Optalis Bloomfield Hills: Missed Seizure Meds, Blood Thinners - MI
The resident, identified in inspection records only as R703, receives most medications through a J-tube or PEG-tube. They take clobazam, lacosamide, and lamotrigine for seizures, along with dantrolene sodium, which the records link to epilepsy. They take buspirone for attention deficit hyperactivity disorder. They take Lovenox, a blood thinner injected subcutaneously once a day, because of a personal history of pulmonary embolism. On June 24, that injection did not happen.
The missed doses ran across June 23, 24, 25, 26, 28, and 29. The antibiotic ointment at the PEG site, prescribed three times a day for a rash, went unapplied across at least fourteen scheduled doses over six days. The zinc oxide paste, ordered four times daily for the same site, missed multiple applications as well.
The medication administration record made none of this hard to find. Every skipped dose was documented. What was missing was the medication itself.
Federal inspectors returned to Optalis Health & Rehabilitation of Bloomfield Hills on September 17, 2025, for a complaint inspection. By then, the pattern extended beyond June. Records showed gabapentin, an oral solution R703 receives through a PEG-tube for pain, listed as "awaiting pharmacy" on the morning of July 29, again on July 30, and again on August 22, when the pharmacy told staff the medication was not due for refill until the following day. Dicyclomine, used to treat gastroparesis, showed as "awaiting pharmacy" on the morning of August 16 and remained on order into the afternoon.
The Director of Nursing, speaking with inspectors that morning, described a process that should have prevented all of it. Staff are supposed to use a backup supply when medications run short. They can also use a drop-ship method, described as a faster option for getting drugs delivered. Medications should be reordered two to three days before a resident runs out. The director confirmed that residents should receive their medications as ordered.
The director also said the facility had recently switched to a new pharmacy in an attempt to keep medications reliably available.
The inspection report does not say whether anyone was disciplined. It does not say whether R703's physicians were notified each time a dose was skipped, though the August 22 gabapentin entry notes that staff planned to notify the doctor after learning the refill wasn't due until the next day. It does not say whether missing three seizure medications over consecutive days caused any change in R703's condition.
What it says is that the process existed, staff knew it, and the doses were not given.
R703 is a resident who depends on a feeding tube for medications. They have a documented seizure disorder managed with multiple drugs simultaneously. They have a history of a blood clot in the lungs serious enough to require daily anticoagulation. When they came back from the hospital in June, the facility had at minimum two to three days of lead time built into its own reordering policy to make sure that wouldn't happen.
The inspection cited the deficiency at a level of minimal harm or potential for actual harm, with few residents affected. The facility's plan of correction was not included in the publicly released report.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Optalis Health & Rehabilitation of Bloomfield Hill from 2025-09-17 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 28, 2026 · Our methodology
Optalis Health & Rehabilitation of Bloomfield Hill in Bloomfield Hills, MI was cited for violations during a health inspection on September 17, 2025.
The resident, identified in inspection records only as R703, receives most medications through a J-tube or PEG-tube.
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.