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Randolph County Care Center

Sparta, IL · Medicare and Medicaid-certified nursing home (CCN 145406) · 100 certified beds

CMS overall rating: 1★ (state average 2.55★ — below state average)
Health inspection: 2 · Quality measures: 1 · Staffing: 3
Federal fines: 2 totaling $172,932 · 1 payment denial
Phone: (618) 443-4351 · Verify on Medicare Care Compare ↗

Randolph County Care Center has a CMS overall star rating of 1 out of 5, which is below the Illinois state average of 2.55 stars. Its health inspection rating is 2 stars and its staffing rating is 3 stars.

Randolph County Care Center reports total nurse staffing of 3.83 hours per resident per day, including 0.45 RN hours per resident per day, with a staffing rating of 3 stars. Nursing staff turnover is reported at 60.0%.

Randolph County Care Center has 2 federal fines on record totaling $172,932.00, plus 1 payment denial. No abuse icon or Special Focus Facility status is indicated in the CMS data provided.

Overall rating vs. benchmarks
Randolph County Care … Randolph County Care …: 1★ 1★ IL average IL average: 2.55★ 2.55★

About this facility

Randolph County Care Center is a government (county)-owned nursing home in Sparta, Illinois, certified for both Medicare and Medicaid since April 1980. The facility is licensed for 100 beds, with an average daily census of 55 residents.

According to CMS Care Compare, Randolph County Care Center holds an overall star rating of 1 out of 5, which is below the Illinois state average of 2.55. Its component ratings are: Health Inspection 2 stars, Quality Measures 1 star, and Staffing 3 stars.

Nurse staffing data show total nurse hours of 3.83 per resident per day, with registered nurse (RN) hours of 0.45 per resident per day. Nursing staff turnover is reported at 60.0%.

On penalties, CMS records show 2 federal fines totaling $172,932.00, and 1 payment denial on record for this facility. Families are encouraged to review the full inspection and enforcement history on Medicare Care Compare for details on the nature of these penalties.

No abuse icon is indicated in the provided CMS data for this facility, and no Special Focus Facility status is listed. Ownership has not changed in the past 12 months, and no chain affiliation is included in the available data.

This summary is based on CMS Care Compare data as provided; families should verify current details directly with the facility and on Medicare Care Compare before making a decision.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Randolph County Care Center has an overall rating of 1 out of 5 stars, below the Illinois state average of 2.55 stars.

Does this facility accept Medicare, Medicaid, or both?

Yes, it is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 3.83 hours per resident per day, including 0.45 RN hours, with a staffing rating of 3 stars; nursing turnover is 60.0%.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 2 fines totaling $172,932.00 and 1 payment denial.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

The provided CMS data does not indicate an abuse icon or Special Focus Facility status for this facility.

How large is this facility and how many residents live there?

It is certified for 100 beds with an average daily census of 55 residents.

Who owns this facility — and is it part of a chain?

It is owned by Randolph County government; no chain affiliation is listed in the data provided.

How long has this facility been Medicare/Medicaid certified?

It has been certified since April 1, 1980.

What do the four different CMS star ratings mean?

CMS rates facilities on Overall, Health Inspection, Quality Measures, and Staffing; this facility scores 1, 2, 1, and 3 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The data provided does not specify service lines; contact the facility at 6184434351 or check Medicare Care Compare to confirm.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 6184434351 to arrange a visit and verify current conditions.

How do I verify this facility's current record on Medicare Care Compare?

You can view the latest official ratings and inspection reports at https://www.medicare.gov/care-compare/details/nursing-home/145406?state=IL.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.