Latest reports, citations, and penalties from CMS data
When a medication is missed or held, the facility's own policy required staff to notify the physician immediately....
The pharmacy the facility contracts with is in Kansas City....
On September 11, the day inspectors visited Integrity HC of Herrin, a staff member walked by the resident at 11:36 a.m....
Inspectors documented that the elevator, which should have served as a security checkpoint, was not operating with its safety system intact....
Sixteen residents were affected....
The resident, identified in inspection records as Resident A, had ADHD and a colostomy that physician orders required staff to manage every shift....
Inspectors pulled the facility's Omnicell inventory log for that same day....
The resident, identified in inspection records as R2, had been prescribed hydrocodone-acetaminophen 10/325mg for pain....
The complaint that triggered a September 12 inspection centered on a nursing assistant identified in inspection records as NA-P....
The incident happened on August 30, 2025....
The staffing coordinator described both dismissals to inspectors during a September 2025 complaint investigation....
Inspectors were watching when the nurse, identified in the report as V13, prepared noon medications....
On the morning of September 10, inspectors watched a licensed practical nurse perform that dressing change....
Inspectors first observed the problem on September 7, during an early morning walkthrough of the facility's first floor....
The bag, at that moment, was on the floor next to her chair....
All of it was in the Assisted Living Kitchen that prepares food for the facility's 98 residents....
That resident, identified in inspection records as R5, was admitted to the facility with cognitive impairment and behavioral issues....
Federal inspectors observed the unlocked cart at 12:07 p.m....
Somewhere in that cycle, the medication stopped....
The Enhanced Barrier Precautions sign was posted directly on the resident's door....