Randolph County Care Center
312 West Belmont, Sparta, IL, 62286
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - County
- Certified beds
- 100 · avg 53 residents/day
- Total nursing staff turnover
- 61.1% — higher than most Illinois nursing homesIllinois avg: 45.0% · National avg: 46.1% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $172,932 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 145406
- Certified beds
- 100 beds · avg 53 residents/day
- Ownership type
- Government - County
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- County Of Randolph Nursing Home
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (6 on record)
- Michelle Cato
Adp of The Snf · since 2024
- Randolph County
Adp of The Snf · since 2024
- Russell e Coulter
Adp of The Snf · since 2024
- Ronald White
Corporate Director · since 2014
- David Holder
Corporate Director · since 2014
- Marc Kiehna
Corporate Director · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 21)
- E0725·Nov 19, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0689·Nov 19, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0947·Apr 22, 2025Complaint
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- F0868·Apr 22, 2025Complaint
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- G0742·Apr 22, 2025Complaint
Quality of Life and Care Deficiencies
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.
- D0725·Apr 22, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- J0689·Apr 22, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0580·Apr 22, 2025Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Federal penalties
By year
- 20251 fine · $96K · 1 payment denial
- 20241 fine · $77K
Most recent events
- Apr 22, 2025Payment denial · 41 days · starting Apr 26, 2025
- Apr 22, 2025Fine · $96K
- Apr 30, 2024Fine · $77K
Largest single fine on record: $96K.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Randolph County Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.