F 0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or
her rights.
Level of Harm - Minimal harm
or potential for actual harm
Based on interview, record review and
Residents Affected - Few
observation, the facility failed to protect and
promote residents rights for 1 of 3 (R1) residents
reviewed for resident rights in a sample of 12.
Findings included:
R1's admission record documented R1 was
admitted to this facility on 6/18/2025, with
diagnoses of sepsis due to methicillin susceptible
staphylococcus aureus, infection and
inflammatory reaction due to cardiac and vascular
implant device and presence of cardiac
pacemaker.
R1's admission record documented
R1 has an expected length of stay to be 21 days.
R1 is alert and oriented.
R1's care plan with admission date of 6/18/2025
documented R1 has a focus area of: (R1) has a
functional self care performance deficit r/t (related
to) recent hospital stay, weakness and
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 8
Event ID:
145863
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145863
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Integrity Hc of Marion
1301 East Deyoung
Marion, IL 62959
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
deconditioning. (R1) is independent for most
Level of Harm - Minimal harm
or potential for actual harm
functional tasks. (R1) is independent for eating.
(R1) is able to perform most bed mobility tasks
Residents Affected - Few
independently. (R1) is continent of bowels and
bladder. (R1) is able to ambulate with
supervision. (initiation date of 6/26/2025). Care
planned interventions included: Discuss with
resident/family any care concerns related to loss
of independence or decline in function and
encourage (R1) to use the bell (call light) to call
for assistance. R1's care plan does not include a
plan of care for R1's physical restraints, R1's
preferred activities, R1's ability to have personal
property or R1's right to communicate with family
or use a telephone.
R1's admission contract documented the
following: The contract between resident and
facility is made as of June 19, 2025 by and
between (R1) and (the facility's name) located at
(the facility's address). The contract outlines the
residents rights and obligations after being
admitted to this facility. Under the section titled
Attachment J: Statement of Resident Rights, is
documented in part: No resident shall be deprived
of any rights benefits, or privileges guaranteed by
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145863
If continuation sheet
Page 2 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145863
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Integrity Hc of Marion
1301 East Deyoung
Marion, IL 62959
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
law, the Constitution of the State of Illinois, or the
Level of Harm - Minimal harm
or potential for actual harm
Constitution of the United States, nor shall a
resident forfeit any of the following rights:
Residents Affected - Few
A. Residents Rights: The resident has a right to a
dignified existence, self-determination, and
communication with and access to persons and
services inside and outside the facility. The facility
must treat each resident with respect and dignity
and care for each resident in a manner and in an
environment that promotes maintenance or
enhancement of his quality of life. The facility
must protect and promote the rights of the
resident.
E. Respect and Dignity: The resident has a right
to be treated with respect and dignity including
the right to be free from any physical or chemical
restraints imposed for purposes of discipline or
convenience and are not required to treat the
resident's medical symptoms. The right to retain
personal possessions.
F. Self-Determination: The resident has the right
to and the facility must promote and facilitate
resident self-determination through support of
resident choice. The resident has a right to
choose activities, schedules and health care
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145863
If continuation sheet
Page 3 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145863
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Integrity Hc of Marion
1301 East Deyoung
Marion, IL 62959
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
services consistent with his interests,
Level of Harm - Minimal harm
or potential for actual harm
assessments and plan of care. The resident has
the right to make choices about aspects of his life
Residents Affected - Few
in the facility that are significant to the resident,
including the right to exercise free choice in
selecting activities, schedules and daily routines.
The resident has the right to interact with member
of the community and participate in community
activities both inside and outside the facility. The
resident has the right to receive visitors of his
choosing and the time of his choosing. The facility
must provide immediate access to a resident by
immediate family and other relatives of the
resident. The facility must provide immediate
access to a resident by others who are visiting
with the consent of the resident. The resident has
a right to participate in resident groups in the
facility. The resident has the right to participate in
activities, including social, religious and
community activities.
G. Information and Communication: The resident
has the right to have reasonable access to the
use of a telephone, including the right to retain
and use a cellular phone at the residents own
expense. The facility must protect and facilitate
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145863
If continuation sheet
Page 4 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145863
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Integrity Hc of Marion
1301 East Deyoung
Marion, IL 62959
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
the resident's right to communicate with
Level of Harm - Minimal harm
or potential for actual harm
individuals and entities within and external to the
facility.
Residents Affected - Few
I. Personal Property: The resident has the right to
retain and use or wear personal property in the
resident's Attachment I: Inventory Log is left blank and
indicates R1 was admitted without any personal
property. A hand written N/A (not applicable) is
noted on top of the page.
R1's facility admission contract on page 14 and
titled Signature Page, contains the written
signature of R1 and documented the signature
was obtained on 6/19/2025. The contract does
not include any information that restricts R1's
rights as a resident being admitted to this facility
and does not include any information or
agreement with the federal prison system for
restricting R1's rights as a resident of this facility.
On 7/8/2025 at 10:00am, V1 (Administrator) said
R1 was admitted to this facility on 6/18/2025. V1
said R1 was admitted for a short term stay to
receive IV (intravenous) antibiotics and then will
be discharged . V1 said R1 is an inmate of the
federal prison system and has two federal prison
guards watching him in his room. V1 said
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145863
If continuation sheet
Page 5 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145863
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Integrity Hc of Marion
1301 East Deyoung
Marion, IL 62959
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
because R1 is a federal prisoner, R1 is not
Level of Harm - Minimal harm
or potential for actual harm
allowed to leave his room, not allowed to leave
the facility, not allowed to participate in facility
Residents Affected - Few
activities, is not allowed to have personal
property, is not allowed to have visitors and is not
allowed to use the telephone. V1 said the facility
must follow the rules the federal prison imposes
on R1 due to R1 being a prisoner. V1 said the
facility does not have any policies or protocols on
admitting inmates for medical care to this facility.
V1 said the facility does not have any type of
contract with the federal prison system for
providing care for federal inmates. V1 said the
facility treats R1 like any other resident, and R1
signed the facility admission contract himself. V1
said the facility has in the past admitted other
federal prisoners for short term medical care that
did not require being shackled to their beds, they
could participate in facility activities, leave their
room, could eat in the dining room and they did
not require being guarded by prison guards.
On 7/8/2025 at 1:45pm, V4 (Registered Nurse)
said he is the nurse providing care for R1. V4
said R1 is in a private room with a private
bathroom with two armed prison guards
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145863
If continuation sheet
Page 6 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145863
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Integrity Hc of Marion
1301 East Deyoung
Marion, IL 62959
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
monitoring R1 in R1's room. V4 said R1 is
Level of Harm - Minimal harm
or potential for actual harm
chained to the bed and is not allowed to leave the
room. V4 said R1 eats all his meals in his room
Residents Affected - Few
and is not allowed to use the call light. V4 said R1
provides his own activities of daily living care and
does not require staffs assistance for toileting or
bathing.
On 7/9/2025 at 10:30am, R1 was observed in his
room, in bed and was handcuffed to his bed. Two
guards were sitting in R1's room guarding him.
R1 was dressed in a hospital gown. R1 had no
personal belongings in his room. R1 said he has
not been allowed to leave his room since being
admitted to this facility on 6/18/2025. R1 said he
has not been allowed any visitors or use a
telephone since being admitted to this facility. R1
said he is not allowed to have any personal
property or wear any personal clothing since
being admitted to this facility.
On 7/9/2025 at 11:45am, V8 (Federal Prison
Captain) said R1 is an inmate of the federal
prison system and R1 is only at this facility for
short term medical care and then will be
discharged back to the federal prison. V8 said the
federal prison has protocols they must follow for
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145863
If continuation sheet
Page 7 of 8
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
145863
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Integrity Hc of Marion
1301 East Deyoung
Marion, IL 62959
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0550
inmates who are outside of the prison and have
Level of Harm - Minimal harm
or potential for actual harm
been admitted to healthcare facilities for medical
treatment. V8 said due to R1's criminal
Residents Affected - Few
convictions, the federal prison's protocols require
R1 to be handcuffed to his bed at all times and
have two guards watching him. V8 said if deemed
medically necessary, R1 would be allowed to
leave his room, but R1 must be fully shackled
with leg irons, hand cuffs, monitoring devices and
be in the presence of two armed prison guards.
V8 said R1 is not allowed to participate in any
activities inside or outside of the facility and is not
allowed access to a telephone or visitors. V8 said
he could not provide the surveyor with a copy of
the federal prisons protocols for R1 without
permission from their legal department. V8 said
he did not have permission to release the
protocols and thus would not.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145863
If continuation sheet
Page 8 of 8