Optalis Bloomfield Hills: Psych Med Consent Failures - MI
The resident, identified in inspection records as R705, last saw a psychiatric practitioner on December 5, 2024. His Seroquel was reduced from 25 milligrams to 12.5 milligrams on August 7, 2025. Nobody told his family representative, identified as RR "J," before the change was made. Nobody obtained consent.
When inspectors asked the Director of Nursing why R705 had gone without psychiatric oversight for most of the year, she said the family didn't want the facility's contracted psychiatrist, Physician "K," involved. She said a psychiatric nurse practitioner came on Mondays, but R705 was at dialysis. She said the social services department was responsible for coordinating an alternative. The social worker, SW "L," said they had recently arranged virtual visits. Asked when those had occurred, she said they hadn't happened yet.
Later that afternoon, SW "L" returned with a printed consultation from Physician "K" dated August 6, 2025, one day before the Seroquel reduction. The facility did not have it on file. SW "L" said she had just retrieved it from the physician.
Inspectors reviewed the document. Physician "K" had signed it at 3:04 PM that day, September 17, 2025. SW "L" handed it to inspectors six minutes later.
SW "L" confirmed no conversation had taken place with the family about the dose reduction and that consent was never obtained. She offered no explanation for why R705 had gone unseen between December 2024 and August 2025.
The family's objection to Physician "K" wasn't documented until August 25, 2025, nearly three weeks after he had already seen R705 and reduced his medication. By the time inspectors arrived, the family still hadn't been told what had changed or why.
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.
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 22, 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 as R705, last saw a psychiatric practitioner on December 5, 2024.
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.