Washington County Hospital and Rural Health Clinic

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"It's your health...
It's your hospital"

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Mission Statement:

“Our mission is to forge partnerships to improve the health of our community through service excellence.” 

Washington County Hospital is a 22 bed Critical Access Hospital (CAH) accredited by The Joint Commission (TJC). We provide acute care, swing/skilled care, surgical services, gynecological services and a full range of ancillary services. We also have a 28 bed long term care unit. WCH is located in Nashville, IL just 50 miles east of St. Louis, MO. WCH is affiliated with SSM Healthcare St. Louis and SSM St. Mary’s/ Good Samaritan, Inc. in Centralia and Mt. Vernon.

The Critical Access Hospital Program was created by the 1997 federal Balanced Budget Act as a safety net device, to assure Medicare beneficiaries access to health care services in rural areas. It was designed to allow more flexible staffing options relative to community need, simplify billing methods and create incentives to develop local integrated health delivery systems, including acute, primary, emergency and long-term care. More information on the CAH Program can be found at www.cms.hhs.gov.

Washington County Hospital is also a member of the Illinois Critical Access Hospital Network (ICAHN). The network's mission is to strengthen each hospital through collaboration and to receive value from ICAHN through network core activities, committees, educational programs, special projects and the connectivity provided by the IT systems. More information on ICAHN can be found at www.icahn.org.

TJC accreditation is important to our patients, providers and staff because…. The standards are regarded as the most rigorous in the industry, critical access hospitals that choose to be evaluated by JCAHO are therefore committed to providing the highest level of quality care to their patients. JCAHO’s gold seal of approval is a clear sign that the accredited organization has demonstrated compliance to the most stringent standards of performance. More information on JCAHO can be found at www.jcaho.org.


Visiting Hours are always determined by the patient. If you do not wish to receive visitors, please tell a staff member. If one of your guests is a child under the age of 10, please consult the nurse in charge.

Public Restroom is located near the Gift Shop.

Phone Information Dial 9 to access a local outside line from the phone in patient rooms. When making long distance calls, please use your calling card or call collect. The pay phone is located in the West Wing waiting room.

Smoking Policy Washington County Hospital is a smoke free hospital and smoke free campus.

Dining Room Hours- Cafeteria is Closed.

Soda and snack machines are located in the Dining Room and Front Lobby.

Chaplain Services If you would like to contact your minister or a minister on call, please ask a staff member.

Toiletry items are available through the hospital, but most insurances including Medicare will not pay for these items. You may purchase them from the Gift Shop or ask your family to bring them from home.

Gift Shop The gift shop is operated by the Washington County Hospital Auxiliary Volunteers. The hours are posted on the door.

Advance Directive Information - will be provided by the nursing staff.


Report Card Act – At Washington County Hospital we are committed to providing excellent patient care. In accordance with the Illinois Report Card Act [210 ILCS 86], the public has the right to access nurse staffing information. Requests for staffing information can be obtained by calling the Chief Nurse Executive (CNE) at 327-2202 Monday through Friday 8:00 a.m.-4:30 p.m. If unable to reach the CNE, you may leave a message or contact the appropriate nursing unit at 327-2292 or for LTC 327-2282.

Pre-Certification Information It is the patient’s responsibility to call the insurance company for pre-certification or be sure their doctor’s office has made arrangements with the insurance company. If you fail to make pre-certification arrangements with your insurance company, you may be responsible for the entire bill. Medicare does not require pre-certification, but secondary or co-insurance may require pre-certification. This hospital bill for service rendered is your responsibility, regardless of whether or not you have insurance. We will try our best to offer any assistance in working with your insurance company, but your cooperation is needed. Your insurance company will be billed as a courtesy, based on the information you provided to us at the time of admission.


Financial Assistance – You may be eligible for financial assistance under the terms and conditions that the hospital offers to qualified patients. Patients seeking financial assistance must fill out the Financial Assistance Application (click here for the application) and return within 30 days to the hospital with the required documentation attached. A decision will be made based on the submitted information within 30 days of receipt. Decisions will be based on the Federal Poverty Guidelines. For more information about assistance please contact our financial counselor at 618-327-2220.


Understanding Your Hospital Bill – The following payments are required from you at the times services are provided:

  • Insurance deductibles
  • Co-payments
  • Payment for services not covered by insurance

The bill you receive from Washington County Hospital reflects services received during your visit, which may included:

  • Room
  • Meals
  • Therapies
  • Pharmacy
  • X-rays
  • Laboratory Tests
  • RHC physician services
  • Surgery
  • Supplies
  • Emergency Room

Other Professional Fees – If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. These services have been ordered by your attending physician. Pathologists, radiologists, pulmonologists and other specialists perform these services and are required to submit separate bills. Some of these providers may not participate in the same insurance plans as the hospital. If you have questions about these bills, please call the number printed on the statement you receive from them.


Insurance – If you have insurance coverage, we will bill your insurance carrier soon after healthcare services have been provided. However, if you do not have insurance coverage, you will receive the bill directly. The bill will clearly state the services provided and when your payment is due. For specific billing questions about your bill with Washington County Hospital, please call 618-327-2213 or 618-327-8236.

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