Facility profile · CCN 145757
Integrity Hc Of Carbondale
53 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $199,594.
Record summary
Federal record · Q1 202653
Total citations
52
Last 3 years
10
Actual harm+
3
Federal penalties
$199,594
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
53 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 9, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Oct 9, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Complaint |
| Oct 9, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | H | Complaint |
| Oct 9, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Sep 10, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint |
| Sep 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Sep 10, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint |
| Sep 10, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Complaint |
| Aug 27, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Aug 27, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Aug 27, 2025 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint |
| Aug 27, 2025 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint |
| Aug 27, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jul 23, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Jul 23, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Jul 23, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Complaint |
| Jul 23, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | G | Complaint |
| Jul 23, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Feb 10, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Feb 10, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Feb 10, 2025 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Feb 10, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Feb 10, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 10, 2025 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Feb 10, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Feb 10, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard |
| Feb 10, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Feb 10, 2025 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Feb 10, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Feb 10, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Standard |
| Feb 10, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Feb 10, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 19, 2024 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Complaint |
| Dec 19, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint |
| Dec 19, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Dec 19, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Complaint |
| Dec 19, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Oct 25, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint |
| Sep 27, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Complaint |
| Sep 27, 2024 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Sep 27, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Sep 27, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Apr 23, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Feb 8, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Feb 8, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Feb 8, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Feb 8, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard |
| Feb 8, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Feb 8, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Nov 1, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Nov 1, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| May 16, 2023 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Mar 10, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 1 civil money penalties totaling $199,594 and 2 payment-denial actions spanning 104 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 23, 2025 | Payment Denial | — | Aug 15, 2025 · 40 days |
| Dec 19, 2024 | Fine | $199,594 | — |
| Dec 19, 2024 | Payment Denial | — | Jan 22, 2025 · 64 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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