Randolph County Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1980-04-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (618) 443-4351 or your local Medicaid office to verify current eligibility.

Randolph County Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 55.3/100, placing it #13207 of 14703 facilities nationally and #422 of 668 in Illinois. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Randolph County Care Center receives a reported average of 3 hours 59 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 13 minutes; Licensed Practical Nurse (LPN) — 1 hour 6 minutes; Nurse Aide — 2 hours 39 minutes. On weekends, total nurse staffing is 3 hours 31 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 61.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $224,770. 17 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $224,770, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 251.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Randolph County Care Center ranks 13207th out of 14,703 facilities (composite score: 55.3/100), placing it in the bottom 25% nationwide. Within IL, it ranks 422nd out of 668 nursing homes. For 2026 staffing: total nurse hours rank #4,923 nationally and RN hours rank #13,669 nationally (#632 in IL). Our composite quality score of 55.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Sparta, visit: https://nursinghomesnearme.org/illinois/sparta/