Fayette County Hospital

Name: Fayette County Hospital
Address: 650 W TAYLOR ST, Vandalia, IL, 62471, US
Telephone: 6182831231

650 W Taylor St, Vandalia, IL 62471 · Fayette County · 63 certified beds · avg 30 residents/day · certified since Oct 17, 1984

5/5

Health inspection rating (on-site)

Serious findings on record

$18,233

Fines, last 3 years

4.95

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Sep 14, 2023 · F-0697 · triggered by a complaint

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 4, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (6)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 16, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 24, 2024	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Oct 24, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 24, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 14, 2023	▲ G · Actual harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Sep 14, 2023	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 1).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	1	G ▲
2024	3	0	F
2026	1	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $18,233, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Sep 14, 2023	Fine	$18,233
Sep 14, 2023	Payment Denial	8 days from Oct 7, 2023

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Illinois avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.95	2.99	3.95	top 7% in Illinois; top 14% in the U.S.
Registered Nurse hours	0.96	0.63	0.69	top 14% in Illinois; top 17% in the U.S.
Weekend total nurse staffing	4.52	2.67	3.50	top 7% in Illinois; top 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.55	0.56	0.48	top 39% in Illinois; top 28% in the U.S.
Total nursing staff turnover (%)	32.6	44.5	45.8	top 20% in Illinois; top 19% in the U.S.
RN turnover (%)	33.3	41.8	42.9	top 35% in Illinois; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.88, RN 0.95, weekend 4.46. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
		Ownership Data Not Available

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Vandalia Healthcare & Senior Living	1.1 mi	Vandalia, IL	★☆☆☆☆	3/5
The Haven of St. Elmo	14.1 mi	St Elmo, IL	★☆☆☆☆	2/5
Greenville Nursing & Rehab	17.8 mi	Greenville, IL	★★★★☆	4/5
Lutheran Care Center	19.4 mi	Altamont, IL	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Vandalia →

Facility data as of CMS processing date 2026-08-01. CCN 145499.

The Care File

Visit checklist — Fayette County Hospital

650 W Taylor St, Vandalia, IL 62471 · 6182831231

Health inspection rating 5/5 · CMS overall 4/5· Fines (3y): $18,233

Most serious findings on record:

▲ Sep 14, 2023 (F-0697, Actual harm, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.

Questions for the administrator:

☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 145499 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)