Optalis Health & Rehabilitation: Resident Falls From Bed - MI
She had been on her side, facing the doorway, while a certified nursing assistant cleaned her up after a bowel movement....
Latest reports, citations, and penalties from CMS data
She had been on her side, facing the doorway, while a certified nursing assistant cleaned her up after a bowel movement....
Her admission skin assessment noted the two areas....
The employee, identified in inspection records only as Staff B, had signed an acknowledgment of risk that came out of a construction review process....
The pest control company had flagged the problem as far back as February 2026....
The May 2026 inspection found the facility had not followed physician medication orders for a small number of residents....
Federal inspectors, responding to a complaint, reviewed the care that followed....
When inspectors visited on May 27, 2026, they found no traps in her room....
That omission sat undiscovered for months....
The resident, admitted in September 2022 with diagnoses including schizoaffective disorder and COPD, had been flagged as an elopement risk since May 2023....
That finding sits at the center of a complaint inspection completed May 29, 2026, at San Antonio North Nursing and Rehabilitation....
The resident, identified in inspection records only as Resident 1, has a gastrostomy tube, known as a PEG tube, used for feeding....
Inspectors cited the facility under a deficiency category covering how nursing homes procure, store, prepare, distribute, and serve food....
At Clearview Home, federal inspectors found that clock was not being honored....
The scheduling coordinator, Staff E, told inspectors they were notified around 4:00 PM on May 13 that some call lights on the Cove unit weren't working....
The admission came at the close of a complaint inspection completed May 29....
The morphine had already peaked....
That changed the day after a federal inspector started asking questions....
That category exists because residents of long-term care facilities are, by definition, among the most vulnerable people in any community....
Federal inspectors arrived at Brandon Court on May 28, 2026, responding to a complaint....
The findings at Woodard Creek Health & Rehabilitation came from a complaint inspection completed May 29, 2026....