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Complaint Investigation

Optalis Health And Rehabilitation Of Grand Rapids

November 24, 2025 · Grand Rapids, MI · 1950 32nd Street Se
Citations 5
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 November 24, 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

FF0730
Nursing and Physician Services Deficiencies
Potential for More Than Minimal Harm

Based on interview, and record review, the facility failed to ensure Certified Nursing Assistants (CNA's) yearly performance review was conducted resulting in the potential for CNA's to not be able to safely provide necessary care and services to residents, a lack of training, and the potential for unmet care needs.Findings include: On 10/23/25 at 12:48 PM, this writer requested verification of annual performance reviews for five sampled CNA files: (CNA H, M, OO, PP, and QQ).

The facility was unable to provide the requested information. In an interview on 10/23/25 at 1:06 PM, Nursing Home Administrator (NHA) A reported that the facility had not completed annual performance reviews for the CNA staff.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/24/2025

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 Medication Administration policy dated, 8/7/23 revealed, General Instructions: Medications are administered in accordance with the following rights of medication administration.

Right resident, right medication, right dose, right route, right time and frequency, right documentation, right of resident to refuse, and right clinical indication .

Prepare medications for administration.

Administer medication: Knock on door and request entrance.

Introduce self, explain medication administration need, and provide privacy.

Identify resident by calling name and referring to photo .

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/24/2025

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

F-F760 and F-F838 for additional information.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/24/2025

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 the survey, the writer identified that the facility had not completed annual performance reviews for Certified Nursing Assistants (CNA's) or ensured that the CNA's were completing the 12-hour in-service education based on the annual performance review.

The writer also identified that the facility had a nursing school to conduct clinical rotations at the facility without an active contract, and without determining what training and any competencies related to resident care the students had completed prior to providing resident care. In an interview on 10/23/25 at 1:06 PM, Nursing Home Administrator (NHA) A reported the facility was purchased in August 2024. NHA A reported that she had completed the first assessment for the facility in June 2025, and that she had completed the facility assessment as a look back period from 7/2024-6/2025.

NHA A confirmed that the facility assessment had not been reviewed and updated after June 2025.

Please see F-F760, F-F835, F-F730 and F-F947 for additional information.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/24/2025

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

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Based on interview, and record review, the facility failed to develop, implement, and permanently maintain an in-service training program for Certified Nursing Assistants (CNA's) as determined by the yearly performance review, and ensure a total of 12 hours of yearly education, resulting in the potential for CNA's to not be able to safely provide necessary care and services to residents, a lack of training, and the potential for unmet care needs.Findings include: On 10/23/25 at 12:48 PM, this writer requested verification of annual in-service education for five sampled CNA files: (CNA H, M, OO, PP, and QQ.

The facility was unable to provide the requested information. In an interview on 10/23/25 at 1:06 PM, Nursing Home Administrator (NHA) A reported that the facility had not completed annual reviews for the CNA staff, and therefore, the facility was not ensuring that the CNA's at the facility had completed the 12 hours of in-service education based on the annual performance reviews.

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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