Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

FAYETTE COUNTY HOSPITAL

VANDALIA, IL · 63 certified beds · Last Life Safety survey January 16, 2026

CMS Certification Number 145499 · first certified October 1984

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IL

11 citations — more than 38% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 2 months from now. This facility’s last Life Safety survey was January 2026. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 11 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility11IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0932024-1052026-01
Citations at each Life Safety survey
Survey dateCitations
September 14, 20233
October 24, 20243
January 16, 20265

Most-cited tags

Most-cited tags at this facility
K-03462K-03542K-03532K-09181K-03241E-00151K-03451K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.22026-01-16
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.22026-01-16
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-01-16
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-10-24
K-0324Provide properly protected cooking facilities.12026-01-16
E-0015Address subsistence needs for staff and patients.12026-01-16
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-10-24
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12023-09-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 16, 2026 — 5 citations

Citations issued on January 16, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (April 9, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 9, 2026)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (April 9, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 9, 2026)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (April 9, 2026)

October 24, 2024 — 3 citations

Citations issued on October 24, 2024
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 15, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 15, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 15, 2024)

September 14, 2023 — 3 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (October 15, 2023)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (October 15, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (October 15, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.