Optalis Health And Rehabilitation Of Canton
Inspection Findings
F-Tag F0552
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0552 during a standard health inspection conducted on 2025-08-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Ensure that residents are fully informed and understand their health status, care and treatments.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0602
F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
DON was interviewed about the missing Oxycodone. The DON stated that the medication was initially received from the pharmacy on 6/16/2025. The DON was unable to determine the time that the medication was delivered by pharmacy. The DON added that Nurse Manager E signed the Controlled Substance document from the pharmacy for a total of three controlled substances cards: one card had 30 Clonazepam tablets and two cards with 30 tablets of Oxycodone that totaled 60 tablets on 6/16/2025. The DON was asked when the one card containing 30 Oxycodone tablets went missing. The DON said, I'm not sure when
the Oxycodone went missing.I'm not sure who took the narcotic (Oxycodone). The DON was then asked about her documentation on the investigative report revealed that Agency Nurse V was the alleged nurse staff who had access to the medication cart during the shift and removed the Oxycodone. The DON said, I'm not sure who took the Oxycodone.It could be anyone at this point.I don't know, I don't know, I don't know. The DON stated that the narcotic sheet was also removed from the narcotic book. The DON added that Nurse AA called around 10A.M. on 6/21/2025 and stated that they called pharmacy due to Resident R1 was out of Oxycodone. The DON said that pharmacy indicated that they delivered 60 Oxycodone on 6/16/2025 and Resident R1 should have enough Oxycodone in the cart. The DON then said she called the pharmacy and ordered Oxycodone to be taken from the Pyxis machine (an automated medication dispensing system used to streamline medication management and enhance patient safety.) At this time the DON revealed a report showing Oxycodone 10-325mg was removed from the Pyxis timed stamped at 12:02PM on 6/22/2025 and administered to Resident R1.A review of Resident R1's Medication Administration Record noted documentation on 6/22/2025 that the Oxycodone 10-325mg was administered at 10am; however, the Oxycodone 10-325mg was not available at that time according to Nurse AA and the DON.On 08/12/2025 at 1:45 PM, the Nursing Home Administrator (NHA) was interviewed and queried about their expectation of Controlled Substance compliance. The NHA said, The Nurse staff must adhere to policies and procedures around controlled substance.A review of the facility's Abuse policy updated 5/24/2023 revealed the following: Residents have
the right to be free from abuse, neglect, exportation, mistreatment, and misappropriation of resident property.The facility will provide ongoing oversight and supervision of staff in order to assure that its policies are implemented as written.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Canton
7025 Lilley Road Canton, MI 48187
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
during the shift and removed the Oxycodone. The DON said, I'm not sure who took the Oxycodone.It could be anyone at this point.I don't know I don't know I don't know. The DON stated that the narcotic sheet was also removed from the narcotic book. The DON added that Nurse AA called around 10A.M. on 6/21/2025 and stated that they called pharmacy due to Resident R1 was out of Oxycodone. The DON said that pharmacy indicated that they delivered 60 Oxycodone on 6/16/2025 and Resident R1 should have enough Oxycodone in the cart. The DON then said she called the pharmacy and ordered Oxycodone to be taken from the Pyxis machine (an automated medication dispensing system used to streamline medication management and enhance patient safety). At this time the DON revealed a report showing Oxycodone 10-325mg was removed from the Pyxis timed stamped at 12:02PM on 6/22/2025 and administered to Resident R1.A review of Resident R1's Medication Administration Record noted documentation on 6/22/2025 that the Oxycodone 10-325mg was administered at 10am; however, the Oxycodone 10-325mg was not available at that time according to Nurse AA and the DON.On 08/12/2025 at 1:45 PM, the Nursing Home Administrator (NHA) was interviewed and queried about their expectation of Controlled Substance compliance. The NHA said, The Nurse staff must adhere to policies and procedures around controlled substance.A review of the facility's Abuse policy updated 5/24/2023 revealed the following: Residents have the right to be free from abuse, neglect, exportation, mistreatment, and misappropriation of resident property.The facility will attempt to coordinate with State and Local law enforcement annually and as needed to determine which crimes are reportable. The facility will ensure that all allegations involving abuse, neglect, exportation, mistreatment, injuries of unknown source, misappropriation of resident property, and crimes are reported immediately to
the Administrator and: Report to State Survey Agency immediately .and law enforcement .
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
08/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Canton
7025 Lilley Road Canton, MI 48187
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
available. Nurse AA said they called the pharmacy for a refill. The pharmacy told Nurse AA that the resident received a quantity of 60 Oxycodone 10-325mg tablets on 6/16/25, which was too soon for a refill. Nurse AA stated they called the DON related to the missing Oxycodone. Nurse AA was asked if 30 Oxycodone 10-325mg tablets was counted at the beginning of their shift on 6/22/25. Nurse AA stated that they counted
the cart, it was accurate according to the narcotic sheet, and it did not appear to be missing Oxycodone.On 08/13/2025 at 1:45 PM, the Nursing Home Administrator (NHA) was interviewed and queried about their expectation of Controlled Substance compliance. The NHA said, The Nurse staff must adhere to policies and procedures around controlled substances.Sometimes nurses will leave before counting the cart if the incoming nurse is late.that is not how it should beA review of the facility's Abuse policy updated 5/24/2023 revealed the following: Residents have the right to be free from abuse, neglect, exportation, mistreatment, and misappropriation of resident property.Key to investigations is an environment that facilitates the reporting of such allegations. Once reported, the center conducts a timely, thorough, and objective investigation of any allegation of abuse.Identify and interview all involved persons, including the alleged victim, alleged perpetrator, witness an others who might have knowledge of the allegations.
Event ID:
Facility ID:
If continuation sheet
F-Tag F0628
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-18.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0645
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-08-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0678
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0678 during a standard health inspection conducted on 2025-08-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0697
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0697 during a standard health inspection conducted on 2025-08-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate pain management for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0698
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-08-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0761
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-18.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0812
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-18.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0814
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0814 during a standard health inspection conducted on 2025-08-18.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Dispose of garbage and refuse properly.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
F-Tag F0908
Federal health inspectors cited Optalis Health and Rehabilitation of Canton in Canton, MI for a deficiency under regulatory tag F-F0908 during a standard health inspection conducted on 2025-08-18.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Keep all essential equipment working safely.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 13 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Canton.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-10.
Optalis Health and Rehabilitation of Canton in Canton, MI inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Canton, MI, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Optalis Health and Rehabilitation of Canton or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.