Metropolis Rehab: Broken Call Light Left Resident With Bell - IL
Not a repaired call light. Not a temporary electronic backup. A literal bell, the kind you might find on a hotel front desk, placed in the bathroom of Resident 29 so he could signal for help if something went wrong while he was alone inside.
The broken call light had gone unaddressed for weeks before a state inspector arrived at the facility on October 20, 2025, following a complaint. That morning, both the Director of Nurses and the administrator said the same thing: they hadn't known about the problem until that very day.
The Director of Nurses, identified in inspection records as V2, told the inspector at 12:25 p.m. that a call light in Resident 29's bathroom needed repair and that she had only learned of it that morning. Three hours later, she added something else: the facility had no policy on call light systems. None.
The administrator, V1, said the same thing at 1:01 p.m. She hadn't known about the broken call light until that morning either. She said she was going to call the contracted company to see when they could come look at it. She also confirmed there was no call light policy. Her plan for Resident 29 in the meantime was the bell.
By the following afternoon, October 21, the bell was in place.
What the administrator and director of nurses apparently did not know, the maintenance department had known for two weeks. The Regional Director of Maintenance, V83, told an inspector on October 30 that he had been made aware of the call light system not functioning in some areas of the building roughly two weeks earlier. He had been told by V3, identified elsewhere in the report as a facility administrator, and by V1 herself.
V83 said he was not told which specific areas had lost call light function, only that there were some general areas where the system wasn't working. He was waiting on one more contractor bid before moving forward with a full system replacement. No repairs had been made. No timeline had been set.
That gap between what maintenance knew and what the nursing leadership claimed to know on October 20 sits at the center of the inspection finding. V3, the administrator who had told V83 about the problem two weeks earlier, told the inspector the facility was waiting on a quote to replace the entire system.
The facility's own maintenance job description, undated, lists nurse call systems explicitly among the items maintenance personnel are required to check and keep in good working order. The same document states that maintenance staff will maintain electrical and mechanical equipment in proper condition. Whether anyone had been checking the call light system in Resident 29's bathroom, or in the other unspecified areas of the building where the system had also failed, is not addressed in the inspection record.
Call lights are the primary way nursing home residents summon help when they are alone. In a bathroom, where falls are most likely and where a resident may be standing, seated, or otherwise unable to move quickly, a working call light is not a convenience. For Resident 29, the weeks between when the system began failing and when an inspector showed up were weeks he spent in a bathroom with no reliable way to call for help.
The bell was still the plan as of October 21.
The inspection was classified as a complaint investigation. The violation was tagged under F0919, with a harm level of minimal harm or potential for actual harm, affecting a few residents. The facility was on page 89 of 89 in the inspection report, the last finding in the document.
As of the date of the inspection, Metropolis Rehab had no policy governing call light systems, no completed repair, no scheduled replacement, and one resident in a bathroom with a bell.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Metropolis Rehab & Hcc from 2025-11-17 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 21, 2026 · Our methodology
METROPOLIS REHAB & HCC in METROPOLIS, IL was cited for violations during a health inspection on November 17, 2025.
Not a temporary electronic backup.
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.