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Complaint Investigation

Optalis Health And Rehabilitation Of Grand Rapids

January 14, 2025 · Grand Rapids, MI · 1950 32nd Street Se
Citations 2
CMS Rating 1/5
Beds 120
Provider ID 235458
Healthcare Facility
Optalis Health And Rehabilitation Of Grand Rapids
Grand Rapids, MI  ·  View full profile →
Inspection Summary

Optalis Health and Rehabilitation of Grand Rapids in Grand Rapids, MI — inspection on January 14, 2025.

Found 2 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

FF725
11:00 PM. Agency LPN JJJ reported there was only a nurse on the 400 Hall. Many reported the evening of 10/18/24 was not the first time where no nurse was assigned to a section of affected

Review of the policy/procedure Staffing (Department: Nursing), dated 4/13/22, revealed .There will be a designated staff member listed at the front desk who is responsible to ensure appropriate staffing at all times .

Designated staff member will ensure that there is staff appropriate to care for all residents in the facility .

In an interview on 1/8/25 at 9:15 AM, RN LLL reported they were assigned the 400 Hall on 10/18/24 from 6:30 PM-7:00 AM. RN LLL reported they could not recall who was responsible for the 300 Hall that night (10/18/24 between 6:30 PM-11:00 PM). RN LLL recalled a resident on the 300 Hall attempted to elope from the facility between 7:00 PM-11:00 PM. RN LLL stated in regard to staffing .We were always short. (Staffing) was definitely an issue that night . RN LLL reported management was .fully aware . of the staffing concerns but would not come into the facility to assist when short-staffed.

In an interview on 1/8/25 at 9:52 AM, Former Assistant Director of Nursing (ADON) MMM reported no issues with staffing the evening of 10/18/24 between 6:30 PM-11:00 PM and stated .we were at State minimums .

Former ADON MMM reported they were aware that multiple residents missed medications the evening of 10/18/24 and stated .we did look into that .

235458

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 235458 B.

Wing 01/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Optalis Health and Rehabilitation of Grand Rapids 1950 32nd St S E Grand Rapids, MI 49508

Review of the policy/procedure Staffing, dated 11/3/23, revealed .The facility provides sufficient numbers of staff with the skills and competency necessary to provide care and services for the residents in accordance with the residents plan of care .Licensed nurses and nursing assistants are available 24 hours a day, 7 days a week to provide direct resident care services .Staffing numbers and the skill requirements of direct care staff are determined by the needs of the residents based on their plan of care .

Review of the policy/procedure Staffing (Department: Nursing), dated 4/13/22, revealed .All employees of the facility are responsible for Residents and required to report to work when scheduled and to remain at work until replaced by someone else .

In an interview on 1/2/25 at 11:33 AM, Licensed Practical Nurse (LPN) Q reported there were currently three nurses and six Certified Nursing Assistants (CNAs) on the 300 and 400 Halls. LPN Q reported five CNAs is more typical for day shift staffing. LPN Q reported the facility uses a significant number of Agency staff, for both nurses and CNAs. LPN Q reported there are a lot of issues with call-ins and no-shows, and reported if an Agency nurse/CNA cancels a scheduled shift, the floor staff working that day have no idea until .no one shows up for the shift .

In an interview on 1/6/25 at 12:23 PM, Agency LPN DDD reported issues with staffing at the facility.

Agency LPN DDD reported sometimes the schedule will say three nurses (on the 300 and 400 Hall) but only two will show up.

Agency LPN DDD reported three nurses on the 300/400 Hall is ideal, and reported more care/treatments can be completed.

Agency LPN DDD stated when only two nurses are on the 300/400 Hall it .gets very time sensitive . regarding care.

Agency LPN DDD reported staffing constraints result in medications/treatments being administered outside of designated time frames.

235458

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 235458 B.

Wing 01/14/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Optalis Health and Rehabilitation of Grand Rapids 1950 32nd St S E Grand Rapids, MI 49508

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 Grand Rapids, 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 Grand Rapids or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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