Fayette County Health Department accepts Medicare, Medicaid and most major private insurance companies.  The Home
Health Nursing Program is certified by Medicare and is licensed by the State of Illinois.

What Services are Available?
Home Health agency services must be intermittent or part-time and must be necessary and reasonable for treatment of the
illness or injury.  The services are designed to provide skilled services which will include the education and teaching of the
patient, patient’s family, and caregivers to support the rehabilitation and recovery of the patient.

Custodial care (care provided which does not require the skills of a registered nurse, physical therapist, speech therapist or
occupational therapist) is NOT covered by Medicare.

    Skilled Nursing Care
    Provided by Registered Nurses
  • Complete body system assessments
  • Patient specific updated wound care
  • Patient education / teaching
  • Pain management
  • Central / PICC Line / port maintenance
  • Laboratory services (drawing blood for tests, collection of specimens)
  • Injections / instruction to self-administration
  • Diabetic care / teaching
  • Catheterization
  • Change of catheter, instruction to family/caregiver on care of catheter
  • Colostomy and ileostomy care/instruction
  • IV antibiotic therapy

    Pediatric Care
  • Failure to thrive monitoring
  • Well-baby assessments
  • Referrals to WIC and other appropriate community services

    Home Health Aid Care
  • Personal care (i.e. bathing, shampooing, oral hygiene care, and skin care)
  • Body mechanics (i.e. positioning, transferring, assistance with walker and crutches, range of motion)
  • General procedures (i.e. monitoring vital signs, simple dressings)
  • Report changes and needs to nursing
  • Instructional/reinforcement to independency with ADL’s

    Medical Social Worker
  • Long term planning for medical intervention
  • Community resource person
  • Patients advocate
  • Assist with obtaining financial resources
  • Provides emotional support to patient and family

    Occupational Therapy
  • Helps patients regain fine motor skills (i.e. writing, personal care, energy conservation techniques)
  • Assesses patients needs for assistive devices for activities of daily living
  • Upper extremity strengthening / splinting

    Speech Therapy Services
    Care is directed toward:
  • Voice disorder
  • Speech articulation
  • Non-verbal communication
  • Swallowing difficulties
  • Stroke rehabilitation

    Physical Therapy Services
  • Home exercise program
  • Helps patients regain mobility by therapeutic exercises/muscle strengthening
  • Helps patients increase strength and relieve pain
  • Muscle re-education skills
  • Gait training, transfer training

Donations and Memorials
When families, individuals and patients name the Fayette County Health Department Home Health to receive contributions and
memorials, it is a tribute not only to the patient, but to the Home Health staff who frequently leave their homes and families to
provide help, comfort, and medical intervention to patients and families.  Memorials and donations are greatly appreciated.

A contribution is tax deductible and may be of several methods.  No individual employee may accept a gift of value for
services.  If the donor wishes to donate for the benefit of all employees of Home Health, this must be stated when the donation
is made

Make a referral
Home Health Care

The Fayette County Health Department Home Health Care began in 1976 and has continued to meet the needs of Fayette
County.  Health care in the home is comprehensive yet specific to the patient which contributes to the quality of life of our
patients.  Recovery time is decreased while cost is minimized.

The goal of Home Health is to provide skilled quality patient care in the home setting.  As patient insurance and
Medicare/Medicaid providers require hospitals to reduce their hospital stays, a number of patients returning home have
ongoing needs.  Home Health care is a valuable alternative to long hospital stays or nursing home placement.  Patient and
family compliance and assistance enhances the care that Home Health can provide on an intermittent basis.  In order to be
appropriate for home care services under Medicare, patients must continuously meet the following criteria:

  • One must be homebound as defined by Medicare regulations
  • Absences from home should be infrequent and of short duration, but leaving your home for medical care is acceptable.
  • You must have a family member or caregiver able and willing to participate in your care if necessary.
You have a choice!  When additional care is required
after a hospital stay, many people are not aware they
have a choice in who provides that care, or that they
may ask for Home Care if they feel it is needed.  As a
county-based agency, we compete with agencies directly
affiliated with hospitals and agencies operating for
profit.  We encourage you to choose wisely, based on
proven quality from professional staff.

Eligibility and Referrals
Any person in Fayette County who is homebound due to
a medical condition is eligible.  A referral may be made
by family, case managers, social workers, physicians, or
patients themselves.  Physician orders will be required
prior to admission for Home Health services.  Referrals
may be made prior to entering a hospital for elective or
anticipated treatment by calling the office at