Centralia Manor: Call Light Failure Left Residents Waiting - IL
The system serving the 300, 400, and 500 hallways failed that day. The earliest a technician could come look at it was September 3, nearly a week later. The verdict: the system had outlived its life. It needed to be replaced.
The administrator, identified in the inspection report as V1, told inspectors the facility had tried different things to make sure residents could actually use the noisemakers they'd been given. She said she wasn't aware of any resident who couldn't operate their device. But staff had told her something else: if a resident's door was closed, or if the resident was at the far end of the hall, staff had a hard time hearing the devices at all.
At least one resident complained directly to the administrator that response times had gotten longer since the call lights went down.
The Director of Nursing confirmed the complaint. She told inspectors she had heard residents say staff were in places where they couldn't hear the whistles and bells, and that staff were instructing residents to just keep going until someone tracked down the sound.
The DON said shift coordinators had mentioned doing 15-minute checks on residents during the outage. She said she didn't know how those checks were being tracked. There was no documentation that the checks had ever been done.
The facility didn't order a replacement system until September 8. Payment wasn't sent until September 16. By the time inspectors arrived on September 24, the installer had told the facility it could be another two to three weeks before the new system was in place.
That put the total outage at potentially seven weeks or more, with residents on three hallways still blowing whistles and waiting to be found.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Centralia Manor from 2025-09-24 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 19, 2026 · Our methodology
CENTRALIA MANOR in CENTRALIA, IL was cited for violations during a health inspection on September 24, 2025.
The system serving the 300, 400, and 500 hallways failed that day.
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.