Nursing home
Fayette County Hospital
650 W Taylor St, Vandalia, IL 62471 · Map
Non profit - Corporation · 63 certified beds
Fayette County Hospital is a Medicare-certified nursing home in Vandalia, Illinois. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 5/5 for health inspections). Nurse staffing is 5.16 hours per resident per day, above the Illinois average of 3.49. Its most recent inspection on Oct 24, 2024 cited 3 deficiencies.
- 1 fine totaling $18,233In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Fayette County Hospital compares
This facility vs. the Illinois and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Illinois avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.16 | 3.49 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.03 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.08 | 2.13 | 2.34 | above avg |
| Nursing staff turnover | 39.1% | 45.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 12.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 16, 2026 inspection was corrected by February 20, 2026
Penalties in CMS records: 1 fine totaling $18,233, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Fayette County Hospital
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 16, 2026 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Oct 24, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 24, 2024 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Sep 14, 2023
Show all 7 deficiencies
- Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Sep 14, 2023 - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 12, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 650 W Taylor St
Vandalia, IL 62471 - CMS certification #
- 145499
- Ownership
- Non profit - Corporation
- Certified beds
- 63
- Avg residents/day
- 28.5
- Provider type
- Medicare and Medicaid
- First certified
- 1984-10-17
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Fayette County Hospital using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Fayette County Hospital, Vandalia. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- Vandalia Healthcare & Senior Living, Vandalia. 1.1 miles away, straight line.
- Nearest home health agency office
- Fayette County Health Dept, Vandalia. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 24.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 62471 as small town (small town core).
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 62471.
Fayette County Health Department Hospice, office in Vandalia, 0.9 miles away, straight line
Bond County Health Department, office in Greenville, 18.1 miles away, straight line - Nearest geriatric medicine practice
- Pai Participant 27, PC, Belleville. 60.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective August 16, 1988), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively high, heat wave relatively high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Fayette County Hospital a good nursing home?
CMS gives Fayette County Hospital an overall rating of 4 out of 5 stars, including 5/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Fayette County Hospital staffed?
Fayette County Hospital reports 5.16 total nurse hours per resident per day, compared with the Illinois average of 3.49.
Has Fayette County Hospital had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Fayette County Hospital have?
Fayette County Hospital is certified for 63 beds.