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F
Critical

Randolph County Care Center

312 WEST BELMONT · SPARTA, IL 62286

6184434351 · Government - County

100 beds46.6 residents188 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Randolph County Care Center receives an overall staffing grade of F (Critical). With 3.9869 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2185 HPRD, below the recommended 0.75. It is 0.09 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.55% compared to weekdays. The facility relies heavily on temporary agency staff (24.82% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Had 16 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.2185 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️24.82% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.9869hrs/resident/day▲ 0.09
CMS benchmark: 3.48
RN HPRD
0.2185hrs/resident/day▼ 0.46
Recommended: 0.75
Weekend Drop-off
15.55%
4.1702 weekday → 3.5217 weekend
Agency Staff
24.82%
8.59% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
16days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
2.6604hrs/resident/day
Direct care aides
LPN HPRD
1.108hrs/resident/day
Licensed practical nurses
Consistency
0.468std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Randolph County Average+0.73 HPRD
3.25
03.99 HPRD
vs. Illinois State Average+0.48 HPRD
3.50
03.99 HPRD
vs. National Average+0.09 HPRD
3.90
03.99 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Randolph County Care Center ★
SPARTA · This facility
—
F
3.98690.2185★☆☆☆☆
THREE SPRINGS SR LIVING & RHAB
CHESTER
14.4 mi
F
2.73060.147★★★☆☆
FREEBURG CARE CENTER
FREEBURG
22.5 mi
D
3.58830.3003★☆☆☆☆
MASCOUTAH REHAB AND NURSING
MASCOUTAH
26.3 mi
B
3.49050.6116★☆☆☆☆
DUQUOIN NURSING & REHAB
DU QUOIN
26.9 mi
C
3.05890.511★☆☆☆☆
Accolade Healthcare of Waterloo
WATERLOO
28 mi
A
4.13460.8858★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
21
Total Deficiencies
$224,770
Fines Assessed
Nov 19, 2025Health
2 deficiencies cited
▼
Apr 22, 2025Health
6 deficiencies cited· Includes actual harm
▼
Apr 30, 2024Health
3 deficiencies cited· Includes actual harm
▼
Feb 9, 2023Health
1 deficiency cited
▼
Feb 18, 2022Health
9 deficiencies cited· Includes actual harm
▼

Penalty History

Apr 22, 2025Fine
$148,110
Apr 22, 2025Payment Denial
Apr 30, 2024Fine
$76,660
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.