Optalis Three Rivers: Resident Fracture Ignored - MI
That's what inspectors found at Optalis Health and Rehabilitation of Three Rivers during a complaint inspection that wrapped October 22.
The Director of Nursing, identified in inspection records as DON B, told inspectors that the resident, referred to as R1, had not been wandering into other residents' rooms before the fracture. She said that if wandering had been a problem before October 11, staff would have put interventions in place then. None were put in place after, either.
The MDS nurse confirmed that R1 now needed assistance walking and with daily activities where she hadn't before, and that a significant change assessment was underway. The fracture had changed what R1 could do. The facility's response had not changed at all.
A second resident, R2, created a separate problem. Staff were afraid of him, both in common areas and when entering his room. DON B said she had no idea. Her solution, offered to inspectors, was that other residents would let her know if R2 was bothering them.
The activities manager said R1 attends no group activities. Staff provide one-on-one activities with her daily. R2 participates only when food is involved.
The facility had a power of attorney contact for R1 to call when behavior issues arose. Staff tried to reach that family member to discuss R1's situation and couldn't get through.
Inspectors classified the violations as causing actual harm, affecting a small number of residents. R1 went from independent to needing help walking. The facility's interdisciplinary team reviewed the situation and decided no additional supervision was necessary for either resident.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Optalis Health and Rehabilitation of Three Rivers from 2025-10-22 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
Optalis Health and Rehabilitation of Three Rivers in Three Rivers, MI was cited for violations during a health inspection on October 22, 2025.
That's what inspectors found at Optalis Health and Rehabilitation of Three Rivers during a complaint inspection that wrapped October 22.
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.