Randolph County Care Center in Sparta, IL has a 1-star overall rating, with low health inspection and quality scores. It has a recent federal penalty, $96,272 in fines over the last 24 months, and reported nurse staffing of 3.83 hours per resident per day versus the 4.1-hour federal benchmark.
Last inspection: November 19, 2025Penalties, last 24 months: $96,272recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.834.
Staffing detail
Registered nurses
0.45
Licensed practical nurses
0.79
Nurse aides
2.60
Weekend nursing
3.49
Hours per resident per day.
Total staff turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
31%30.6%No change
Residents with a fall causing major injury
0%8.2%Worsening
Residents with pressure ulcers (bedsores)
8.8%6.9%Improving
Residents with a urinary tract infection
9.1%6.5%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%7.9%Improving
Residents whose ability to walk got worse
—3.7%—
Long-stay residents on antianxiety or sleep medication
28.2%26.2%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
7.3%5.8%Improving
Residents with new or worsening incontinence
16.8%14.4%Improving
Residents with depressive symptoms
2.6%6.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
90.5%95.8%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2024 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: L
The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 742 — 42 CFR §483.40 — S/S: G
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $96,272 was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $172,932 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Apr 22, 2025
41 days
Federal fine
Apr 22, 2025
$96,272
Federal fine
Apr 30, 2024
$76,660
Operator & ownership
Ownership
Government - County
Occupancy
55 residents on an average day (55% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 46 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.