Optalis Health & Rehabilitation Of Ionia
Optalis Health & Rehabilitation of Ionia in Ionia, MI — inspection on August 29, 2025.
Found 2 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
reported the previous week that she pressed her call light and waited over 20 minutes for staff to respond.
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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/29/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Optalis Health & Rehabilitation of Ionia
814 East Lincoln Avenue Ionia, MI 48846
SUMMARY STATEMENT OF DEFICIENCIES
Based on interview and record review, the facility failed to provide showers for 2 dependent residents (R101 and R103) of 4 residents reviewed for accommodation of needs.
Findings include:R101 Review of an admission Record revealed R101 admitted to the facility on [DATE] 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 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 R101 was cognitively intact.
Further review of same MDS assessment revealed R101 required staff assistance with showering.
Review of a current ADL Care Plan intervention for R101, initiated 2/3/2022, revealed R101 required the assistance of 1 staff with showering.
Review of the facility Back Unit Shower List revealed R101 was scheduled to receive showers on Sunday and Thursday evenings. In an interview on 8/29/2025 at 9:36 AM, R101 reported she went for a couple weeks in July without receiving her scheduled shower.
R101 reported this made her feel dirty.
Review of 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 R101 went without a shower for two weeks from 7/13/2025 until 7/27/2025.
Review of R101's Concern Form, dated 7/31/25, revealed .No shower for two weeks July 14th through July 26th. R103 Review of an admission Record revealed R103 admitted to the facility on [DATE] 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 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 R103 was cognitively intact.
Further review of the same MDS assessment revealed R103 required staff assistance with showering.
Review of a current ADL Care Plan intervention for R103, initiated 1/3/2023, revealed R103 required the assistance of 1 staff with showering.
Review of the facility Back Unit Shower List revealed R103 was scheduled to receive showers on Monday and Friday evenings. In an interview on 8/26/2025 at 2:10 PM, R103 reported she preferred to receive showers and not bed baths but about 3 times a month she received bed baths instead of showers. R103 reported receiving bed baths instead of showers made her feel dirty and like her hair wasn't clean.
Review of R103's shower documentation revealed she did not receive a shower or bed bath on 8/1/2025.
Further review revealed 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 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.
Facility ID: