F

Randolph County Care Center

312 WEST BELMONT, SPARTA, IL 62286
Score: 3 / 100

With a score of 3/100, Randolph County Care Center ranks in the bottom tier of Illinois nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Randolph County Care Center is near the national average, with 3.98 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 21 deficiencies at Randolph County Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.98 3.8 Average
Registered Nurses (RN) 0.22 0.7 Below Average
Licensed Practical Nurses (LPN) 1.11 0.7 Above Average
Certified Nursing Assistants (CNA) 2.66 2.4 Above Average
Weekend Total Nursing 3.52 3.8 Average
Weekend RN Hours 0.07 0.7 Below Average

🔍 Inspection & Deficiency History

21
Total Deficiencies
Nov 18, 2025
Most Recent Inspection
🟠 19 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Nov 18, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0742 Severity G
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty,
    Apr 21, 2025 · Quality of Life and Care Deficiencies
  • Tag 0868 Severity F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    Apr 21, 2025 · Administration Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.6% 4.5% Average
Falls with major injury 2.3% 3.0% Better
On antipsychotic medication 31.8% 14.5% Worse
Urinary tract infections 6.2% 2.5% Worse
ADL decline (daily activities) 14.0% 14.0% Average
Excessive weight loss 0.0% 7.5% Better
New/worsened incontinence 13.4% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $224,770

How This Grade Was Calculated

This facility's grade of F is based on a score of 3 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - County
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 29, 2024
Deficiencies (Cycle 1)
11