Metropolis Rehab: Food Service Failures Cited - IL
That gap, between what a resident at Metropolis Rehab & Health Care Center was supposed to receive and what actually showed up at mealtime, had been repeating for weeks by the time federal inspectors arrived in November 2025. Missing condiments. Late food. A facility that had run out of milk. Tickets that, according to a family member who had been watching closely, rarely matched what his relative was actually served.
The inspection, completed November 17, 2025, resulted in a deficiency citation under food and nutrition services. Inspectors classified the level of harm as minimal harm or potential for actual harm, and noted that some residents were affected.
The family member, identified in the report as V21, had been paying attention long enough to know the problem wasn't isolated. He told inspectors that multiple items had been missing from the tray of Resident 8, the person he visited regularly. When he asked certified nursing assistants why food was missing, they pointed him toward the kitchen. At some point, he said, the facility had simply run out of milk.
He wasn't the only one who noticed the kitchen was struggling.
A staff member identified as V20, described in the report as a dietary employee, told inspectors that problems had started on a day when there was no dietary staff present at all. Food was late that day. She thought people liked the lunch and dinner once it did arrive. But the underlying problem didn't resolve after that. Kitchen staff kept missing supplements. They weren't reading the tickets carefully. Food continued to arrive late, she said, with some days better than others.
The dietary manager, V88, spoke to inspectors on October 21. She was direct about what the standard should be. If a ticket says a resident is supposed to get butter and jelly, they should receive it. If a resident gets toast, they should receive something to spread on it. If they receive a hamburger, ketchup and mustard should come with it. She described these as basic expectations, the kind of thing a dietary ticket exists to ensure.
The registered dietician, V72, said the same thing from a clinical direction. She would expect the menu to be followed. If the facility was out of something, she would expect a substitution of equal nutritional value. Not nothing. A replacement.
What inspectors documented was a kitchen operation that had been inconsistent for long enough that a family member had started asking nursing assistants to explain it, and those nursing assistants had no better answer than to confirm what he already suspected.
For residents in a nursing facility, food is not a minor logistical matter. Many residents have specific dietary needs reflected on those tickets, whether for medical reasons, texture requirements, or nutritional supplementation. A ticket that prints off strangely, as the dietary manager described it, and a kitchen that doesn't catch the error before the tray goes out, means a resident receives something other than what their care plan called for.
The facility is located at 2299 Metropolis Street in Metropolis, a small city in far southern Illinois near the Kentucky border. The inspection was conducted as a complaint survey.
V21 had been asking questions about the missing items for weeks before inspectors showed up. The CNAs he spoke with already knew the answer. It was the kitchen.
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.
A facility that had run out of milk.
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.