The inspection took place Friday at the hospital’s Rendezvous Café and patient kitchen. Inspectors reported cockroaches in several areas, including food preparation spaces, the grill, deep fryer and dry storage. The inspection summary also cited grease and food debris buildup, leaking sinks and pipes, damaged flooring, and improperly stored utensils. Some earlier pest-control and cleaning violations remained uncorrected, the summary said.

Inspectors ordered the facility to clean and sanitize surfaces and have pest-control services address the infestation. The findings also included milk crates used as shelving, a torn gasket on a food-preparation cooler and a leaking sink in a prep area.

Jasmine Davenport Murray, an environmental health specialist with ARF Food Consulting Group, said more than 200 cockroaches suggested a significant infestation and raised questions about how long it had been present. She said food safety is especially important in a hospital, where patients may be more vulnerable to illness.

In a statement, Illinois Masonic said it was taking steps to meet requirements for safely resuming kitchen operations. The hospital said patients continued to receive meals through an alternative food-preparation and meal-service provider.

The inspection did not specify when the cafeteria and kitchen would reopen. Davenport Murray said addressing the conditions would take more than a day or two and emphasized the role of regular inspections in preventing pest and sanitation problems.