Fayette County Hospital
Nursing home in Vandalia, Illinois, CMS certification number 145499
650 W Taylor St, Vandalia, IL 62471 · Fayette County
- CMS overall rating
- 4 of 5 stars
- Certified beds
- 63
- Certified for
- Medicare and Medicaid
- Last standard inspection
- January 16, 2026
- Deficiencies at that inspection
- 1
- Fines in 3 years
- No fines
Does Fayette County Hospital take Medicare and Medicaid?
Yes to both. Fayette County Hospital is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 4 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 5 of 5 |
| Quality of resident care | 1 of 5 |
| Long-stay quality | 1 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Fayette County Hospital reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 5.29
- Registered nurse hours
- 0.89
- Licensed practical nurse hours
- 0.98
- Nurse aide hours
- 3.41
- Weekend total hours
- 4.68
- Nursing staff turnover
- 26.8%
- Registered nurse turnover
- 37.5%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on January 16, 2026 and cited 1 deficiency, plus 0 from complaint visits.
The visit before, on October 24, 2024, found 3.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Fayette County Hospital in the past 3 years.
Beds and residents
On an average day 29.5 residents live here, about 47% of its 63 certified beds.
- Certified beds
- 63
- Average residents per day
- 29.5
- Certified since
- October 17, 1984
- Resident or family council
- Resident
Who owns Fayette County Hospital
- Legal business name
- Legal Business Name Not Available
- Ownership type
- Non profit - Corporation
Other nursing homes near Fayette County Hospital
- Vandalia Healthcare & Senior Living1500 West St Louis Avenue, Vandalia 62471
- The Haven of St. Elmo221 East Cumberland, St. Elmo 62458
- Greenville Nursing and Rehab400 East Hillview Avenue, Greenville 62246
- Lutheran Care Center702 West Cumberland, Altamont 62411
- Montgomery Nursing & Rehab CtrState Route 127, Hillsboro 62049
Who inspects nursing homes in Illinois
Illinois's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Illinois, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Fayette County Hospital, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Fayette County Hospital
What is the CMS star rating of Fayette County Hospital?
4 out of 5 stars overall.
Does Fayette County Hospital accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Fayette County Hospital?
1 cited at the last standard visit.
Who owns Fayette County Hospital?
Legal Business Name Not Available, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.