Fayette County Hospital
Vandalia, IL · Medicare and Medicaid-certified nursing home (CCN 145499) · 63 certified beds
Health inspection: 5 · Quality measures: 1 · Staffing: 5
Federal fines: 1 totaling $18,233 · 1 payment denial
Phone: (618) 283-1231 · Verify on Medicare Care Compare ↗
Fayette County Hospital has an overall CMS rating of 4 stars, above the Illinois state average of 2.55 stars. Its health inspection rating is 5 stars and its staffing rating is also 5 stars.
Fayette County Hospital reports total nurse staffing of 4.88 hours per resident per day, including 0.95 RN hours per resident per day, with a staffing star rating of 5. Nursing staff turnover is reported at 32.6%.
Fayette County Hospital has 1 federal fine on record totaling $18,233.00, along with 1 payment denial. CMS does not report an abuse icon or Special Focus designation for this facility in the available data.
About this facility
Fayette County Hospital is a non-profit nursing home in Vandalia, Illinois, certified for both Medicare and Medicaid. The facility has 63 certified beds with an average of 29.6 residents, indicating it typically operates well under full capacity. It has been Medicare/Medicaid certified since October 17, 1984.
According to CMS Care Compare, Fayette County Hospital holds an overall rating of 4 stars, which is above the Illinois state average of 2.55 stars. Its component ratings are mixed: 5 stars for health inspections, 5 stars for staffing, but only 1 star for quality measures. Families should review the quality measure details closely, since this component pulls down an otherwise strong profile.
Staffing data shows total nurse hours per resident per day of 4.88, with RN hours per resident per day of 0.95. Nursing staff turnover is reported at 32.6%.
On penalties, CMS records show 1 federal fine totaling $18,233.00, and 1 payment denial on file for this facility. There is no abuse icon or Special Focus program designation reported in the available data for this facility. Ownership has not changed in the past 12 months, so current ratings should reflect the present operator. No chain affiliation is indicated in the data provided.
This profile is based on CMS Care Compare data; families should verify current details directly on Care Compare and with the facility before making a decision.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Fayette County Hospital has an overall rating of 4 stars, which is above the Illinois state average of 2.55 stars.
Does this facility accept Medicare, Medicaid, or both?
It is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 4.88 hours per resident per day, including 0.95 RN hours per resident per day, with a staffing rating of 5 stars. Nursing staff turnover is 32.6%.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 1 fine totaling $18,233.00 and 1 payment denial.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The available data does not indicate an abuse icon or Special Focus program designation for this facility.
How large is this facility and how many residents live there?
Fayette County Hospital has 63 certified beds and an average daily population of 29.6 residents.
Who owns this facility — and is it part of a chain?
It is operated as a non-profit corporation, and no chain affiliation is listed in the available data.
How long has this facility been Medicare/Medicaid certified?
It has been certified since October 17, 1984.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures; this facility scores 4, 5, 5, and 1 star respectively in those categories.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not in the provided data — contact the facility at 6182831231 or check Medicare Care Compare to confirm.
What should I look for when touring this facility?
This is not addressed in the CMS data provided — contact the facility at 6182831231 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current details at https://www.medicare.gov/care-compare/details/nursing-home/145499?state=IL.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.