Fayette County Hospital: Staffing, Turnover, and Inspection Record
Fayette County Hospital is a 63-bed nonprofit nursing home in Vandalia, Illinois. In the CMS August 2026 release it reported 3.01 nurse aide hours per resident per day, 44% above the Illinois average of 2.09, and 32.6% nursing staff turnover (Illinois average 44.5%).
Fayette County Hospital
650 W Taylor StVandalia, IL 62471
Fayette County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Fayette County Hospital, nurse aides logged 3.01 hours per resident per day, 44% above the Illinois average. With about 30 residents a day, that works out to roughly 89 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Illinois avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.01 | 2.09 | 2.32 |
| Licensed practical nurses | 0.92 | 0.64 | 0.86 |
| Registered nurses | 0.95 | 0.72 | 0.69 |
| All nursing staff | 4.88 | 3.45 | 3.86 |
| All nursing staff, weekends | 4.46 | 3.08 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
32.6% of nursing staff at Fayette County Hospital left over the year CMS measured, against a Illinois average of 44.5% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 16, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 1 health deficiency (Illinois average 12.5). CMS lists 1 fine totaling $18,233 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 14, 2023 | Fine | $18,233 |
| Sep 14, 2023 | Payment Denial | 8 days from Oct 7, 2023 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Fayette County Hospital holds 4 of 5 overall; the Illinois average is 2.5.
About Fayette County Hospital
- Ownership: Non profit - Corporation
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Oct 17, 1984
- Councils: resident council
- Area: rural
Nursing homes near Fayette County Hospital
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Vandalia Healthcare & Senior Living Vandalia · many days without an RN | 1.1 | 116 | 2.06 | 3.06 | 59.5% | 1 | $9,568 |
| The Haven of St. Elmo St Elmo · many days without an RN | 14.1 | 60 | 1.78 | 3.03 | 47.6% | 1 | $14,015 |
| Greenville Nursing & Rehab Greenville | 17.8 | 90 | 2.03 | 3.34 | 45.6% | 4 | $10,874 |
| Lutheran Care Center Altamont | 19.4 | 96 | 2.27 | 3.51 | 20.5% | 5 | $36,553 |
| Montgomery Nursing & Rehab Ctr Hillsboro | 22.4 | 110 | 2.07 | 2.99 | 38.1% | 3 | $12,048 |
| Hillsboro Rehab & HCC Hillsboro · abuse citation | 24.0 | 121 | 1.83 | 3.02 | 60.8% | 1 | $252,737 |
| Twin Willows Nursing Center Salem | 24.2 | 72 | 2.72 | 4.12 | 34.4% | 3 | None |
| Doctors Nursing & Rehab Center Salem | 24.3 | 120 | 2.25 | 3.40 | 53.3% | 1 | $107,564 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.