Metropolis Rehab: Dietary Staff Skip Supplements - IL
That is what inspectors found during a complaint investigation that stretched from late September into late October 2025. The facility's meal tickets listed supplements and resident food preferences at the bottom of each ticket. Dietary workers said they did not read that section.
Two dietary employees said so directly, and on separate occasions weeks apart. On September 30, one worker explained the approach plainly: if they have an item like pudding, they give it. If they do not have it, they do not give it. A second dietary worker, interviewed the same afternoon, said they do not have time to read the bottom of the tickets.
The administrator knew.
On September 30, she told inspectors she was aware dietary staff were not doing well about reading the bottom of the dietary tickets, where the supplements and preferences are listed. She said she would talk to them again.
Two weeks later, on October 15, an inspector went back to the same dietary worker who had spoken on September 30. The answer had not changed. The worker said they still did not have time to read the bottom of the tickets, or to retrieve items for staff who came to the dietary door during meal service.
The facility's registered dietician, interviewed on October 27, said she would expect all supplements to be given as she recommended, specifically for residents experiencing weight loss and wounds.
Those are not minor concerns in a long-term care setting. Nutritional supplements are ordered for residents because their regular diet is not meeting their needs, and weight loss and wounds are among the conditions most dependent on consistent nutritional support. A wound that does not receive adequate protein and calories heals more slowly. A resident already losing weight who does not receive ordered supplements continues losing weight.
The inspectors tagged this deficiency under F0808, which covers the right of residents to make choices about their care, including food preferences and the delivery of care as ordered. The citation level was minimal harm or potential for actual harm, and inspectors noted few residents were affected.
What the record shows is a gap between what the dietician ordered, what the administrator acknowledged was going wrong, and what actually reached residents at mealtimes. The administrator said she would talk to staff again on September 30. Fifteen days later, a dietary worker told an inspector the same thing she had said before: no time.
The facility sits at 2299 Metropolis Street in Metropolis, a small city in far southern Illinois near the Kentucky border. The inspection was completed November 17, 2025.
Whether the supplements were ever consistently delivered to the residents with wounds and weight loss, the inspection report does not say.
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: 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: August 31, 2026 · Our methodology
METROPOLIS REHAB & HCC in METROPOLIS, IL was cited for violations during a health inspection on November 17, 2025.
That is what inspectors found during a complaint investigation that stretched from late September into late October 2025.
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.