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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 →
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.

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Inspection Findings

FF0609
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Survey Agency and other officials in accordance with state law .

The facility will ensure that all allegations involving abuse, neglect, exploitation, mistreatment, injuries of unknown source, misappropriation of resident property, and crimes 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 and to other officials (including adult protective services and/or law enforcement, when applicable) OR Reported to the State Survey Agency no later than 24 hours if the allegation does not involve abuse and does not result in serious bodily injury to the State Survey Agency and to other officials (including adult protective services and/or law enforcement, when applicable) .

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/04/2025

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 the facility's Abuse policy dated 4/13/22 revealed, Policy Overview: Residents have the right to be free from abuse, neglect, exploitation, mistreatment, and misappropriation of resident property.

This includes, but is not limited to, freedom from corporal punishment, involuntary seclusion, and any physical or chemical restraint that is not required to treat the patient/resident's medical symptoms.

The facility will develop and implement written policies and procedures that include: Screening potential employees and prospective residents .

Investigating allegations of abuse, neglect, misappropriation, mistreatment, and exploitation to include protecting residents during the investigation, and taking necessary actions as a result of the investigation .

Investigation: Key to investigating abuse allegations 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. It is the Center's policy to investigate all alleged violations involving Abuse, Neglect, Misappropriation of Resident Property, Exploitation or Mistreatment, including Injuries of 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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/04/2025

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 the facility's Skin and Wound Guidelines policy dated 3/5/24 revealed, Policy Overview: To describe the process steps required for identification of residents at risk for the development of pressure injuries, identify prevention techniques and interventions to assist with the management of pressure injuries and skin alterations .

Treatments: treatment options are selected based upon the type of wound, tissue type, exudate, condition of the peri wound, pain, the need for 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 .

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/04/2025

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 the facility's Activities of Daily Living (ADL) policy, revised 12/7/2023, stated, Appropriate care and services will be provided for residents who are unable to carry out ADL independently.including appropriate support and assistance with.Elimination (toileting).

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 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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