Metropolis Rehab: Cold Shower Complaints Ignored - IL
That resident, identified in inspection records as R6, told inspectors three weeks later that it had happened more than once. "There were times CNA's would take you back to your room without being dressed," she said. She also described the shower room itself as cold, and cold again after the shower was over, even when aides had let the water run long enough to warm up.
She was not alone in saying so.
R38, alert and oriented to person, place, and time, told inspectors on October 23 that getting showers was cold and that she didn't like it. R10, also cognitively intact, said she avoided showers because of the cold. R25, whose room measured 77 degrees Fahrenheit when inspectors took a reading on October 23, had taken to wearing long pants, a long-sleeved shirt, and a flannel shirt layered over it. His nails, inspectors noted on October 20, were long and carried a large amount of dark debris underneath.
R3 had told staff she preferred a warmer room. Her care plan, dated September 26, 2024, documented that preference explicitly. She has Alzheimer's disease with late onset, dementia, chronic obstructive pulmonary disease, and a body mass index at or below 19.9. When inspectors measured her room on October 23, it was 75 degrees. She was wearing a sweatshirt and sweatpants and was covered with a blanket. She told inspectors she was comfortable at that moment. She said she was not cold.
Her family member had a different account.
V16, identified in the report as R3's family, told inspectors on October 23 that R3 gets cold easily. She said she had told the CNAs that the shower room was too cold for R3. She had gone down to the shower room herself and found it cool, particularly, she said, for a small older person who is wet from a shower. She asked why they couldn't make it warmer in the room.
She said she never received an answer.
Two other visitors confirmed what residents had been saying. V47 told inspectors on October 22 that residents had told her the shower room was chilly or cold, especially after their showers. V48, interviewed the following day, said the same. "It can be cold in the shower room," V48 told inspectors. "She can see where the residents would find the room cold if they were wet and unclothed."
The inspection, which was conducted in response to a complaint, covered multiple residents with serious underlying conditions. R6 carries diagnoses of acute respiratory failure, chronic obstructive pulmonary disease, heart failure, dementia, and acute kidney failure. R10 has kidney cancer, severe protein-calorie malnutrition, muscle wasting and atrophy, and type 2 diabetes with ketoacidosis. R38 has dementia, anemia, osteoporosis, and a nonrheumatic aortic valve disorder. These are not residents with reserves to draw on when they are cold and wet.
The deficiency was cited under the standard requiring facilities to honor residents' dignity and their right to have their preferences accommodated, and was assigned a harm level of minimal harm or potential for actual harm.
What the inspection captured was not a single incident or a single resident. It was a pattern, documented across multiple weeks, multiple residents, and multiple family members, all describing the same cold room and the same absence of a response. R6 had been observed undressed and covered only in a towel on September 30. By late October, she was still describing it as something that happened more than once.
R3's family member had asked why the shower room couldn't be made warmer. She asked more than once. Nobody ever told her why.
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.
That resident, identified in inspection records as R6, told inspectors three weeks later that it had happened more than once.
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.