolph County Care Center offers nursing home care and senior living.

Facility details

  • Organization type Government - County
  • Beds / units 100
  • Occupancy 55%
  • Nursing hours per resident/day 3.8
  • Annual staff turnover 60%
  • Last health inspection April 2024

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