Fayette County Hospital
650 W TAYLOR ST, Vandalia, IL 62471
Vandalia, Illinois · CMS verdict
On the federal five-star scale, Fayette County Hospital carries a 4 of 5 CMS overall rating, above-average quality that runs above Illinois's state average of 2.5.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Fayette County Hospital in Vandalia, Illinois holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 73 of 100 (grade C). The 63-bed facility operates where a semi-private nursing-home room in Illinois runs a median of $8,304 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 73 is built
Each segment is a dimension's weighted points toward the score, summing to 73.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Fayette County Hospital holds a CMS overall quality rating of 4 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (5/5), staffing (5/5), and quality measures (1/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Vandalia, Illinois, this facility operates 63 certified beds with an average daily census of roughly 29 residents - an occupancy rate of about 46%. The facility is classified under non profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 46% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Illinois, Fayette County Hospital is one of 76 non profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the non profit - corporation-segment average of 3.6 stars, ahead of roughly 38% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented a moderate number of deficiencies at this facility (7 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This volume of findings is worth reading past the count: CMS's F-tag scale separates isolated, low-harm citations from widespread or immediate-jeopardy ones, and only the full report shows which this facility has.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Fayette County Hospital compares to Illinois
CMS five-star sub-ratings (0–5) for this facility against the Illinois facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Illinois state average. Higher is better on all four CMS measures.
Where Fayette County Hospital ranks in Illinois
Among the 665 CMS-rated nursing homes in Illinois, Fayette County Hospital’s 4-star overall rating is higher than 71% of them. The bars show how all Illinois homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
108 Illinois homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 63 |
| Residents | 29 |
| Ownership | Non profit - Corporation |
| County | Fayette |
| Penalties | 1 |
| Deficiencies | 7 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Fayette County Hospital? ▾
Fayette County Hospital has an overall CMS quality rating of 4 out of 5 stars, with a health inspection rating of 5/5, staffing rating of 5/5, and quality measures rating of 1/5.
How much does a nursing home cost per month in Illinois? ▾
CareScout's 2025 survey puts Illinois's median semi-private nursing home rate at $8,304 per month ($99,645 per year), with private rooms averaging $9,216 per month.
What services does Fayette County Hospital offer? ▾
With 63 beds with approximately 29 current residents, Fayette County Hospital is a skilled nursing facility. It operates under non profit - corporation ownership, and CMS's inspection record shows 7 deficiencies and 1 penalties.
Does Fayette County Hospital have any deficiencies or penalties? ▾
Fayette County Hospital has multiple deficiencies (7 total) and 1 penalties recorded by CMS. A count in this range makes it worth asking staff or the facility directly which findings were minor paperwork versus resident-care issues.
What are the alternatives to a nursing home in Illinois? ▾
In Illinois, alternatives include assisted living ($6,219/mo), home health aides ($6,864/mo), and adult day care ($1,977/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Illinois elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 145499.
Read our methodology - how this data is sourced, computed, and verified.