Deficiency Index

Fayette County Hospital

Vandalia, Illinois · CCN 145499

17 surveys since 2011. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
48
Surveys
17
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file13/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
63
Ownership
Non profit - Corporation
Chain
Independent
County
Fayette · rural
Medicare-certified since
1984

CMS ratings

Overall
4
Health inspection
5
Staffing
5
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=9, floor 20).

Last survey on record

Jan 16, 2026

297 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.884.78
Registered-nurse hours per resident day0.95—
Annual nurse turnover32.6%36.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG114.3%H—I—
No harm, potential for more than minimalD457.1%E114.3%F114.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 7 of the 48 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6401×

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • F6971×

    Provide safe, appropriate pain management for a resident who requires such services.

  • F7271×

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  • F7561×

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

In the surveyor’s words

From the most serious findings on record at Fayette County Hospital, in the surveyor’s own words.

  • Actual harm, isolatedF697Sep 14, 2023

    Based on interview and record review, the facility failed to conduct pain assessments in accordance with professional standards of practice for 1 of 1 (R27) resident reviewed for pain management in a sample of 23. This failure resulted in R27 experiencing unrelieved pain for potentially 5 days due to an unknown left hip fracture. Findings include: R27's Face Sheet documents admission to the facility on [DATE] with diagnoses of dementia, urinary tract infection, seizures, vitamin D deficiency, and hypokalemia. R27's Minimum Data Set (MDS) dated [DATE] documents a Brief Interview for Mental Status (BIMS) score of 0, indicating severe cognitive impairment. […]

  • Actual harm, isolatedF689Aug 25, 2022

    Based on interview, observation and record review, the facility failed to secure a foot strap during a sit to stand mechanical lift transfer for 1 of 10 (R23) residents reviewed for falls in a sample of 27. This failure resulted in R23 receiving 4 sutures to the left 3rd and 4th toes. Findings Include: R23's Face Sheet documents R23 is a male resident with a date of birth of [DATE] and an admitted [DATE]. R23's Face Sheet documents diagnoses including: Type 2 diabetes Mellitus, Chronic Diastolic heart failure, Unspecified [CONDITION(S)], [CONDITION(S)] with behavioral Disturbance and [CONDITION(S)]. R23's Minimum Data Set (MDS) dated [DATE] Section C documents a Brief Interview For Mental Status (BIMS) score of 13, indicating R23 is cognitively intact. […]

  • No harm, potential for more than minimal, widespreadF727Oct 24, 2024

    Based on interview and record review, the facility failed to provided the services of a Registered Nurse (RN) for 7 days a week for 8 consecutive hours per day. This failure has the potential to effect all 29 residents living at this facility. Findings Included: On 10/22/2024 at 1:50 PM, V2 (Director of Nursing/DON) stated the facility did not have the required 8 hours per day, 7 days a week of RN coverage for the dates of 5/11/24, 5/19/24, 5/27/24, 6/9/24 and 6/30/24. V2 said they did not have a policy for Registered Nurse coverage. […]

  • No harm, potential for more than minimal, patternF756Oct 24, 2024

    Based on interview and record review, the facility failed to document the findings of monthly Medication Regimen Review's (MRR) for 5 (R6, R17, R18, R22, R26) of 5 residents reviewed for unnecessary medications in a sample of 22. Findings include: 1. R6's Admission Record documented an admitted [DATE] with diagnoses that included major depressive disorder, adjustment disorder with mixed anxiety and depressed mood. R6's Minimum Data Set (MDS) dated [DATE], documented a Brief Interview for Mental Status (BIMS) score of 13, indicating that R6 was cognitively intact. […]

  • No harm, potential for more than minimal, isolatedF880Jan 16, 2026

    Based on interview, observation, and record review, the facility failed to follow infection control standard of practice for hand hygiene while providing care for 2 (R25 and R28) of 6 residents reviewed for infection control in the sample of 20. Findings include:1. R25's admission Record documented an initial admission date of 04/10/2018 and included diagnoses of chronic kidney disease, type 2 diabetes mellitus, iron deficiency anemia, disorder of kidney and ureter, cardiac murmur, and sepsis. […]

Read 20 findings in full →The most serious and the most recent: 20 of 48 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 16, 2026Standard1 finding
  • Oct 24, 2024Standard3 findings
  • Sep 14, 2023Standard and complaint2 findings · 1 harm
  • Jul 12, 2023Complaint1 finding
  • Aug 25, 2022Standard1 finding · 1 harm
  • Jun 3, 2021Standard1 finding
  • Oct 29, 2020Complaint1 finding
  • Oct 1, 2020Complaint1 finding
Show the 9 earlier surveys
  • Aug 22, 2019Standard2 findings
  • Jun 23, 2017Standard3 findings
  • Aug 19, 2016Standard1 finding
  • Jul 27, 2015Standard1 finding
  • Jun 19, 2014Standard6 findings
  • Aug 8, 2013—7 findings
  • Jan 29, 2013—1 finding
  • Jul 19, 2012—9 findings
  • Sep 15, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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