Optalis Health & Rehabilitation Of Ionia

F 0550 Level of Harm - Minimal harm or potential for actual harm

reported the previous week that she pressed her call light and waited over 20 minutes for staff to respond. Resident R101 reported she wet herself while waiting and this made her feel dehumanized. Review of facility/procedure Resident Rights, issued 11/12/2024, revealed residents have a right to a dignified existence including to .be treated with dignity and respect. reasonable accommodation of needs and preferences.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/29/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Optalis Health & Rehabilitation of Ionia

814 East Lincoln Avenue Ionia, MI 48846

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Level of Harm - Minimal harm or potential for actual harm

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This citation pertains to Intake #2575897. Based on interview and record review, the facility failed to provide showers for 2 dependent residents (Resident R101 and Resident R103) of 4 residents reviewed for accommodation of needs. Findings include:Resident R101 Review of an admission Record revealed Resident R101 admitted to the facility on [DATE REDACTED] with pertinent diagnoses which included depression and apraxia (difficulty with skilled movement). Review of a Minimum Data Set (MDS) (a tool used for assessing a resident's care needs) assessment for Resident R101, with a reference date of 7/10/2025 revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine

a resident's cognitive status) score of 15, out of a total possible score of 15, which indicated Resident R101 was cognitively intact. Further review of same MDS assessment revealed Resident R101 required staff assistance with showering. Review of a current ADL Care Plan intervention for Resident R101, initiated 2/3/2022, revealed Resident R101 required the assistance of 1 staff with showering. Review of the facility Back Unit Shower List revealed Resident R101 was scheduled to receive showers on Sunday and Thursday evenings. In an interview on 8/29/2025 at 9:36 AM, Resident R101 reported she went for a couple weeks in July without receiving her scheduled shower. Resident R101 reported this made her feel dirty. Review of Resident R101's shower documentation revealed she received a bed bath instead of a shower on scheduled shower days on 7/10/2025, 7/17/2025, 7/24/2025, 7/31/2025, 8/7/2025, and 8/17/2025. Further review revealed Resident R101 went without a shower for two weeks from 7/13/2025 until 7/27/2025. Review of Resident R101's Concern Form, dated 7/31/25, revealed .No shower for two weeks July 14th through July 26th. Resident R103 Review of an admission Record revealed Resident R103 admitted to the facility on [DATE REDACTED] with pertinent diagnoses which included depression, anxiety, and history of falling. Review of a Minimum Data Set (MDS) (a tool used for assessing a resident's care needs) assessment for Resident R103, with a reference date of 7/12/2025 revealed a Brief Interview for Mental Status (BIMS) (a scale used to determine a resident's cognitive status) score of 14, out of a total possible score of 15, which indicated Resident R103 was cognitively intact. Further review of the same MDS assessment revealed Resident R103 required staff assistance with showering. Review of a current ADL Care Plan intervention for Resident R103, initiated 1/3/2023, revealed Resident R103 required the assistance of 1 staff with showering. Review of the facility Back Unit Shower List revealed Resident R103 was scheduled to receive showers on Monday and Friday evenings. In an interview on 8/26/2025 at 2:10 PM, Resident R103 reported she preferred to receive showers and not bed baths but about 3 times a month she received bed baths instead of showers. Resident R103 reported receiving bed baths instead of showers made her feel dirty and like her hair wasn't clean. Review of Resident R103's shower documentation revealed she did not receive a shower or bed bath on 8/1/2025. Further review revealed Resident R103 received a bed bath instead of a shower on scheduled shower days on 8/15/2025, 8/18/2025, and 8/25/2025. In a telephone interview on 8/29/2025 at 8:05 AM, Competency Evaluated Nursing Assistant (CENA) G reported staff try to give scheduled showers instead of bed baths but sometimes they have staffing issues or resident care issues that prevent them from being tied up in the shower. CENA G reported staff will give bed baths instead of showers in these circumstances. In an interview on 8/29/2025 at 9:45 AM, CENA J reviewed Resident R103's shower documentation from 8/18/2025 and reported she was working a double that day, staffing was short, and sometimes she will provide a bed bath instead of a shower if there is not enough time to provide a shower. In an interview on 8/29/2025 at 9:10 AM, the Director of Nursing (DON) reported resident preference for showers over bed baths should be met. Review of facility/procedure Resident Rights, issued 11/12/2024, revealed residents have a right to a dignified existence including to .be treated with dignity and respect. reasonable accommodation of needs and preferences.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet