CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1454062026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Randolph County Care Center

312 West Belmont · Sparta, IL 62286 · Randolph County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds100CMS provider file
Recent citation rows21current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-04-3052024-04-300
Cycle 22023-02-0972023-02-090
Cycle 32022-02-1892022-02-180
02 / CITATION DETAIL

21 rows in the current release

4 rows carry G–L scope/severity codes; 2 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-11-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-11-21 · complaint
2025-11-19 · HEALTHF0725Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-11-20 · complaint
2025-04-22 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-05-16 · complaint
2025-04-22 · HEALTHF0689Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint
2025-04-22 · HEALTHF0725Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-05-16 · complaint
2025-04-22 · HEALTHF0742Severity G · isolated actual harm

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.

Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint
2025-04-22 · HEALTHF0868Severity F · widespread; potential for more than minimal harm

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint
2025-04-22 · HEALTHF0947Severity F · widespread; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-05-15 · complaint
2024-04-30 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2024-05-20
2024-04-30 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2024-05-20
2024-04-30 · HEALTHF0689Severity L · widespread immediate jeopardy

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2024-05-20
2023-02-09 · HEALTHF0727Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Have 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.

Correction field: Past Non-Compliance · 2022-09-21
2022-02-18 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2022-03-13
2022-02-18 · HEALTHF0608Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop 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.

Correction field: Deficient, Provider has date of correction · 2022-03-13
2022-02-18 · HEALTHF0610Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Correction field: Deficient, Provider has date of correction · 2022-03-13
2022-02-18 · HEALTHF0623Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2022-03-18
2022-02-18 · HEALTHF0625Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Notify 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.

Correction field: Deficient, Provider has date of correction · 2022-03-18
2022-02-18 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2022-03-18
2022-02-18 · HEALTHF0727Severity F · widespread; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Have 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.

Correction field: Deficient, Provider has date of correction · 2022-04-01
2022-02-18 · HEALTHF0744Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Correction field: Deficient, Provider has date of correction · 2022-03-13
2022-02-18 · HEALTHF0806Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Correction field: Deficient, Provider has date of correction · 2022-03-13
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-04-22Fine$96,2720
2025-04-22Payment Denial$041
2024-04-30Fine$76,6600
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • RANDOLPH COUNTYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 01/01/1966
  • CATO, MICHELLEIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 03/17/2016
  • COULTER, RUSSELLIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 01/01/1999
  • HOLDER, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/01/2014
  • KIEHNA, MARCIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/01/2014
  • WHITE, RONALDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2014
  • RANDOLPH COUNTYOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/17/2024
  • CATO, MICHELLEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/17/2024
  • COULTER, RUSSELLIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/17/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.83per resident day
RN hours0.45per resident day
Weekend nurse hours3.49per resident day
Staff turnover60.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Illinois ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.