Randolph County Care Center
Nursing home in Sparta, Illinois, CMS certification number 145406
312 West Belmont, Sparta, IL 62286 · Randolph County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 100
- Certified for
- Medicare and Medicaid
- Last standard inspection
- April 30, 2024
- Deficiencies at that inspection
- 5
- Fines in 3 years
- $172,932 (2)
Does Randolph County Care Center take Medicare and Medicaid?
Yes to both. Randolph County Care Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Randolph County Care Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.92
- Registered nurse hours
- 0.43
- Licensed practical nurse hours
- 0.90
- Nurse aide hours
- 2.60
- Weekend total hours
- 3.62
- Nursing staff turnover
- 50%
Health inspections and complaints
Inspectors last made a standard visit on April 30, 2024 and cited 5 deficiencies, plus 2 from complaint visits.
The visit before, on February 9, 2023, found 1.
The last standard inspection was more than two years ago.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Randolph County Care Center 2 times in the past 3 years, for $172,932 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 52.4 residents live here, about 52% of its 100 certified beds.
- Certified beds
- 100
- Average residents per day
- 52.4
- Certified since
- April 1, 1980
- Resident or family council
- Resident
Who owns Randolph County Care Center
- Legal business name
- County of Randolph Nursing Home
- Ownership type
- Government - County
Other nursing homes near Randolph County Care Center
- Coulterville Rehab & HCC13138 State Route 13, Coulterville 62237
- Three Springs Sr Living & Rhab161 Three Springs Road, Chester 62233
- Pinckneyville Nursing and Rehab708 Virginia Court, Pinckneyville 62274
- La Bella of Freeburg746 Urbanna Drive, Freeburg 62243
- Axiom Gardens of Nashville485 South Friendship Drive, Nashville 62263
Who inspects nursing homes in Illinois
Illinois's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Illinois, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Randolph County Care Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Randolph County Care Center
What is the CMS star rating of Randolph County Care Center?
1 out of 5 stars overall.
Does Randolph County Care Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Randolph County Care Center?
5 cited at the last standard visit.
Who owns Randolph County Care Center?
County of Randolph Nursing Home, government - county.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.