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Nursing home report

Randolph County Care Center

SPARTA, IL · Medicare-certified · 100 beds

Needs attention
Government-run
1 of 5 overall

Randolph County Care Center in Sparta, IL has an overall rating of 1 out of 5 stars, with 1-star staffing and quality ratings and 2-star health inspections. It reports 3.69 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $96,272 in fines in the last 24 months along with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.6909 hrs/resident/day

Quality measures

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 3.6909.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
0.87
Nurse aides
2.46
Weekend nursing
3.32

Hours per resident per day.

Total staff turnover: 61%

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).

Long-stay residents on antipsychotic medication

26.9%34.5%Worsening

Residents with a fall causing major injury

4.8%4.3%No change

Residents with pressure ulcers (bedsores)

2.3%4.5%Worsening

Residents with a urinary tract infection

7.5%4.7%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

13.9%10.8%Improving

Residents whose ability to walk got worse

3.7%

Long-stay residents on antianxiety or sleep medication

28.9%24.4%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

8.9%6.2%Improving

Residents with new or worsening incontinence

15.9%14.5%Improving

Residents with depressive symptoms

2.8%2.6%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

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%

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal payment denial was recorded.

  4. PENALTY

    A federal fine of $96,272 was recorded.

  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  6. 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
52.9 residents on an average day (53% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 46 years

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.