All states › Illinois › Vandalia › Fayette County Hospital
650 W Taylor St Vandalia, IL 62471 · Fayette County
All 2 nursing homes in Vandalia, IL (2 take Medicaid)
CMS certification number 145499 · See this home on Medicare Care Compare
Is Fayette County Hospital a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Fayette County Hospital as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Illinois average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.29 hours per resident per day at Fayette County Hospital, above the Illinois median of 3.33 (US median: 3.72). About 0.89 of those hours are from registered nurses. On weekends it falls to 4.68 hours, 12% below its all-week average. 26.8% of nursing staff left within a year (Illinois median 43.5%). That is lower than most homes in Illinois, a sign of a steadier team.
About this nursing home
Paying for care at Fayette County Hospital: Medicare and Medicaid
Fayette County Hospital is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Illinois's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 16, 2026 and found 1 deficiency. In total, inspectors issued 6 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 6 citations at Fayette County Hospital across 3 inspection dates. 1 was at the actual-harm level (G–I), most recently on September 14, 2023. The most common areas cited were quality of life and care (2) and infection control (1). The most serious was cited under the CMS rule to "provide safe, appropriate pain management for a resident who requires such services" (tag F0697, level G, September 14, 2023).
January 16, 2026 · 1 citation
DProvide and implement an infection prevention and control program.
October 24, 2024 · 3 citations
FHave 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.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 14, 2023 · 2 citations, includes actual harm
GProvide safe, appropriate pain management for a resident who requires such services.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Questions to ask on a tour of Fayette County Hospital
- Inspectors cited the home at the actual-harm level on September 14, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- The home averages about 47% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 5/5 | 5/5 | 1/5 |
| August 2026 | 4/5 | 5/5 | 5/5 | 1/5 |
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Location
Hospitals near Fayette County Hospital
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.1 mi
-
17.2 mi
HSHS Holy Family Hospital GreenvilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 43m for patients treated and sent home
-
24.0 mi
Hillsboro Area Hospital HillsboroEmergency roomMedian ER visit 2h 20m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Fayette County Hospital › All nursing homes in Vandalia ›
Compare Fayette County Hospital with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.