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Nursing HomeMedicaid

Fayette County Hospital

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

650 W Taylor St, Vandalia, IL 6247163 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Fayette County Hospital Nursing Home in Vandalia, IL — Street View
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What this means for your family

Choosing Fayette County Hospital means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.93hrs
OK
Registered nurses for medical care
Total Nursing
4.91hrs
OK
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
1/ 5
Better Than Avg

3

measures

Worse Than Avg

11

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility20.4%
Mixed vs Avgs
Here
20.4%
US
12.1%
IL
52.5%
Fayette
12.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility45.2%
Worse than Avg
Here
45.2%
US
19.5%
IL
18.3%
Fayette
25.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
15.5%
IL
21.8%
Fayette
14.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.6%
Worse than Avg
Here
30.6%
US
19.4%
IL
21.1%
Fayette
20.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
15.3%
IL
15.9%
Fayette
14.7%
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility10.9%
Worse than Avg
Here
10.9%
US
0.9%
IL
1.0%
Fayette
0.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility39.1%
Worse than Avg
Here
39.1%
US
81.8%
IL
69.0%
Fayette
85.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
2penalties
Well below state avg (12.0)
2 complaint-triggered
$18,233 in fines

Families have filed complaint reports, resulting in deficiencies for pain management and safety hazards. The facility shows recurring issues with fire safety systems, accident prevention, and nursing staffing across multiple surveys from 2022-2024. While all violations have correction dates, the repeated problems with safety hazards and fire safety equipment suggest ongoing operational challenges that families should consider when evaluating this facility.

Jan 16, 2026Routine
6
0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 24, 2024Routine
6
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 14, 2023Routine
4
0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Sep 14, 2023Complaint
1
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Jul 12, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Sep 14, 2023

$18,233

Payment Denial

Sep 14, 2023

8-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fayette County Hospital

Organization Type

nonprofit

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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