FAYETTE COUNTY HOSPITAL

650 W TAYLOR ST, VANDALIA, IL 62471

Provider number (CCN): 145499
Certification: Medicare and Medicaid
Ownership: Non profit - Corporation
Certified beds: 63
Phone: (618) 283-1231
CMS data as of: August 1, 2026

●

stable

Staffing 0% · Deficiencies 0% over tracking period

What the records show

CMS rates FAYETTE COUNTY HOSPITAL 4 out of 5 stars overall, with 5 of 5 for health inspections, 5 of 5 for staffing, 1 of 5 for quality measures. Federal inspectors cited 6 health deficiencies across the last three survey cycles, most recently surveyed in 2026, 1 at actual-harm level or higher. CMS enforcement records list 1 fine totalling $18,233 and 1 payment denial.

Facility Assessment Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles.

Reviews, Ratings and Official Records

This page reviews FAYETTE COUNTY HOSPITAL using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

At or above the 2024 benchmark — review the inspection and enforcement records below for the safety history behind the grade.

Ratings and Grade Breakdown

RN Staffing Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.	0.95 — At or above the repealed 0.55 hr benchmark
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles) Violations found during federal inspections, with how many remain open and how many involved actual harm.	Total 6 Outstanding 0 Actual harm or worse (G–L) 1
CMS Ratings Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.	Overall: ★★★★☆ (4/5) Health inspection: ★★★★★ (5/5) Quality: ★☆☆☆☆ (1/5) Staffing: ★★★★★ (5/5)
NursingHomeGrade Score	78/100

Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

Registered nurse hours per resident per day compared with state and national levels
This facility	0.95 hrs
IL median	0.61 hrs
National average	0.69 hrs

Registered nurse turnover: 33.3% · Total nursing staff turnover: 32.6%

Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Most recent standard health survey: January 16, 2026.
Citations shown below span 3 recorded inspection cycles.
Survey dates on file range from September 14, 2023 to January 16, 2026.

Source records: CMS Care Compare profile for provider 145499 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

1 actual harm issue found among 6 total deficiencies. 6 corrected.

Most recent inspection (January 16, 2026)

D Potential harm — isolated F0880 Status: Corrected

Provide and implement an infection prevention and control program.

Infection Control Deficiencies — Deficient, Provider has date of correction, corrected February 20, 2026

Inspection cycle 2 (October 24, 2024)

F Potential harm — widespread F0727 Status: Corrected

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 — Deficient, Provider has date of correction, corrected November 13, 2024

E Potential harm — pattern F0756 Status: Corrected

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 — Deficient, Provider has date of correction, corrected November 13, 2024

D Potential harm — isolated F0689 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected November 13, 2024

Inspection cycle 3 (September 14, 2023)

G Actual harm — isolated F0697 Status: Corrected

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

Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected October 4, 2023

D Potential harm — isolated F0640 Status: Corrected

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

Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected October 4, 2023

Fines and Enforcement Actions

Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.

Date	Action	Amount or length
October 7, 2023	Payment Denial	8 days
September 14, 2023	Fine	$18,233

1 fine totalling $18,233.

Source: CMS Penalties file (dataset g6vv-u9sr).

Ownership and Contact Information

Facility name: FAYETTE COUNTY HOSPITAL
Legal business name: Legal Business Name Not Available
Address: 650 W TAYLOR ST, VANDALIA, IL 62471
Phone: (618) 283-1231
Provider number (CCN): 145499
Ownership type: Non profit - Corporation
Medicare/Medicaid certified since: October 17, 1984
Official record: CMS Care Compare profile ↗
Details verified against CMS data dated: August 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

How We Stay Independent

NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

Learn about our data methodology →

Nearby facilities in VANDALIA

Compare local nursing homes using the same CMS-backed grading method.

Compare nearby →

Sources and Methodology

CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

Need help choosing a facility?

Get free guidance from senior living advisors. We don't earn a fee for these links, and we never take payment from nursing facilities.

Compare nearby options ↗ Get free help ↗

↗ Links open independent third-party sites in a new tab.

Get score alerts for this facility

We'll email you when FAYETTE COUNTY HOSPITAL's staffing score changes.

More Facilities

Near VANDALIA

Better graded nearby

All Illinois facilities →