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Fayette County Hospital

650 W Taylor St, Vandalia, IL 624716182831231Ownership: Non profit - CorporationCertified beds: 63Avg. daily residents: 30County: Fayette

The complete public record on Fayette County Hospital, a Medicare & Medicaid–certified nursing home in Vandalia, Illinois, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★☆
CMS’s composite of the three ratings below. Illinois average: 2.5 stars.
Health inspection
★★★★★
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★★
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★☆☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Fayette County Hospital holds a 4-star overall rating, in the top tier CMS assigns. Federal regulators have fined this facility $18,233 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.88 total nurse staff hours per resident per day
above the state average (3.45)
0.95 RN hours per resident per day
above the state average (0.72)
4.46 weekend nurse staff hours per resident per day
32.6% total nursing staff turnover
below the state average (44.5)
33.3% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

January 16, 2026 most recent standard health inspection
1 health deficiencies cited in the most recent inspection cycle
below the state average (12.3)
4 health deficiencies in the two prior cycles combined
$18,233 in federal fines across 1 penalty (last 3 years)
below the state average ($112,572)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

6 citations on record across recent inspections, 1 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
January 16, 20260880Provide and implement an infection prevention and control program.D · Potential for more than minimal harm
October 24, 20240727Have 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 · Potential for more than minimal harm
October 24, 20240756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting…E · Potential for more than minimal harm
October 24, 20240689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D · Potential for more than minimal harm
September 14, 20230697Provide safe, appropriate pain management for a resident who requires such services. ComplaintG · Actual harm
September 14, 20230640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D · Potential for more than minimal harm

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Other Nursing Homes in Vandalia

Vandalia Healthcare & Senior Living (1★)All Vandalia facilities →

Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.