Randolph County Care Center
312 West Belmont · Sparta, IL · 62286 · 6184434351
100 certified beds Government - County
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $96,272 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$96,272 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.69 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 2 · $172,932 |
Inspection citations (21 in the current record)
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Potential for harm · D November 19, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · E November 19, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 20, 2025 · Nursing and Physician Services
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Immediate jeopardy · J April 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
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Actual harm · G April 22, 2025 · found via complaint
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.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · D April 22, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 16, 2025 · Resident Rights
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Potential for harm · D April 22, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 16, 2025 · Nursing and Physician Services
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Potential for harm · F April 22, 2025 · found via complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected May 15, 2025 · Administration
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Potential for harm · F April 22, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected May 15, 2025 · Nursing and Physician Services
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Immediate jeopardy · L April 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · D April 30, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 30, 2024
Respond appropriately to all alleged violations.
Corrected May 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F February 9, 2023
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.
Corrected September 21, 2022 · Nursing and Physician Services
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Actual harm · G February 18, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 18, 2022 · Quality of Life and Care
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Potential for harm · D February 18, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 13, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 18, 2022
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.
Corrected March 13, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 18, 2022
Respond appropriately to all alleged violations.
Corrected March 13, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 18, 2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 18, 2022 · Resident Rights
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Potential for harm · D February 18, 2022
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.
Corrected March 18, 2022 · Resident Rights
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Potential for harm · F February 18, 2022
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.
Corrected April 1, 2022 · Nursing and Physician Services
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Potential for harm · D February 18, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 13, 2022 · Quality of Life and Care
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Potential for harm · E February 18, 2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 13, 2022 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 22, 2025 | Fine | $96,272 |
| April 22, 2025 | Payment Denial | 41 days |
| April 30, 2024 | Fine | $76,660 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145406 · certified since April 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.