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Complaint Investigation

Optalis Health And Rehabilitation Of Grand Rapids

September 4, 2025 · Grand Rapids, MI · 1950 32nd Street Se
Citations 4
CMS Rating 1/5
Beds 120
Provider ID 235458
Healthcare Facility
Optalis Health And Rehabilitation Of Grand Rapids
Grand Rapids, MI  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Optalis Health and Rehabilitation of Grand Rapids in Grand Rapids, MI — inspection on September 4, 2025.

Found 4 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

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies

involve abuse and does not result in serious bodily injury to the State Survey Agency and to other

235458 09/04/2025

Optalis Health and Rehabilitation of Grand Rapids 1950 32nd Street SE Grand Rapids, MI 49508

residents during the investigation, and taking necessary actions as a result of the investigation .

any allegation of abuse. It is the Center's policy to investigate all alleged violations involving Abuse,

Unknown Source to ensure that all individuals who report such incidents and allegations are free from retaliation or reprisal for reporting the incident.

Prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress.

Report the results of all investigations to the administrator or designee and to the State Agency in accordance with State law.

The investigation process includes: Identifying staff responsible for the investigation, Determining the purpose of the investigation and issue(s) to be investigated, whether or not the alleged violation has occurred, the extent, and cause, Identifying and interviewing all involved persons, including the alleged victim, alleged perpetrator, witnesses, and others who might have knowledge of the allegations (such as other residents, family members, staff who worked closely with the alleged perpetrator and/or alleged victim), Conducting observations of the alleged victim, including identification of any injuries as appropriate, the location where the alleged situation occurred, interactions and relationships between staff and the alleged victim and/or other residents, and interactions/relationships between resident to other residents as applicable, Identifying and reviewing all relevant medical records and facility documentation as applicable, If the alleged perpetrator is a staff member, review their employment records, Exercising caution in handling evidence that could be used in a criminal investigation (e.g., not tampering or destroying evidence), Providing complete and thorough documentation of the investigation, After completion of the investigation, the evidence should be analyzed, and the Administrator or designee will make a determination regarding whether the allegation is substantiated or unsubstantiated.

The Administrator will determine if modifications to existing policies and procedures (or new policies and procedures) are needed to prevent similar incidents or injuries from occurring in the future in accordance with its QAPI Plan.

The quality assurance investigative materials will be reviewed by the quality assurance committee in accordance with the facility QAPI Plan.

The quality assurance committee will take all actions deemed necessary based upon their review

235458 09/04/2025

Optalis Health and Rehabilitation of Grand Rapids 1950 32nd Street SE Grand Rapids, MI 49508

Review of the facility's Skin and Wound Guidelines policy dated 3/5/24 revealed,

management of pressure injuries and skin alterations .

Treatments: treatment options are selected

protection of the wound bed, the goal of treatment, and manufacturer's recommendations for product utilization.

Treatments are ordered by the medical practitioner. A complete treatment order consists of the following: Site of application, type of skin alteration or treatment needed, cleaning agent, if indicated.

Frequency, including end date orders if applicable.

Directions for use, if applicable.

Primary and secondary dressing, if applicable.

Type of securement, if applicable .

235458 09/04/2025

Optalis Health and Rehabilitation of Grand Rapids 1950 32nd Street SE Grand Rapids, MI 49508

are unable to carry out ADL independently.including appropriate support and assistance

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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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.