Senior Living in Fayette County, Illinois
Assisted living, memory care & independent living in Fayette County
2 communities licensed by the state of Illinois. Listed alphabetically; Lilisity publishes no score or ranking for communities that have not earned an award.
| Community | City | Care types | Licensed capacity | Operator |
|---|---|---|---|---|
| Brookstone Estates of Vandalia | Vandalia | Assisted Living | — | — |
| Willowbrook of Vandalia #1 | Vandalia | Assisted Living · Memory Care | 12 | — |
Also in Fayette County, from public records: 1 income-restricted senior apartments
Costs: assisted living in Illinois costs a median of $6,219 a month (CareScout 2025). Nursing home costs in Illinois: CareScout medians and the private-pay rates nursing homes publish.
Income-restricted senior apartments in Fayette County
1 building from public records. Rent is set by income, there are age and income limits, and there is often a wait list. Apply through the property manager.
| Building | City | Apartments | Managed by |
|---|---|---|---|
| Hannah Housing Brownstown | Brownstown | 8 | Carpenter Mgmt |
Nursing homes in Fayette County
3 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Fayette County Hospital | Vandalia | ★★★★☆ | 63 | Non profit - Corporation |
| The Haven of St. Elmo | St Elmo | ★☆☆☆☆ | 60 | For profit - Corporation |
| Vandalia Healthcare & Senior Living | Vandalia | ★☆☆☆☆ | 116 | For profit - Limited Liability company |
What will senior living cost, and how will we pay?
Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help.

Free guide · 16 pages
Paying for Senior Living
Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.