Metropolis Rehab: Supply Shortages Leave Residents in Wrong-Size Briefs - IL
That detail came from one of four certified nursing assistants interviewed during an October inspection at the 89-page facility. The shortage wasn't a one-day problem. Staff described running out of incontinence briefs, cleansing wipes, towels, and washcloths periodically for approximately six months.
When the CNAs ran out of the correct size of incontinence briefs, they used whatever size was available. One CNA, identified in the inspection report as V47, explained why that matters. If a brief is too large, urine or feces leaks. If it's too small, it causes skin irritation. V47 said she had reported the supply problem to the director of nursing.
Another CNA, V19, described what happens when pull-ups are substituted for briefs on residents who can't get out of bed. "That is like putting a pull up on a baby who needs a diaper," V19 told inspectors on October 20. V19 said pull-ups work for residents who are incontinent but can walk. For residents who are incontinent and not ambulatory, a brief is what they need. Each resident's plan of care, V19 said, should specify what type of incontinence supply they require.
A third CNA, V42, confirmed the facility ran out of wipes and incontinence briefs and that no one had told her to substitute pull-ups. She said she used the next closest size when the right one wasn't available.
V48 told inspectors the facility had been short on supplies for about two months, with large quantities of one size on hand and none of another. She said she had reported it to administration, who told her supplies were on back order and that someone would go to a local store to buy what was needed. She said she was never sure whether they did.
The director of nursing, V2, told inspectors on October 22 that she didn't see a concern with using pull-ups in place of briefs as long as CNAs were doing their bed checks. Then she walked that back slightly, acknowledging she wasn't sure whether a pull-up could absorb a full incontinence episode if it happened right after a resident was changed, and that the failure to do so increases the risk of skin breakdown.
The administrator, V1, told inspectors she was not aware of the facility being out of any supplies except cleansing wipes one time. She said someone from administration went to a local department store and bought some when that happened, and attributed the shortage to the facility's regular supply person being out on maternity leave. She denied the facility had ever run out of washcloths or towels.
When inspectors pointed to a grievance filed on August 6 by staff about two consecutive mornings without towels for showers, V1 reframed it. She said the complaint was because a resident's family wanted thicker towels, not because the facility was out of them. She also offered another explanation for why staff kept saying supplies were missing: they didn't want to walk back to the laundry room to look for them.
The grievance form tells a different story. The staff member who investigated the August complaint documented finding bath towels and washcloths scattered across the building: in a deceased resident's old room, in a closet between shower rooms, in another resident's room during a deep clean. The resolution, dated August 7, noted that the laundry supervisor had been spoken with to ensure laundry was being completed on schedule in the evenings, and that new towels and washcloths had been ordered.
The administrator said there is no facility policy regarding towels.
Inspectors cited the facility under a deficiency tagged to residents' rights to personal care supplies, noting minimal harm or potential for actual harm affecting a few residents. The inspection was completed November 17, 2025.
Four CNAs described the same problem, from different shifts, over a span of two days. One of them had been cutting towels. The administrator said she wasn't aware of it.
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: July 21, 2026 · Our methodology
METROPOLIS REHAB & HCC in METROPOLIS, IL was cited for violations during a health inspection on November 17, 2025.
That detail came from one of four certified nursing assistants interviewed during an October inspection at the 89-page facility.
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.