Fayette County Hospital
Nursing home in Vandalia, IL
Medicare & Medicaid certified4★ overall (CMS)
Public-record details
- Address
- 650 W Taylor St, Vandalia, IL 62471
- Phone
- (618) 283-1231
- Listed under
- Nonprofit, 4–5 star overall rating
- Medicare CCN
- 145499
- Overall star rating
- 4 of 5 ★★★★☆
- Health inspection rating
- 5 of 5
- Staffing rating
- 5 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 63
- Average residents per day
- 30
- Ownership
- Nonprofit, corporation
- Legal business name
- Legal Business Name Not Available
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Oct 17, 1984
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jan 16, 2026. CMS lists 6 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 14, 2023 to Jan 16, 2026): 1 from complaint inspections, 1 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Jan 16, 2026 | Provide and implement an infection prevention and control program. | D |
| Oct 24, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Oct 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. | E |
| Oct 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. | F |
| Sep 14, 2023 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D |
| Sep 14, 2023 | Provide safe, appropriate pain management for a resident who requires such services. | G |
Fines and payment denials
CMS records 1 fine totalling $18,233 and 1 denial of Medicare payment for new admissions in the last three years.
| Sep 14, 2023 | Fine: $18,233 |
| Sep 14, 2023 | Payment denial for 8 days from Oct 7, 2023 |
Staffing
- Total nurse staffing per resident per day
- 4.88 hours
- Registered nurse (RN) time per resident per day
- 0.95 hours
- Nurse aide time per resident per day
- 3.01 hours
- Total nurse staffing on weekends
- 4.46 hours
- Nursing staff turnover (yearly)
- 33%
- RN turnover (yearly)
- 33%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.