Randolph County Care Center: Staffing, Turnover, and Inspection Record
Randolph County Care Center is a 100-bed government-run nursing home in Sparta, Illinois. In the CMS August 2026 release it reported 2.60 nurse aide hours per resident per day, 24% above the Illinois average of 2.09, and 60.0% nursing staff turnover (Illinois average 44.5%).
Randolph County Care Center
312 West BelmontSparta, IL 62286
Randolph County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Randolph County Care Center, nurse aides logged 2.60 hours per resident per day, 24% above the Illinois average. With about 55 residents a day, that works out to roughly 143 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Illinois avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.60 | 2.09 | 2.32 |
| Licensed practical nurses | 0.79 | 0.64 | 0.86 |
| Registered nurses | 0.45 | 0.72 | 0.69 |
| All nursing staff | 3.83 | 3.45 | 3.86 |
| All nursing staff, weekends | 3.49 | 3.08 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
60.0% of nursing staff at Randolph County Care Center left over the year CMS measured, against a Illinois average of 44.5% and a US average of 45.8%.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 30, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Illinois average 12.5). CMS lists 2 fines totaling $172,932 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 22, 2025 | Fine | $96,272 |
| Apr 22, 2025 | Payment Denial | 41 days from Apr 26, 2025 |
| Apr 30, 2024 | Fine | $76,660 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Randolph County Care Center holds 1 of 5 overall; the Illinois average is 2.5.
About Randolph County Care Center
- Ownership: Government - County
- Legal name: County of Randolph Nursing Home
- Medicare and Medicaid certified since: Apr 1, 1980
- Councils: resident council
- Area: rural
Nursing homes near Randolph County Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Coulterville Rehab & HCC Coulterville · abuse citation | 6.6 | 75 | 1.90 | 3.11 | 47.1% | 1 | $113,818 |
| Three Springs Sr Living & Rhab Chester | 14.4 | 83 | 1.77 | 2.91 | 65.1% | 2 | None |
| Pinckneyville Nursing & Rehab Pinckneyville | 17.4 | 60 | 1.96 | 3.43 | 50.0% | 3 | $100,864 |
| St Genevieve Nursing Sainte Genevieve | 21.1 | 90 | 2.14 | 3.07 | 65.9% | 5 | None |
| La Bella of Freeburg Freeburg · abuse citation | 22.5 | 118 | 2.45 | 3.67 | 53.8% | 1 | $142,446 |
| Riverview at the Park Care and Rehabilitation Cent Sainte Genevieve | 22.6 | 120 | 2.16 | 3.03 | 56.0% | 4 | None |
| Axiom Gardens of Nashville Nashville · SFF candidate · abuse citation · many days without an RN | 22.9 | 120 | 2.27 | 3.46 | 63.6% | 1 | $541,045 |
| La Bella of Mascoutah Mascoutah | 26.3 | 76 | 2.22 | 3.65 | 78.8% | 1 | $129,084 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.