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A+
Excellent

FAYETTE COUNTY HOSPITAL

650 W TAYLOR ST · VANDALIA, IL 62471

6182831231 · Non profit - Corporation

63 beds28.5 residents56 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FAYETTE COUNTY HOSPITAL receives an overall staffing grade of A+ (Excellent). With 5.176 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.28 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 10.78% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
5.176hrs/resident/day▲ 1.28
CMS benchmark: 3.48
RN HPRD
1.0301hrs/resident/day▲ 0.35
Recommended: 0.75
Weekend Drop-off
10.78%
5.3387 weekday → 4.7632 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.0926hrs/resident/day
Direct care aides
LPN HPRD
1.0533hrs/resident/day
Licensed practical nurses
Consistency
0.514std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Fayette County Average+1.22 HPRD
3.96
05.18 HPRD
vs. Illinois State Average+1.67 HPRD
3.50
05.18 HPRD
vs. National Average+1.28 HPRD
3.90
05.18 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
FAYETTE COUNTY HOSPITAL ★
VANDALIA · This facility
—
A+
5.1761.0301★★★★☆
LUTHERAN CARE CENTER
ALTAMONT
19.4 mi
B
3.59450.7301★★★★★
MONTGOMERY NURSING & REHAB CTR
HILLSBORO
22.4 mi
F
2.74240.2361★★★☆☆
HILLSBORO REHAB & HCC
HILLSBORO
24 mi
D
3.13120.2766★☆☆☆☆
DOCTORS NURSING & REHAB CENTER
SALEM
24.3 mi
C
3.0760.4038★☆☆☆☆
NOKOMIS HC & SENIOR LIVING
NOKOMIS
24.6 mi
D
7.96930.3898★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
7
Total Deficiencies
$18,233
Fines Assessed
Oct 24, 2024Health
3 deficiencies cited
▼
Sep 14, 2023Health
2 deficiencies cited· Includes actual harm
▼
Jul 12, 2023Health
1 deficiency cited
▼
Aug 25, 2022Health
1 deficiency cited· Includes actual harm
▼

Penalty History

Sep 14, 2023Fine
$18,233
Sep 14, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.