Nursing homeActive
Randolph County Care Center
312 West Belmont, Sparta, IL 622866184434351100 certified beds · 55 residentsGovernment - CountyMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
21
● 0● 17● 4
Penalties · 3 yrs
$172,932
2 fines · 1 action
Last survey
2025-11-19
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Illinois Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-11-19 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-04-22 | Complaint | 042 | CMS-2567 (Care Compare) | — |
| 2024-04-30 | Standard | 021 | CMS-2567 (Care Compare) | — |
| 2023-02-09 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2022-02-18 | Standard | 081 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Illinois Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-21Record 145406-20251119-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-20Record 145406-20251119-F725
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-05-15Record 145406-20250422-F689
F742Provide 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.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-05-21Record 145406-20250422-F742
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 145406-20250422-F580
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 145406-20250422-F725
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 145406-20250422-F868
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 145406-20250422-F947
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity LHarm
Care planningFalls
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-05-20Record 145406-20240430-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-20Record 145406-20240430-F600
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-20Record 145406-20240430-F610
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-09-21Record 145406-20230209-F727
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-03-18Record 145406-20220218-F689
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-13Record 145406-20220218-F607
F608Develop 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.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-13Record 145406-20220218-F608
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-13Record 145406-20220218-F610
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-18Record 145406-20220218-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-18Record 145406-20220218-F625
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-01Record 145406-20220218-F727
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-03-13Record 145406-20220218-F744
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-03-13Record 145406-20220218-F806
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-04-22 | Civil money penalty | $96,272 | CMS · Penalties |
| 2025-04-22 | Denial of payment for new admissions Payment denial for 41 days, from 2025-04-26 | — | CMS · Penalties |
| 2024-04-30 | Civil money penalty | $76,660 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.45
Facility
Illinois
National
Illinois 0.72 · National 0.69
Total nurse hours per resident day3.83
Facility
Illinois
National
Illinois 3.45 · National 3.86
Weekend total nurse hours3.49
Facility
Illinois
National
Illinois 3.08 · National 3.42
Total nursing staff turnover60%
Facility
Illinois
National
Illinois 45% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Illinois | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 6.2% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 33.1% | 21.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 5.2% | 1.5% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 13.0% | 13.4% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 6.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 25.3% | 18.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Randolph County Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Cato, Michelle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cato, Michelle Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Coulter, Russell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coulter, Russell Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Holder, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kiehna, Marc Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Randolph County Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| White, Ronald Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Illinois.
No county cost figures on file for Randolph.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Coulterville Rehab & Hcc Coulterville | 6.6 mi | 2026-04-07 | 041 |
| Three Springs Sr Living & Rhab Chester | 14.4 mi | 2026-06-10 | 3191 |
| Pinckneyville Nursing & Rehab Pinckneyville | 17.4 mi | 2026-03-26 | 4133 |
| La Bella of Freeburg Freeburg | 22.5 mi | 2026-06-16 | 0139 |
| St Genevieve Nursing Sainte Genevieve | 21.1 mi | 2026-03-26 | 0120 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |