Nursing homes across Randolph County, Illinois, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Coulterville Rehab & Hcc runs on 3.11 nurse hours per resident per day, roughly 19% under the national average, and weekends drop another 10% below its own weekday staffing. That thin coverage shows up in the inspection record: 12 deficiencies, two of them at harm or jeopardy level and two abuse-related, plus a $113,818 fine. Turnover sits at 47.1%, slightly above the national 45.8%, so caregivers are cycling through. The last inspection was August 2024. Corporate-owned and certified for 75 beds, it earns middling marks on quality measures but the lowest tier for staffing. If you're considering this one, ask directly how many nurses are on the floor on a Saturday night.
Randolph County Care Center runs on thin margins where it counts. Nurse staffing sits just under the national average, and weekends drop roughly 9% below what the home staffs on weekdays, so the coverage your family sees Monday may not be there Saturday. Turnover tells a bigger story: 60% of staff leave each year, well above the 45.8% national figure, which means unfamiliar faces at the bedside. On inspections, the record shows 21 deficiencies, four serious enough to involve harm or jeopardy and five tied to abuse, with two fines totaling $172,932. The last full inspection was April 2024. County-run and 100 beds, but the numbers carry real weight.
Three Springs Sr Living & Rhab runs about 2.91 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. Staff turnover sits at 65.1% against a national average of 45.8%, so a lot of the people caring for residents are still new to the building. The current record shows 21 deficiencies, one serious enough to reach harm or jeopardy, though none abuse-related, and the last inspection was September 2025. It's a for-profit limited liability company, 83 beds, with a 1-out-of-5 staffing rating and 2-out-of-5 on quality measures.