Integrity HC of Herrin: Dignity Violations Found - IL
The inspection at Integrity HC of Herrin took place on September 11, 2025, and what surveyors documented that morning was not a complicated sequence of events. It was a man sitting in wet clothing, and the people responsible for his care passing him by.
At 11:24 a.m., one staff member walked past the resident and did not look at him. At 11:36 a.m., the same staff member walked by again. Still did not look. At 11:39 a.m., a third employee passed him. At 11:41 a.m., a fourth approached him to ask if he was ready for lunch. His pants were still visibly wet. Nobody asked whether he needed to be changed.
At 11:46 a.m., the inspector stepped in. She pointed out to the staff member nearby that the resident had visibly wet pants. That staff member then asked the resident if she could take him to change. He held up one finger, the same gesture he had used earlier in the morning when a different employee asked about a shower, a signal that meant he wanted to wait an hour.
The staff member's response to the inspector was telling. She said they could usually get the resident to agree to a change if they caught him during his smoke breaks, when he was already up off the couch. She said she had asked him about a shower at 8 a.m. and he had said no.
A supervisor explained later that the resident does refuse care at times, but that a refusal from one person does not have to be the end of it. "Sometimes it just takes a new face to get him to agree to care," she said. "If he refuses to one person then a different person should ask and sometimes he will agree." She also said he should be checked every two hours and cleaned up as soon as someone notices he is wet.
That had not happened.
By the time a staff member took the resident to the shower room at 1:07 p.m., he had redness on his buttocks and in his groin.
The accounts staff gave inspectors that afternoon filled in what the morning had looked like before surveyors arrived. An activities assistant said she had been near the resident around 8:30 or 9:00 a.m. and smelled a strong urine odor. She asked if he needed the bathroom. He said no. When she passed him snacks at 10:28 a.m., she did not notice his pants were wet, and did not ask again whether he needed anything. Another employee said she had taken him outside to smoke around 11:00 a.m. and did not notice the wet pants.
The facility's Regional Director of Clinical Services, when interviewed that afternoon, said residents should be checked at least every two hours for incontinence. Then he said he could not find a policy at the facility requiring that. He also could not find a policy related to dignity or visibly wet pants.
That absence matters. A staff member who walks past a resident in wet clothing and keeps walking is not making a clinical judgment. But in a facility without a written standard requiring staff to act when they notice a resident is wet, there is also nothing on paper holding anyone accountable for the decision to look away.
The violation was cited under the federal standard requiring facilities to treat residents with dignity, and inspectors assessed the level of harm as minimal or potential. The residents affected were described as few.
The resident at the center of this inspection had some say in his care. He could signal with a finger that he wanted to wait. He could shake his head yes when asked about a shower after lunch. He was not entirely without voice. But his ability to decline care in the moment did not release the facility from the obligation to keep asking, to keep checking, to send someone new if the first person was turned away.
Instead, the morning passed. Staff came and went. The couch in the common room was not a private space. His condition was visible to anyone who looked.
One person finally did, and she was not a member of the care team.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Integrity Hc of Herrin from 2025-09-11 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: June 29, 2026 · Our methodology
INTEGRITY HC OF HERRIN in HERRIN, IL was cited for violations during a health inspection on September 11, 2025.
The inspection at Integrity HC of Herrin took place on September 11, 2025, and what surveyors documented that morning was not a complicated sequence of events.
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.