Integrity HC of Marion: Call System Failure Left Residents - IL
That detail emerged during a complaint inspection completed August 11, 2025. Inspectors found the facility had distributed handheld bells to residents after its electronic call system went down, relying on those bells as the primary way residents could summon help.
The problem was that the bells weren't always there when residents needed them.
A certified nursing assistant identified in the inspection report as V24 told inspectors that when a resident needed to go to the bathroom, staff would take the bell with them. V24 said they made sure residents had their bell "most of the time." Most of the time is not all of the time, and the gap matters in a setting where residents can be unsteady on their feet and in need of immediate help.
V24 also told inspectors that one resident, identified as R1, required supervision during transfers because she was unsteady at times. That detail sits in the record without elaboration, but its weight is not hard to understand. A resident who is unsteady during transfers is exactly the kind of person who needs to be able to call for help quickly. A hand bell that may or may not be within reach is not a reliable substitute for a working call system.
The administrator, identified as V1, confirmed the situation during an interview on July 31, 2025. V1 told inspectors the call system had been down and that the facility had given all residents a bell to use. V1 said residents should take the bells with them when they go to the bathroom.
When an inspector asked how the facility ensured residents actually had their bells with them, the administrator's answer was four words: "They have to take them with them."
There was no description of a monitoring process. No staff assignment to verify residents had their bells before entering the bathroom. No documentation of checks. The administrator's explanation was, in effect, that residents were responsible for maintaining their own access to emergency assistance during a period when the facility's built-in safety system was not functioning.
The deficiency was cited under F0558, which covers the right of residents to have reasonable access to call systems. Inspectors rated the level of harm as minimal harm or potential for actual harm, and noted that few residents were affected.
That rating reflects the lower end of the severity scale used in federal inspections, but it does not mean nothing happened. It means inspectors found that the facility's failure created a situation where harm was possible, even if no injury was documented during the inspection window.
What the record does not show is how long the call system was down before inspectors arrived. The administrator's interview was conducted on July 31, the CNA's on August 6, and the inspection was completed August 11. The timeline suggests the system had been non-functional for at least several days, possibly longer, with hand bells serving as the facility's answer to the gap.
It also does not show what happened on the occasions when a resident's bell was not with them. Whether anyone fell. Whether anyone waited. Whether anyone called out and was not heard.
The inspection report ends where the inspectors' documented findings end. R1, unsteady during transfers, is the last resident named. Whether she had her bell the last time she needed it is not recorded.
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: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 26, 2026 · Our methodology
INTEGRITY HC OF MARION in MARION, IL was cited for violations during a health inspection on August 11, 2025.
That detail emerged during a complaint inspection completed August 11, 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.