Vandalia, IL · Fayette County
★★★★☆CMS 4/563 bedsNon-profitMedicaid
- Nurse hours
- 4.88 /day
- Staff turnover
- 33%
- Serious cites
- 0
Fayette County Hospital runs 4.88 nurse hours per resident day, roughly 26% above the national average, and weekend staffing dips only about 9% below its weekday level. Staff turnover sits at 32.6%, well under the national 45.8%, and the home holds five stars for both staffing and health inspections, with its most recent inspection dated January 16, 2026. The weaker spot is quality measures, rated one star, and seven deficiencies remain on record, one at the harm level, along with a single $18,233 fine. Nonprofit ownership under a corporation. Strong hands-on care and steady retention, but the clinical outcomes those hours produce don't track with the staffing numbers.
St Elmo, IL · Fayette County
★☆☆☆☆CMS 1/560 bedsFor-profitMedicaid
- Nurse hours
- 3.03 /day
- Staff turnover
- 48%
- Serious cites
- 0
The Haven of St. Elmo runs on thin staffing, 3.03 nurse hours per resident day against a national average of 3.86, and weekends dip roughly another 10% below its own weekday coverage. That shortfall is the main reason its CMS staffing rating sits at 1 out of 5, and it shows up in the inspection record too: 25 deficiencies, two serious enough to reach harm or jeopardy, three tied to abuse, plus a $14,015 fine. Turnover of 47.6% runs slightly above the national figure, and the most recent inspection was in May 2025. The quality measure score lands at 2 out of 5, so clinical outcomes aren't offsetting the staffing picture. It's a 60-bed for-profit home, and families should ask hard questions about who's actually on the floor nights and weekends.
Vandalia, IL · Fayette County
★☆☆☆☆CMS 1/5116 bedsFor-profitMedicaid
- Nurse hours
- 3.06 /day
- Staff turnover
- 60%
- Serious cites
- 0
Vandalia Healthcare & Senior Living runs 116 certified beds under for-profit LLC ownership, and its staffing is the number to sit with first: 3.06 nurse hours per resident day against a national average of 3.86, roughly a fifth below, with weekends about 8% thinner than weekdays. Turnover sits at 59.5%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record backs that up: 35 deficiencies, two at harm or jeopardy level, no abuse findings, and one fine of $14,720, with the most recent survey dated November 20, 2025. Quality and staffing each scored one star out of five; health inspections scored three. Families should ask how the home covers weekends and how long its current staff have actually been there.