Optalis Health And Rehabilitation Of Grand Rapids
Optalis Health and Rehabilitation of Grand Rapids in Grand Rapids, MI — inspection on August 18, 2025.
Found 9 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.
Inspection Findings
sense of well-being, level of satisfaction with life, feeling of self-worth, and self-esteem.
General Guidelines: Residents will be treated with dignity and respect at all times .When assisting with care, residents are supported in exercising their rights.
For example, residents are: groomed as they wish to be groomed (hair styles, nails, facial hair, etc.), encouraged to attend the activities of their choice, including religious, political, civic, recreational, or social activities, encouraged to dress in clothing that they prefer, allowed to choose when to sleep and conduct activities of daily living.
Residents' private space and property are respected at all times.
Staff are expected to knock and identify themselves before entering residents' rooms .Demeaning practices and standards of care that compromise dignity are prohibited.
Staff are expected to promote dignity and assist residents, for example: helping the resident to keep urinary catheter bags covered, promptly responding to a resident's request for assistance; and allowing residents unrestricted access to common areas open to the public unless this poses a safety risk for the resident .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
policy dated 8/8/22 revealed, Policy Overview: A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident .General Guidelines: Each resident's comprehensive person-centered care plan is consistent with the resident's rights to participate in the development and implementation of his or her plan of care, including the right to: Participate in the planning process, participate in establishing the expected goals and outcomes of care .The resident is informed of his or her right to participate in his or her treatment, and provide advance notice of care planning conferences .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
Review of a Minimum Data Set (MDS) assessment for Resident #108, with a reference date of 8/2/25 revealed Section GG: Functional abilities: Resident #108 was dependent for toileting assistance, personal hygiene and required substantial/maximum assistance with dressing. In an interview and observation on 8/14/25 at 10:26 AM, Resident #108 was sitting at the edge of his bed attempting to stand up on his own. Resident #108 was noted to be weak, and shaky as he attempted to stand. Resident #108 was stating over and over that he was ready to get up and needed help.
This writer asked Resident #108 if he could turn on his call light for staff to come help him, and he reported that he couldn't use his call light because he didn't know where it was. It was noted that Resident #108's call light was under his bed, and out of his reach. In an interview on 8/14/25 at 10:30 AM, Registered Nurse (RN) NN reported that Resident #108 was a high fall risk and had recently had unwitnessed falls in the facility. RN NN reported that Resident #108 did use his call light for staff assistance.
Review of the facility's Call Light policy dated 8/16/23 revealed, Policy Overview: The purpose of this policy is to assure the facility is adequately equipped with a call light at each residents' bedside, toilet, and bathing facility to allow residents to call for assistance.
Call lights will directly relay to a staff member or centralized location to ensure appropriate response.
Guidance: Staff will ensure the call light is plugged in, functioning, within reach of residents, and secured, as needed .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
Review of Resident #109's Care Conference Note dated 2/17/25 revealed, Writer and DON had a phone care conference with Ombudsman and legal guardian (name redacted) regarding the transfer to the Dementia unit and after a half hour of speaking with guardian he still decided that he did not want his mother moved to the Dementia unit. he told all parties that he was going to move her to another facility as soon as he is able to . In an interview on 8/18/25 at 1:54 PM, NHA A reported that the facility was not able to provide any further documentation or verification that the facility had obtained consent from Resident #109's guardian to have her in the locked dementia unit during the day.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
appropriate support and assistance with: Hygiene (bathing, dressing, grooming, and oral care, Mobility (transfer and ambulation, including walking), Elimination (toileting), Dining (meals and snacks) .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
then every hour X 4, then every 4 hours X 6, then every shift X 3 day .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
residents and was also inappropriate sexually and would try to grab at staff, kiss staff and ask for sex. LPN CC reported that staff had to monitor Resident #104 closely because of how quickly he could escalate and attempt to attack others. In an interview on 8/14/25 at 11:25 AM, CNA QQ reported that Resident #104 and Resident #109 both had a history of physical aggression towards other residents, and Resident #104 had a history of sexual aggression towards other residents and staff. CNA QQ reported that she had observed Resident #104 attempt to grab Resident #109, but could not recall when that happened, and just reported it was many moths ago. CNA 'QQ also reported that Resident #104 had attempted to kiss her and grabbed at her breasts recently, and she had a hard time redirecting Resident #104. In an interview on 8/13/25 at 2:03 PM, Nursing Home Administrator (NHA) A and Director of Nursing (DON) B confirmed that Resident #104 and Resident #109 had histories of being physically aggressive towards other residents, and that Resident #104 had a history of being sexually inappropriate towards females. DON B and NHA A reported that they expected nursing staff to ensure resident safety and that staff should not allow Resident #109 to sleep in Resident #104's room or be alone in a room with each other without staff supervision.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
During this writer's interview with DON B, she was not able to provide information on how the facility was adjusting staffing schedules and assignments when staffing changes occurred and reported that the facility was not experiencing staffing concerns. It was noted in observation and interview on 8/14/25 that the facility was working with less than 5 CNAs on the Coast unit, which was below minimum staffing levels.
This writer requested staff schedules for 8/12/24-8/14/25 and 8/15/25-8/17/25.
Nursing Home Administrator (NHA) A uploaded the written staff schedules for the dates requested.
Review of the Staff Schedules for 8/12/24-8/14/25 and 8/15/25-8/17/25 noted that the schedules were printed but did not indicate if staff had actually worked the shift as scheduled.
For further information related to staffing concerns, please see F-F550 and F-F677.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health and Rehabilitation of Grand Rapids
1950 32nd Street SE Grand Rapids, MI 49508
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited Optalis Health and Rehabilitation of Grand Rapids in Grand Rapids, MI for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-08-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, 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 9 deficiencies cited during this inspection of Optalis Health and Rehabilitation of Grand Rapids.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-17.