Integrity HC of Marion: Call System Down Weeks - IL
The system failed on Saturday, July 26, 2025. It came back briefly, then failed again. By the time a federal inspector arrived on July 31, the facility was still waiting on a second repair quote before it could even schedule the work. The administrator, identified in inspection records as V1, confirmed that not just the room call lights were down, but the bathroom call systems too.
The inspector asked how residents were supposed to get help if something went wrong in the bathroom. The administrator's answer was direct: "They have to take them with them."
When the inspector pressed on how the facility made sure residents actually brought the bells into the bathroom, the administrator said the same thing again. "They have to take them with them."
Nobody was checking. Nobody had a system to verify it. The facility had no written policy covering what to do when the call system failed.
One of the residents affected was identified in the report as R1, a woman who required supervision during transfers because she was unsteady on her feet. A certified nursing assistant, identified as V4, told the inspector she had never needed to help R1 lift her legs into bed before, then corrected herself and said she had done it maybe three other times. The inconsistency went unexplained. What the inspection record made clear was that R1 needed help, and the system that would normally summon that help was gone.
A second CNA, identified as V23, told the inspector that the administrator had distributed the bells when the call system went down. Then she said something that should have alarmed anyone responsible for resident safety: she didn't think the residents were using the bells the way they used the call system. She wasn't sure why they weren't.
A third CNA, identified as V24, offered a more optimistic account. She said staff took bells with them when they went to the bathroom, that residents had their bells with them "most of the time." Most of the time. For residents who might fall transferring to a toilet, or who might become confused, or who might need help and have no voice loud enough to carry down a hallway, most of the time is not a margin that offers much comfort.
The Director of Nurses, identified as V2, acknowledged during the inspection that the facility had recurring problems with call lights going unanswered even when the system was working. Her description of the response to those problems was brief: when staff didn't answer call lights promptly, management educated them on the importance of answering call lights promptly.
The call system had been down for at least five days when the administrator spoke with the inspector on July 31. The inspection continued through August 6, when CNAs were still describing the bell arrangement as the facility's working solution. At no point in the inspection record does anyone describe a timeline for completing repairs, a second quote having been obtained, or a more structured backup plan having been put in place.
The inspector cited the violation at a level of minimal harm or potential for actual harm, a designation that reflects what was documented rather than what might have happened on any given night between July 26 and the inspection's conclusion. It does not account for the resident who needed to use the bathroom at 2 a.m. and left her bell on the nightstand. It does not account for R1, unsteady on her feet, trying to manage on her own because she wasn't sure the bell would bring anyone faster than the broken system never did.
The administrator's answer, repeated twice, was that residents have to take the bells with them. That was the plan. That was all there was.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Integrity Hc of Marion from 2025-08-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 5, 2026 · Our methodology
INTEGRITY HC OF MARION in MARION, IL was cited for violations during a health inspection on August 11, 2025.
The system failed on Saturday, July 26, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.