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Optalis Grand Rapids: CPR Failure, Immediate Jeopardy - MI

Healthcare Facility
Optalis Health And Rehabilitation Of Grand Rapids
Grand Rapids, MI  ·  1/5 stars

Federal inspectors who completed a complaint inspection at Optalis Health and Rehabilitation of Grand Rapids on December 29, 2025, found that the facility was not following the manufacturer's own instructions for the female external catheter urine collection system. Those instructions required the collection system and its accessories to be cleaned and disinfected at each use, or at minimum once daily. Neither was happening.

The violation was recorded under F0690 and classified as causing minimal harm or potential for actual harm. Inspectors noted that signs of degradation were present.

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A small number of residents were affected.

External catheters, sometimes called Texas catheters or condom-style catheters, are designed as a less invasive alternative to internal urinary catheters. When collection equipment is not cleaned between uses, bacteria and other contaminants can accumulate in direct contact with a resident's skin and urinary area. The manufacturer's cleaning requirement exists precisely to prevent that accumulation.

The inspection was triggered by a complaint, not a routine survey cycle. That means someone, whether a resident, family member, or staff, raised a concern directly with regulators before inspectors arrived.

Optalis Health and Rehabilitation of Grand Rapids operates at 1950 32nd Street SE. The facility's plan of correction was not included in the inspection report and would need to be obtained directly from the facility or the Michigan state survey agency.

What the record shows is straightforward: equipment designed to manage a basic bodily function was left uncleaned, in contact with residents who depended on staff to maintain it.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Optalis Health and Rehabilitation of Grand Rapids from 2025-12-29 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

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: August 5, 2026  ·  Our methodology

Quick Answer

Optalis Health and Rehabilitation of Grand Rapids in Grand Rapids, MI was cited for immediate jeopardy violations during a health inspection on December 29, 2025.

Those instructions required the collection system and its accessories to be cleaned and disinfected at each use, or at minimum once daily.

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.

Frequently Asked Questions

What happened at Optalis Health and Rehabilitation of Grand Rapids?
Those instructions required the collection system and its accessories to be cleaned and disinfected at each use, or at minimum once daily.
How serious are these violations?
These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Grand Rapids, MI, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Optalis Health and Rehabilitation of Grand Rapids or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 235458.
Has this facility had violations before?
To check Optalis Health and Rehabilitation of Grand Rapids's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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