Deficiency Index

Vandalia Healthcare & Senior Living

Vandalia, Illinois · CCN 145903

30 surveys since 2011. The first finding at harm level was recorded in 2021.

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

Citations on record
155
Surveys
30
Harm or worse
6
Immediate jeopardy
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file21/30

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

The facility

Certified beds
116
Ownership
For profit - Limited Liability company
Chain
POINTE MANAGEMENT
County
Fayette · rural
Medicare-certified since
1996

CMS ratings

Overall
1
Health inspection
3
Staffing
1
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 110 for-profit facilities of 100–127 beds in Illinois.

Last survey on record

Nov 20, 2025

354 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 day3.063.16
Registered-nurse hours per resident day0.23—
Annual nurse turnover59.5%48.7%

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

Enforcement

Fines
$9,568 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG25.7%H—I—
No harm, potential for more than minimalD2160.0%E514.3%F720.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 35 of the 155 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6843×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6893×

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

  • F7273×

    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.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Vandalia Healthcare & Senior Living, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF725Dec 23, 2021

    Based on observation, interview, and record review, the facility failed to provide sufficient nursing staff to ensure resident's safety, and to ensure overall care and needs were maintained. These failures affect all 32 residents residing in the facility. The Immediate Jeopardy began on 11/26/21 when there were not enough staff on duty to ensure residents were assisted out of bed, changed out of soiled adult briefs/clothing, and provided nursing care necessary to maintain the residents' highest physical, mental and psychosocial well-being and highest practicable level of functioning. Due to the residents' comorbidities, vulnerabilities, and need for 24-hour nursing care, this failure increases their risk of serious harm and possible death. […]

  • Immediate jeopardy, patternF757Mar 24, 2021

    Based on observation, interview, and record review, the facility failed to develop and implement a plan of care for monitoring [MEDICATION(S)] ([MEDICATION(S)]) therapy, failed to follow physicians' orders to obtain repeat labs on 2/19/21 after receiving elevated PT/INR (pro time)/(international rate) levels, and/or failed to notify the physician of PT/INR results to obtain further orders for monitoring for 4 (R1, R5, R14, R15) of 4 residents reviewed for monitoring in regard to the use of blood thinning medications in a sample of 41. […]

  • Actual harm, patternF550Dec 23, 2021

    Based on observation, interview, and record review, the facility failed to maintain resident dignity for 12 of 16 residents (R1, R2, R3, R4, R5, R6, R7, R8, R9, R11, R13, and R16) reviewed for resident care in the sample of 25. These failures resulted in feelings of worry, depression, anxiousness, embarrassment, and being uncomfortable for R1, R2, R4, R5, R7, R8 and R9. Findings include: On 11/29/21 at 1:30 PM, V36 (Ombudsman) stated V36 received calls from several residents at the facility the day after Thanksgiving, 11/26/21, that there was only one Certified Nurse Aide (CNA) and 1 nurse working. V36 stated V36 went in to meet with the residents at 1:23 PM, and when V36 got to the facility, V36 saw there was only one CNA and one nurse working. […]

  • Actual harm, patternF677Dec 23, 2021

    Based on observation, interview, and record review, the facility failed to provide necessary services to maintain cleanliness, personal hygiene, and toileting for 11 of 16 residents (R1, R2, R3, R4, R5, R6, R7, R8, R9, R11, R15) reviewed for activities of daily living in the sample of 25. These failures resulted in R1, R2, R4, R5, R7, R8 and R9 experiencing feelings of discomfort, worry, embarrassment, anxiousness, and depression. Findings include: On 11/29/21 at 1:30 PM, V36 (Ombudsman) stated V36 received calls from several residents at the facility the day after Thanksgiving, 11/26/21, that there was only one Certified Nurse Aide (CNA) and 1 nurse working. […]

  • Actual harm, isolatedF791Nov 20, 2025

    Based on interview and record review, the facility failed to provide dental services for 1 of 1 resident (R33) reviewed for dental services in the sample of 29. This failure resulted in R33's cavity and broken teeth going unaddressed and R33 acquiring an abscess requiring antibiotic treatment and ongoing pain. Findings include:R33's admission Record documents an admission date of 10/23/2013, with diagnoses including in part type 2 diabetes, longstanding persistent atrial fibrillation, and hypertension. R33's admission documents R33's payer source is listed as Medicaid. R33's Minimum Date Set (MDS), dated [DATE], documents a Brief Interview of Mental Status (BIMS) of 14, indicating R33's cognition is intact. […]

Read 24 findings in full →The most serious and the most recent: 24 of 155 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 20, 2025Standard6 findings · 1 harm
  • Sep 3, 2025Complaint1 finding
  • Apr 8, 2025Complaint3 findings
  • Mar 19, 2025Complaint1 finding
  • Dec 5, 2024Complaint2 findings
  • Aug 2, 2024Standard16 findings · 1 harm
  • Apr 5, 2024Complaint2 findings
  • Dec 20, 2023Complaint1 finding
Show the 22 earlier surveys
  • Aug 31, 2023Standard3 findings
  • Feb 15, 2023Complaint1 finding
  • Oct 21, 2022Complaint2 findings
  • Sep 15, 2022Standard3 findings
  • May 26, 2022Complaint1 finding
  • Apr 6, 2022Complaint1 finding
  • Dec 23, 2021Complaint10 findings · 3 harm
  • Nov 24, 2021Complaint3 findings
  • Nov 17, 2021Complaint3 findings
  • Oct 8, 2021Complaint7 findings
  • Jun 17, 2021Standard7 findings
  • Mar 24, 2021Complaint12 findings · 1 harm
  • Jul 21, 2020Complaint1 finding
  • Aug 29, 2019Standard6 findings
  • Jul 12, 2018Standard8 findings
  • Jun 29, 2017Standard4 findings
  • Sep 2, 2016Standard6 findings
  • Jul 24, 2015Standard3 findings
  • May 30, 2014Standard7 findings
  • Jun 21, 2013—7 findings
  • Jul 26, 2012—3 findings
  • Aug 31, 2011—25 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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