Randolph County Care Center
Nursing Home · Sparta, IL
CMS certification number145406
Contact & location
312 West BelmontSparta, IL 62286
Randolph County
- Phone
- (618) 443-4351
- ZIP code
- 62286 – all care providers
Facility details
- Certified beds
- 100
- Residents per day
- 55.0 (55% occupied)
- Ownership
- Government - County
- Legal name
- County of Randolph Nursing Home
- Medicare certified since
- April 1, 1980
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.83 (state 3.45 · U.S. 3.86)
- Registered nurses (RN)
- 0.45 (state 0.72 · U.S. 0.69)
- Licensed practical nurses
- 0.79 (state 0.64 · U.S. 0.86)
- Nurse aides
- 2.60 (state 2.09 · U.S. 2.32)
- Weekend total
- 3.49 (state 3.08 · U.S. 3.42)
- Nursing staff turnover
- 60.0 (state 44.5 · U.S. 45.8)%
- RN turnover
- —
Inspections
- Last standard inspection
- April 30, 2024
- Health deficiencies (last cycle)
- 5.0 (state 12.5 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 21 health · 0 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-11-19 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-20 |
| 2025-11-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-21 |
| 2025-04-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-05-15 |
| 2025-04-22 | 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. F0742 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-21 |
| 2025-04-22 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-15 |
| 2025-04-22 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-15 |
| 2025-04-22 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2025-04-22 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-16 |
| 2024-04-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
L Immediate jeopardy to resident health or safety |
Corrected 2024-05-20 |
| 2024-04-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2024-04-30 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-20 |
| 2023-02-09 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-09-21 |
| 2022-02-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2022-03-18 |
| 2022-02-18 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-04-01 |
| 2022-02-18 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-03-13 |
| 2022-02-18 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-03-13 |
| 2022-02-18 | 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. F0608 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-03-13 |
| 2022-02-18 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-03-13 |
| 2022-02-18 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-03-18 |
| 2022-02-18 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-03-18 |
| 2022-02-18 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-03-13 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $172,932 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-22 | Payment Denial | 41 days payment denial |
| 2025-04-22 | Fine | $96,272 |
| 2024-04-30 | Fine | $76,660 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Randolph County (organization) | 5%+ Direct Ownership Interest · 100% | |
| Cato, Michelle (individual) | Administrator · NOT APPLICABLE | |
| Coulter, Russell (individual) | Administrator · NOT APPLICABLE | |
| Randolph County (organization) | Administrator · NOT APPLICABLE | |
| Holder, David (individual) | Corporate Director · NOT APPLICABLE | |
| Kiehna, Marc (individual) | Corporate Director · NOT APPLICABLE | |
| White, Ronald (individual) | Corporate Director · NOT APPLICABLE | |
| Cato, Michelle (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Coulter, Russell (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Randolph County Care Center?
Randolph County Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Illinois.
How many beds does Randolph County Care Center have?
It has 100 certified beds and cares for about 55 residents per day.
Has Randolph County Care Center been fined?
Yes. CMS lists 3 penalties totaling $172,932 in the last three years.
What is the phone number of Randolph County Care Center?
(618) 443-4351. The facility is located at 312 West Belmont, Sparta, IL 62286.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.