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Nursing homes in Fayette County, Illinois
There are 3 certified nursing homes in Fayette County, Illinois, with 239 beds between them.
67% of them are rated 1 or 2 stars overall, a larger share than the state (52%). Inspectors recorded 69 health deficiencies over three cycles, 28.9 per 100 beds against 29.8 statewide.
Fines in the period covered total $42K across 3 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Fayette County | Illinois | US |
|---|---|---|---|
| Facilities | 3 | 666 | 14690 |
| Rated 1–2 stars overall | 67% | 52% | 41% |
| Median overall rating | 1 | 2 | 3 |
| Citations per 100 beds (3 cycles) | 28.9 | 29.8 | 26.8 |
| Median nurse hours per resident day | 3.1 | 3.3 | 3.7 |
| Fines listed | $42K | $75M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Fayette County Hospital | Vandalia | 63 | 4 | 5 | 5 | 6 | 9.5 | $18K | 16 Jan 2026 |
| The Haven of St. Elmo | St Elmo | 60 | 1 | 2 | 1 | 28 | 46.7 | $14K | 12 Jun 2026 |
| Vandalia Healthcare & Senior Living | Vandalia | 116 | 1 | 3 | 1 | 35 | 30.2 | $10K | 20 Nov 2025 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 6 |
| F0727 | 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. | 5 |
| F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | 5 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 4 |
| F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 4 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 2 |
| Non profit | 1 |
Chains present: Haven Healthcare (1), Pointe Management (1).
Questions and answers
How many nursing homes are in Fayette County, Illinois?
3 Medicare-certified nursing homes with 239 certified beds.
Which nursing homes in Fayette County have the highest CMS ratings?
Fayette County Hospital (4 stars), The Haven of St. Elmo (1 stars), Vandalia Healthcare & Senior Living (1 stars)
How do Fayette County nursing homes compare with Illinois?
67% are rated 1–2 stars overall against 52% statewide; citations run at 28.9 per 100 beds against 29.8 statewide.