Metropolis Rehab: Lab Results Missed for Weeks - IL
That call took place on May 20, 2026. The urine culture had been drawn ten days earlier, on May 10. Nobody at the facility had known about it.
The nurse, identified in inspection records as V6, had called the lab that afternoon to check whether blood work drawn earlier that day had been faxed back to the facility. While they were talking, the lab technician asked whether V6 also wanted the urine culture result sent over. V6 said she had not sent any urine. The technician told her the culture was from May 10. V6 told them to fax it, because she had not been aware a urinalysis existed.
The inspection, completed May 26, 2026, found that the lapse caused actual harm to the resident identified as R1.
A second nurse, V2, told inspectors she was responsible for ensuring physician orders were accurately taken and completed. The medical provider involved was described as new and had been rounding on his own or with floor nurses. When inspectors asked V2 directly who bore responsibility for making sure orders were followed through, she said she did.
The facility's medical director, identified as V11, told inspectors on May 26 that he expected staff to review physician progress notes. If it was unclear what labs a physician had ordered, V11 said, staff should contact the physician to get clarification. He said he expected the facility to follow physician orders.
What the inspection does not show is any evidence that clarification was sought, or that anyone at the facility noticed a gap between what had been ordered and what had been done, until a lab technician raised it by chance.
The same inspection found concerns about how the facility monitored residents' skin. The facility's own policy, dated February 2026, required licensed nurses to conduct weekly skin checks, document findings in the medical record, initiate protective dressings when new wounds were identified, and notify the health care provider. The policy specifically addressed moisture-associated skin damage, describing how prolonged exposure to urine or feces can progress from mild irritation to blistering, erosion, and breakdown of the skin's outer layer, and noted that secondary fungal and bacterial infections can follow.
The policy also required that incontinence briefs fit properly and wick moisture away from the skin.
A separate facility policy on significant condition changes, dated December 2024, required staff to notify both the resident's family representative and the medical practitioner when a resident developed new wounds or experienced changes in physical status. It required that the medical practitioner be contacted immediately for emergencies and that all significant changes be recorded in the resident's file.
Whether those notifications happened for R1, and what condition R1's skin was in during those ten days, the inspection record does not say in full. What it does say is that the deficiency caused actual harm, and that the harm affected at least one resident.
The facility is located at 2299 Metropolis Street in Metropolis, a small city in southern Illinois near the Kentucky border. The inspection was a complaint survey, meaning it was triggered by a concern reported to regulators rather than a routine visit.
V6 was still on the phone with the laboratory when she learned the culture existed. She told the technician to send it. Whether the result changed anything for R1 by that point, ten days after the sample was drawn, the 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 2026-05-26 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 16, 2026 · Our methodology
METROPOLIS REHAB & HCC in METROPOLIS, IL was cited for violations during a health inspection on May 26, 2026.
That call took place on May 20, 2026.
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.