PlainNursing
CMS Nursing Home Compare · August 2026

Fayette County Hospital

650 W Taylor St, Vandalia, IL 62471

Fayette County Hospital, a 63-bed non profit - corporation nursing facility in Vandalia, IL, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #118 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6182831231

Build a private shortlist as you compare, saved on this device, no account needed.

Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.

4 / 5
Above average · CMS overall · nat'l 3.0
#118 of 661
In-state rank among rated IL homes
4.88
Well above average · nurse hrs/day · nat'l 3.86
6
Inspection findings · 1 serious

The verdict

Fayette County Hospital, a 63-bed non profit - corporation nursing facility in Vandalia, IL, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #118 of 661 rated homes in IL on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#118 of 661
In-state rank among rated IL homes
4.88
Nurse hrs/resident-day · national 3.86
6
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 666 IL nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

5/5

Staffing

5/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
145499
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
63
Residents
30
In Hospital
No
County
Fayette
Last Inspection
Jan 16, 2026

Staffing Data

How the 4.88 total nursing hours per resident-day are staffed:

RN Hours
0.95 (nat'l avg: 0.69)
LPN Hours
0.92
CNA Hours
3.01
Total Nursing Hours
4.88 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
32.6%
RN Turnover
33.3%

What the CMS Record Reveals About Fayette County Hospital

According to CMS Nursing Home Compare, Fayette County Hospital ranks #118 of 661 rated nursing homes in IL on overall stars (tie-broken by health+staffing+quality, then fewer fines). Fayette County Hospital operates 63 certified beds in Vandalia, IL with approximately 30 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 5★ · staffing 5★ · quality 1★).

The inspection file contains 6 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $18K against this provider. Per resident day, this facility reports 4.88 total nursing hours (national average 3.86) and 0.95 RN hours.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Fayette County Hospital falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 32.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (6 most recent)

D - Isolated - Minimal harm Jan 16, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 20, 2026

D - Isolated - Minimal harm Oct 24, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 13, 2024

E - Pattern - Minimal harm Oct 24, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Nov 13, 2024

F - Widespread - Minimal harm Oct 24, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 13, 2024

D - Isolated - Minimal harm Sep 14, 2023 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 4, 2023

G - Isolated - Actual harm Sep 14, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 4, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 10.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 7.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 9.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 21.9% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 8.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 20.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 39.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 37.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $18K

Date Type Amount
Sep 14, 2023 Fine $18K
Sep 14, 2023 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Fayette County Hospital, both outside IL so the neighborhoods are not the same-state geography list below.

What the CMS records show for Fayette County Hospital

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The IL registry aggregates state averages and the highest-rated homes in this cohort. View IL registry
  • Peer homes near 63 beds show how CMS stars vary at a similar scale in IL. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Fayette County Hospital?
Fayette County Hospital has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (5★), staffing levels (5★), and quality measures (1★).
Where does Fayette County Hospital rank among nursing homes in IL?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Fayette County Hospital ranks 118th among 661 rated nursing homes in IL (#118 of 661). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Fayette County Hospital?
Fayette County Hospital reports 4.88 total nursing hours per resident day (national average: 3.86). RN hours are 0.95 per resident day (national average: 0.69). Nursing staff turnover is 32.6%.
How many beds does Fayette County Hospital have?
Fayette County Hospital has 63 certified beds with approximately 30 residents. The facility is located at 650 W Taylor St, Vandalia, IL 62471.
Does Fayette County Hospital have any deficiencies on record?
Yes, Fayette County Hospital has 6 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Fayette County Hospital received any fines or penalties?
Yes, Fayette County Hospital has received 1 penalties totaling $18K.
Who owns Fayette County Hospital?
Fayette County Hospital is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Fayette County Hospital last inspected?
The most recent health inspection for Fayette County Hospital was on Jan 16, 2026. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Fayette County Hospital?
Fayette County Hospital is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Fayette County Hospital's record.