Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Fayette County Hospital during CMS and state inspections, most recent first.
The facility failed to provide the required RN coverage for 8 hours a day, 7 days a week, on several occasions. The DON confirmed the absence of a policy for RN coverage, and the administrator cited nurse call-offs as a contributing factor. This deficiency affected all 29 residents in the facility.
The facility failed to document monthly Medication Regimen Reviews (MRR) for five residents with various diagnoses, including major depressive disorder and Alzheimer's. Despite the facility's policy requiring monthly MRRs, there was no evidence of MRRs for several months. The Consultant Pharmacist claimed to have conducted the reviews but did not document them due to a switch to a new electronic medical records system and the discontinuation of paper forms previously used for documentation.
A resident with cognitive impairments and a history of falls did not receive new fall interventions after multiple incidents. Despite having a chair alarm and being on hourly rounds, the resident continued to fall, and the care plan was not updated with new strategies. The facility's fall prevention policy, which requires post-fall assessments and care plan changes, was not adequately followed.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide the services of a Registered Nurse (RN) for 8 consecutive hours per day, 7 days a week, as required. This deficiency was identified through interviews and record reviews, revealing that the facility lacked RN coverage on specific dates: 5/11/24, 5/19/24, 5/27/24, 6/9/24, and 6/30/24. The Director of Nursing (DON) acknowledged the absence of a policy for RN coverage and confirmed the lack of required RN hours on these dates. The facility's administrator attributed the deficiency to nurses calling off, which contributed to the gaps in RN coverage. The facility's nursing schedule for May and June 2024 corroborated the absence of the required RN coverage on the specified dates, affecting all 29 residents living in the facility.
Failure to Document Monthly Medication Regimen Reviews
Penalty
Summary
The facility failed to document the findings of monthly Medication Regimen Reviews (MRR) for five residents who were reviewed for unnecessary medications. These residents had various diagnoses, including major depressive disorder, Alzheimer's, anxiety, and insomnia, and were on multiple oral medications. Despite the facility's policy requiring monthly MRRs and documentation of any irregularities, there was no evidence of MRRs being completed for the months of June, July, August, and September 2024 for these residents. Interviews and record reviews revealed that the Consultant Pharmacist claimed to have conducted the MRRs at the pharmacy but did not document them in the residents' medical records. The pharmacist had previously documented MRRs in the medical records before the facility switched to a new electronic medical records system. After the switch, the pharmacist used a paper form, which eventually ran out and could not be reordered due to discontinuation. This led to a lack of documentation for the specified months. The facility's policy mandates that the Consultant Pharmacist maintain a log of all visits and activities and submit written reports monthly. The policy also requires the pharmacist to document the review of each resident's drug regimen monthly and report any irregularities. However, the facility was unable to produce any resident-specific documentation to show that the medications were reviewed or that charts were signed during the months in question.
Failure to Implement New Fall Interventions for Resident
Penalty
Summary
The facility failed to implement new fall interventions for a resident with a history of falls and cognitive impairments. The resident, who has diagnoses including legal blindness, hallucinations, delusional disorders, and major depressive disorder, experienced multiple falls without new interventions being added to their care plan. Despite having a chair alarm and being on hourly rounds, the resident continued to fall, as documented in the Long Term Care Fall Log. The resident's care plan was not updated with new interventions following falls on specific dates, and the Director of Nursing confirmed that no new interventions were implemented. The resident's care plan noted a previous fall resulting in a fracture, and the family declined surgery for the fracture. The resident has poor balance, an unsteady gait, and experiences hallucinations and delusions, contributing to their fall risk. Despite these factors, the facility continued with existing interventions without making necessary adjustments to the care plan after subsequent falls. The facility's policy on fall prevention requires post-fall assessments and care plan changes, which were not adequately followed in this case.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Vandalia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vandalia Healthcare & Senior Living | 1.1 mi | — | 0 | 0 |
| The Haven Of St. Elmo | 14.1 mi | — | 3 | 0 |
| Greenville Nursing & Rehab | 17.8 mi | — | 0 | 0 |
| Lutheran Care Center | 19.4 mi | — | 7 | 1 |
| Montgomery Nursing & Rehab Ctr | 22.4 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.