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
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- 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
Staffing
Quality Measures
Long-Stay Quality
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)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 20, 2026
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
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
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
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
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.
Similar bed count
Nearest CMS certified bed counts outside IL (63 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside IL (4.95 here).
Nearby Nursing Homes in IL
665 other nursing homes are on record in IL; 6 are shown here.
Abbington Vlge Nrsg & Rhb Ctr
Roselle, IL
Accolade Hc of Paxton on Pells
Paxton, IL
Accolade Healthcare Danville
Danville, IL
Accolade Healthcare of Peoria
Peoria, IL
Accolade Healthcare of Pontiac
Pontiac, IL
Accolade Healthcare of Savoy
Savoy, IL
Understanding Nursing Home Data
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?
Where does Fayette County Hospital rank among nursing homes in IL?
What are the staffing levels at Fayette County Hospital?
How many beds does Fayette County Hospital have?
Does Fayette County Hospital have any deficiencies on record?
Has Fayette County Hospital received any fines or penalties?
Who owns Fayette County Hospital?
When was Fayette County Hospital last inspected?
What quality measures are tracked for Fayette County Hospital?
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.
Read our methodology - how this data is sourced, computed, and verified.
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