Fayette County Hospital
650 W Taylor St · Vandalia, IL · 62471 · 6182831231
63 certified beds Non profit - Corporation
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 5 of 5 Staffing: 5 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.93 | 0.55–0.75 |
| Weekend hours / resident-day | 4.55 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 1 · $18,233 |
Inspection citations (7 in the current record)
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Potential for harm · D January 16, 2026
Provide and implement an infection prevention and control program.
Corrected February 20, 2026 · Infection Control
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Potential for harm · D October 24, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2024 · Quality of Life and Care
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Potential for harm · F October 24, 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.
Corrected November 13, 2024 · Nursing and Physician Services
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Potential for harm · E October 24, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected November 13, 2024 · Pharmacy Service
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Actual harm · G September 14, 2023 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 4, 2023 · Quality of Life and Care
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Potential for harm · D September 14, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 12, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 4, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 14, 2023 | Fine | $18,233 |
| September 14, 2023 | Payment Denial | 8 days |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145499 · certified since October 17, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.