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Nursing HomeMedicaid Investigative

Randolph County Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

312 West Belmont, Sparta, IL 62286100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 5 Google reviews

5
4
3
2
1
Randolph County Care Center Nursing Home in Sparta, IL — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (61%)
  • High RN turnover (100%)

Bottom 25% in IL · Critically understaffed (RN) · Above average staffing · $224,770 in fines

Source: Medicare data

What this means for your family

While the facility is described as clean and friendly, the extremely limited amount of qualitative feedback makes it difficult to verify the standard of care. We recommend scheduling an in-person tour to observe staff interactions and dining quality firsthand before making a decision.

Google Reviews

Google Reviews

5 reviews on Google
Randolph County Care Center receives limited descriptive feedback, with only one review providing qualitative insight. The facility is described as having a clean, friendly environment with a well-regarded kitchen staff, though the lack of detailed reviews makes it difficult to assess long-term care quality.

Quality Themes

Tap a score for details
Food10.0Staff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Clean environment
  • Friendly atmosphere
  • Quality kitchen staff

Rating Trends

Tap a year to see what changed

2344.02018(2)5.02019(1)5.02024(1)5.02026(1)

Distribution · 5 analyzed

5
4
4
0
3
1
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed the facility has a very welcoming atmosphere; how do you maintain that sense of community while managing the daily care needs of 100 residents?
  • 2With the recent focus on improving clinical outcomes, what specific steps is the leadership team taking to address the current health inspection and staffing benchmarks?
  • 3The kitchen staff receives wonderful feedback for their quality; how do you incorporate resident preferences into the daily meal planning?
  • 4Given the recent state citations, could you walk me through the current process for ensuring consistent oversight and quality of care for all residents?
  • 5What does a typical day look like in terms of structured activities to keep residents engaged and active within the facility?
  • 6How is your medical team structured to handle urgent health changes or emergencies, especially during evening and weekend hours?

Personalized based on this facility's data


Key Review Excerpts

Very clean,friendly environment! Also has a great food and kitchen staff.

Visitor · 2024★★★★★
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
3.69hrs
90%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
12.1%
IL
52.5%
Randolph
10.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
15.5%
IL
21.8%
Randolph
22.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IL
90.0%
Randolph
96.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IL
91.8%
Randolph
95.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.0%
Worse than Avg
Here
26.0%
US
19.5%
IL
18.3%
Randolph
23.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
IL
6.6%
Randolph
6.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.8%
Better than Avg
Here
90.8%
US
81.8%
IL
69.0%
Randolph
82.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IL
2.4%
Randolph
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
3penalties
Well below state avg (12.0)
8 complaint-triggered
$224,770 in fines

This facility shows a concerning pattern of recurring safety and staffing problems, with families filing complaints that triggered recent inspections. The most frequent issues involve accident prevention and safety hazards (cited four times across multiple years), inadequate nursing staffing levels, and abuse prevention policies. While all deficiencies have correction dates, the persistence of safety violations from 2022 through 2025 suggests ongoing challenges in maintaining consistent care standards.

Nov 19, 2025Complaint
2
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Apr 22, 2025Complaint
6
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0742Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0947Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

Apr 30, 2024Routine
3
0689Immediate jeopardy · WidespreadCorrected

Quality of Life and Care Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Feb 9, 2023Routine
1
0727Potential for harm · WidespreadResolved (past non-compliance)

Nursing and Physician Services Deficiencies

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.

Feb 18, 2022Routine
9
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0608Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Apr 22, 2025

$96,272

Payment Denial

Apr 22, 2025

41-day denial

Fine

Apr 30, 2024

$76,660

Ownership & Operations

Who Operates This Facility

Owner / Operator

Randolph County Care Center

Organization Type

government

Ownership & Management

Owners

Randolph County

Owner · Organization

100%

Key personnel

Cato, MichelleW-2 Managing EmployeeCoulter, RussellW-2 Managing EmployeeHolder, DavidOfficer / DirectorKiehna, MarcOfficer / DirectorWhite, RonaldOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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