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Complaint Investigation

Optalis Health And Rehabilitation Of Canton

December 1, 2025 · Canton, MI · 7025 Lilley Road
Citations 5
CMS Rating 2/5
Beds 150
Provider ID 235618
Healthcare Facility
Optalis Health And Rehabilitation Of Canton
Canton, MI  ·  View full profile →
Inspection Summary

Optalis Health and Rehabilitation of Canton in Canton, MI — inspection on December 1, 2025.

Found 5 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

During an interview on 12/1/25 at 11:42 AM, the Nursing Home Administrator (NHA) acknowledged that the resident-to-resident verbal and physical altercation between R104 and R105 on 10/11/25 could have been prevented had R105 remained on the first-floor MedBridge unit, rather than being moved back to the second-floor Cherry Hill South unit.

The facility policy titled, Abuse, dated 5/24/23 was reviewed and documented in part the following:Residents have the right to be free from abuse.Prevention (of abuse) consists of facility systems designed to detect, identify, correct, and prevent the occurrence of abuse.Completing ongoing assessments and care planning for appropriate interventions, and monitoring of residents with behaviors, including but not limited to: verbally aggressive behaviors (screaming, cursing, demanding, insulting, etc, physically aggressive behaviors (hitting kicking, biting, spitting, throwing objects, threatening gestures, etc.)The facility will educate the staff in identifying abuse .Possible indicators of abuse include, but are not limited to: physical abuse of a resident observed.Any allegation of abuse must be immediately reported to the supervisor and the Abuse Prevention Coordinator.

The Administrator initiates investigating any allegation of abuse against a patient.If a resident is the alleged perpetrator, the facility will ensure other residents are protected as determined by the circumstances, which may include but are not limited to resident room changes, increased supervision, or immediate transfer or discharge, if indicated.

On 12/1/25 at 12:30 PM during the exit conference, the NHA and DON did not offer additional documentation or information when asked.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/01/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Optalis Health and Rehabilitation of Canton

7025 Lilley Road Canton, MI 48187

SUMMARY STATEMENT OF DEFICIENCIES

During an interview on 12/1/25 at 11:42 AM, the Nursing Home Administrator (NHA) confirmed that the 9/14/25 incident between R104 and R105 was reportable to the State Agency but was not reported due to an internal failure to notify her of the event.

The facility policy titled, Abuse, dated 5/24/2023, was reviewed and documented in part the following: The facility will ensure that all allegations involving abuse .are reported immediately to the Administrator and: Reported to the State Survey Agency immediately but not later than two hours after the allegation is made if the allegation involves abuse or results in serious bodily injury .or Reported to the State Survey Agency no later than 24 hours if the allegation does not involve abuse an does not result in serious bodily injury.

On 12/1/25 at 12:30 PM during the exit conference, the NHA and Director of Nursing did not offer additional documentation or information when asked.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/01/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Optalis Health and Rehabilitation of Canton

7025 Lilley Road Canton, MI 48187

SUMMARY STATEMENT OF DEFICIENCIES

LPN/UM I. R111 said he wanted to be shaved on days he gets cleaned up. R111 was just shaved while receiving care and was smiling and grinning during the interview. On 11/25/25 at 1:17 PM, CNA K said R111 had a full beard, and it did not look like he had been shaved since admission. CNA K said R111's beard was thick, and it took five to six razors to shave him. A facility policy titled, Activities of Daily Living (ADL), dated 12/7/23 was reviewed and documented in part:- Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming, personal, and oral hygiene.- Appropriate care and services will be provided for residents who are unable to carry out ADL independently, with the consent of the resident and in accordance with the plan of care, including appropriate support and assistance with hygiene (bathing, dressing, grooming, and oral care).- The amount of assistance the resident needs to complete their ADL care will be documented in the resident's care plan. On 12/1/25 at 12:30 PM during the exit conference, the Nursing Home Administrator and DON did not offer additional documentation or information when asked.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/01/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Optalis Health and Rehabilitation of Canton

7025 Lilley Road Canton, MI 48187

SUMMARY STATEMENT OF DEFICIENCIES

recovering from an acute stroke. PT E added that R101 could not speak and had zero strength. He could not express himself or talk.

His care plan should have reflected that he was dependent for bed mobility. On 11/25/25 at 4:12 PM, during a demonstration of the bed positions that R101 was observed in during the survey, the Director of Nursing (DON) said that neither position would be considered a low position but instead would be considered a transfer position.

The DON said keeping R101's bed in a low position while in it was an intervention for someone that had a fall.

The DON acknowledged that a two-person assist for bed mobility was not initiated for R101 until 9/22/25 and that dependence on bed mobility indicated he was a two-person assist.

The DON indicated that had R101 been a two-person assist upon admission, his falls on 7/12/25 and 9/20/25 may have been prevented. A review of the facility policy titled, Fall Management Guidelines, dated 12/13/23, documented in part the following:- Fall management goals: Reduce the risk of falls by intervening in modifiable risk factors.

Reduce the risk of injuries as a result of a fall.- The facility staff, with input of the attending physician, will implement a resident-centered comprehensive care plan that addresses the fall management program, the goal for fall management, individualized interventions to address the resident's modifiable fall risk factors, interventions to try to minimize the consequences of risk factors that are not modifiable, and the plan for reduction of risk and or risk for injury related to falls. On 12/1/25 at 12:30 PM during the exit conference, the NHA and DON did not offer additional documentation or information when asked.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

12/01/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Optalis Health and Rehabilitation of Canton

7025 Lilley Road Canton, MI 48187

SUMMARY STATEMENT OF DEFICIENCIES

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During an interview on 12/1/25 at 11:17 AM, the DON confirmed that the 9/14/25 incident, in which R104 was pushed by another resident, was not documented in the medical record.

The DON indicated this was a necessary step to ensure a complete medical record and effective communication among staff. A review of the facility policy titled, Documentation in the Medical Record, dated 1/8/25 revealed the following:- The following information is to be documented in the resident medical record: Physicians, nurses, and other licensed professionals progress notes.

Medication administration.

Treatments or services performed.- Principles of documentation include, but are not limited to: Documentation should be factual, objective, and resident centered.- Documentation should be accurate, relevant, and complete.- Documentation should be completed at the time of service or by the end of the shift in which the evaluation, observation, or care service occurred. On 12/1/25 at 12:30 PM during the exit conference, the NHA and DON did not offer additional documentation or information when asked.

Facility ID:

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.


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