The home failed to provide safe, appropriate pain management for a resident who needed it. Cited September 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
FAYETTE COUNTY HOSPITAL
VANDALIA, IL · Medicare-certified · 63 beds
In good standing
Non-profit
4 of 5 overall
FAYETTE COUNTY HOSPITAL in Vandalia, IL has an overall 4 out of 5 stars, with strong health inspection and staffing ratings (both 5 stars) and no fines in the last 24 months, but a low 1-star quality measures rating. Reported nurse staffing is 4.91 hours per resident per day, above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.9069 hrs/resident/day
Quality measures
Last inspection: January 16, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9069.
Staffing detail
- Registered nurses
- 0.93
- Licensed practical nurses
- 1.04
- Nurse aides
- 2.94
- Weekend nursing
- 4.55
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.3%23.8%Improving
Residents with a fall causing major injury
10.3%8.3%Improving
Residents with pressure ulcers (bedsores)
5.5%3.5%Improving
Residents with a urinary tract infection
6.9%4.2%Improving
Residents who lost too much weight
7.4%4.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.8%35%Worsening
Residents whose ability to walk got worse
—25.5%—
Long-stay residents on antianxiety or sleep medication
55.6%37.5%Improving
Residents with a long-term catheter
15.1%8.6%Improving
Residents with new or worsening incontinence
36.7%24.5%Improving
Residents with depressive symptoms
16%25%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%95.8%Worsening
Short-stay residents given the pneumonia vaccine
—39.1%—
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure a licensed pharmacist reviewed residents' medications each month and reported any problems as required. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 756 — 42 CFR §483.45(c) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $18,233 in total fines · 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Sep 14, 2023
- $18,233
Federal fine
Sep 14, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 29.1 residents on an average day (46% of 63 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.