Integrity HC of Carbondale: Kitchen Cockroaches Found - IL
She wasn't wrong.
On the evening of August 16, 2025, an inspector walked into the kitchen at the 50-bed nursing facility and found food scattered across the floor around the cooking area. Black dirt and debris covered the floor in multiple spots. In the dishwashing area, food scraps mixed with the same black grime, and dead cockroaches lay on the floor.
Four days later, the inspector returned. The black dirt and debris were still spread across the kitchen floor. The backsplash behind the stove had a visible buildup of grease and other debris. Beneath the griddle, the grease trap had leaked or overflowed onto the floor, leaving a pool of grease roughly a foot in diameter sitting on the surface.
The dietary manager, identified in inspection records as V6, explained the situation plainly. Staff would not listen to her, she said. They would not clean up after themselves. She had only been there a week and was already describing conditions in her own kitchen as disgusting.
The registered dietitian on staff, identified as V9, told the inspector on August 22 that she expected the kitchen to be clean and sanitary. The inspection record does not indicate she had taken steps to make that happen.
The violations were cited under a standard requiring facilities to maintain floors and equipment in a safe and sanitary condition, with inspectors noting the failure had the potential to affect all 50 residents living at the facility. The harm level was classified as minimal harm or potential for actual harm, the lower end of the federal scale, though cockroach activity in a kitchen that prepares three meals a day for nursing home residents carries risks that the classification doesn't fully capture.
Cockroaches carry bacteria including salmonella and E. coli on their bodies and legs, depositing pathogens on food preparation surfaces, utensils, and the food itself. For elderly residents, many of whom have compromised immune systems, foodborne illness can escalate quickly into hospitalization. A facility kitchen with dead cockroaches on the floor is a kitchen where live ones have been active.
What the inspection record describes is not a single bad day. Inspectors visited on August 16 and found the kitchen dirty. They came back on August 20 and found it still dirty, with a new grease spill large enough to measure. The problems were not new to the staff, either. The dietary manager said the cleanliness issues predated her arrival. She had walked into something already broken.
The inspection was complaint-driven, meaning someone, a resident, a family member, or a staff member, contacted authorities before inspectors showed up. The facility's own resident list, dated September 20, 2025, documented 50 people living there.
Fifty people whose meals were being prepared in a kitchen the person responsible for it called disgusting.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Integrity Hc of Carbondale from 2025-08-27 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.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 3, 2026 · Our methodology
INTEGRITY HC OF CARBONDALE in CARBONDALE, IL was cited for violations during a health inspection on August 27, 2025.
Black dirt and debris covered the floor in multiple spots.
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.