Illinois › Fayette County › Vandalia
Fayette County Hospital
650 W Taylor St, Vandalia, IL 62471
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Fayette County Hospital, in Vandalia, Illinois, is certified for 63 beds under non-profit, corporation ownership.
CMS gives it 4 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 5, staffing 5 and quality measures 1.
Inspectors recorded 6 health deficiencies across the three most recent survey cycles (1, 3, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 9.5 per 100 beds, fewer than the state median of 28.4.
CMS lists 2 penalties in the period covered: fines totalling $18K and 1 payment denial.
Reported nurse staffing is 4.9 hours per resident per day (1.0 RN), above the Illinois median of 3.3; nursing staff turnover is 32.6%.
Compared with county, state and nation
| Measure | This facility | Fayette Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 1 | 2 | 3.0 |
| Health citations, 3 cycles | 6 | 28 | 34 | 28.7 |
| Citations per 100 beds | 9.5 | 30.2 | 28.4 | 26.8 |
| Total nurse hours per resident day | 4.9 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 1.0 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 32.6% | 47.6% | 43.4% | 45.8% |
| Fines listed | $18,233 | $14,015 | $45,123 | — |
County and state figures are medians across facilities (3 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Jan 2026, 24 Oct 2024.
Severity mix: G ×1 D ×3 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 16 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Feb 2026 |
| 24 Oct 2024 | 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. | F | Standard survey | 13 Nov 2024 |
| 24 Oct 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 13 Nov 2024 |
| 24 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 Nov 2024 |
| 14 Sep 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 4 Oct 2023 |
| 14 Sep 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 4 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Sep 2023 | Payment denial | — | 8 days |
| 14 Sep 2023 | Fine | $18,233 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 32.6%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.1% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 10.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.5% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.4% | 2.6% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.9% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.8% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.7% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fayette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
All 3 facilities in Fayette County
Questions and answers
How many deficiencies has Fayette County Hospital been cited for?
6 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Fayette County Hospital been fined?
Yes. CMS lists fines totalling $18K in the period covered, plus 1 payment denial.
How does staffing at Fayette County Hospital compare?
Reported total nurse staffing is 4.9 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Fayette County Hospital?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Fayette County Hospital last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jan 2026; the most recent standard health survey was 16 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.